Certified Professional Coder
Resume:
Amanda Baldwin
Certified Professional Coder
PO Box 436 Wakonda, SD 57073
***********@*****.***
Professional Summary
Highly efficient professional medical billing and coding specialist with ICD-9, and ICD-10 coding experience. Familiar with commercial and private insurance carriers. Current experience working with a 563 bed facility. Excellent multi-tasker with a positive attitude. Seeking a position of increased responsibility and authority.
Skills
Knowledge of HMO's, Medicare, and Medicaid
HIPPA Compliance
Electronic Medical Record (EMR) software
Strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology, and Pharmacology.
Proficient in physician coding, inpatient hospital coding, outpatient coding, and facility coding.
Extremely knowledgeable with regard to Medical Coding guidelines and coding techniques (ICD-9, CPT-4, HCPCS, and DRG's).
Extensive coding and billing software experience
Work History
06/2013 to Certified Professional Coder and Billing Analyst
Current Alleviant- Vermillion, SD
Direct coded inpatient, outpatient, observation, emergency room, and diagnostic ancillary services. Code medical records with ICD-9, CPT-4, and HCPCS Level II coding, processing 250 to 275 claims daily while maintaining 99% accuracy and achieving productivity goals. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered. Assigned additional diagnosis codes based on specific clinical findings in support of existing diagnoses. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Prepare and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials. Thoroughly reviewed remittance codes from EOB's/AR's. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received.
Certification
Certified Professional Coder (CPC) – AAPC
ICD-10 Proficient- AAPC
References
Available on request.
Contact this candidate