Medical Coder

**** ****** ** ****** ****, TX *****

409-***-**** E-mail: ************@*****.***

RACHEL LYONS

OBJECTIVE

To acquire a position with a progressive company where I may utilize my education, skills, and proven abilities to provide excellence of service toward company goals.

WORK EXPERIENCE

2013-Present University Health Systems San Antonio, TX

OP Coding Technician

•Code and finalize accounts including outpatient accounts

•Assist director /manager with projects and research as needed

•Create learning presentations for upcoming ICD-10-CM transition/ learning opportunities for coders

•Assist coding staff with physician queries/missing reports by researching and contacting appropriate staff/department to fulfill questions needed to finalize accounts

•Work hold bill accounts and find documentation to support charges in order to code/bill successfully

•Meet with departments to help streamline processes/ educate regarding coding process and documentation needed

2010-2013 The Scooter Store New Braunfels, TX

Appeals Coordinator

•Follow up on denied service claims from Medicare

•Build appeal including letter for claims denying

•Resubmit any incomplete claims through billing software with correct narratives, modifiers and correct hcpcs

•Communicate with PDAC to ensure proper hcpcs codes billed

•Top performer on team for collections

Rehab Support Coordinator

•Assist with all complex rehab post-delivery orders by working directly with Assistive Technology Professionals, customers and Physicians

•Work closely with rehab coding specialist to ensure coverage/hcpcs codes/qualifying diagnosis

•Top performer able to meet monthly goals

•Train new employees on post- delivery process

•Discuss/set up payments with customers for products not covered by insurance

•Complete private pay and direct sales for complex rehab accessories

IVD Managed Care Supervisor

•Supervise employees daily activities to ensure they meet productivity and accuracy standards

•Direct interaction with sales and sales managers to clarify and resolve any conflicting information

•Conduct monthly team meetings, employee one on ones, and report numbers to manager

IVD Coordinator – Managed Care

•Verification of multiple insurances including Medicare and Medicaid

•Keep track of daily numbers and report to manager

•Top Performer for team ( Accuracy & Productivity)

•Work closely with other departments to obtain/verify information

2008-2010 Ace Glass & Mirror Inc. Nederland, TX

Inside Sales, Administrative Assistant

•Inside Sales for Commercial & Residential Products

•Process/Follow up on all Insurance Claims

•Compose bids/contracts for Commercial Jobs

•Inventory Control of Shop Supplies & Materials

•Scheduling of Residential, Commercial, & Auto Jobs

2005-2008 Nederland Glass Nederland, TX

Inside Sales /Accounts Receivables

•Carry out everyday office tasks, such as filing, faxing, copying typing, and creating documents in word and excel

•Accounts Receivable, closing out daily and monthly sales, preparing bank deposits, scheduling, keeping inventory of flat glass and automobile glass

•Inside sales through individuals as well as contractors

2003 Kelly High School Beaumont, TX

Assistant Softball Coach

•Coaching, holding practice, making season schedule, transporting players to/from games, equipment/uniform inventory and ordering

EDUCATION

1995-1999 PNG High School Port Neches, TX

College Work

Lamar State College Port Arthur – College Basic Courses

Lamar Institute of Technology 2008-2009

AAS – Process Technology- Completed 39/60 Course Hours

Certifications

Certified Coding Associate through AHIMA

REFERENCES

Cindy Stratton-Begnaud 409-***-****

Owner Ace Glass & Mirror Inc.

Travis Haynes 830-***-**** Previous Director University Health System

Sheila Provost 409-***-****

Director Val Verde Baptist Church Childcare

SUMMARY OF QUALIFICATIONS

In addition, I would like to include that I am a very hard worker with a positive attitude. I have great computer knowledge, as well as experience in many computer programs. I have great people skills and I get along with fellow employees. Also, I am a quick learner who is willing and eager to learn from others.

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