Medical Billing

Norma Gray-Clark

**** ****** **** ** ************ GA, 30135 240-***-**** ****************@*****.***

INSTRUCTOR • MEDICAL CODING • BILLING • INSURANCE• MEDICAL ASSISTING

Medical Billing and Coding Instructor seeks to combine extensive didactic training with effective hands-on experience in an medical healthcare setting

Highly educated, extremely energetic and very organized with a strong commitment to assuming increased duties and responsibilities

Blended professionalism and competence within a doctor’s office, hospital another medical facility’s

Exemplary communication and presentation skills

Used role playing, simulations, team exercises, group discussions, videos and lectures to instruct participants in a variety of ways.

Medical assisting lab classes Phlebotomy and Pharmacology

Medical Assisting front and back office skills

AREAS OF KNOWLEDGE & TRAINING

Billing Software: Medical Manager • Medisoft •• Medical Master Mind • CHCS • E-Clinical

Coding: ICD-10-CM • ICD-9 CM • CPT • HCPCS • Outpatient Coding

Carriers: Federal • State • Private Plans • All Commercial Payer’s

Insurance: Verification & Eligibility • Remittance Advice • Posting • Adjustments • Appeals & Denials

Practice Management & Training: Professional Medical Billing Coder Trainer • Litigation • Teaching Strategies • New Healthcare Reform and Concepts for Professional Services • HIPAA Rules

SUMMARY OF QUALIFICATIONS

Instruct students in understanding the role as a Certified Medical Billing Coding Specialist

Engage students with visual and practical case studies of health insurance coverage, insurance carriers, coverage and health plans including PPO, HMO and POS

Train students on the in understanding Federal, State and Commercial plans and stressed importance of corrective ICD-9-CM, CPT, HCPCS coding guidelines including to obtain maximum reimbursement

Implement practical case scenarios for students to enter into a practice management software to increase their understanding of creating an account and building a case and follow-up procedures

Created curriculum for students to enter charges, post payments, create claims, review practice analyzing reports and how to read and abstract medical documentation for claims submission

Provided an extensive practical training program in ICD-9, CPT and HCPCS coding

Instituted practical computerized programs to help students understand hospital and physician billing, the difference in documentation formats and how to handle appeals, denials, third party carriers and COB

Instructed multiple classes with a student body of 25 – 33 students per class

Training Medical assisting student in EKG, spirometry injections and vital signs with basic lab tests

PROFESSIONAL SKILLS

Reputation for discretion, reliability, integrity and diplomacy

Articulate, very effective in working with people of different backgrounds and temperaments

Able to prioritize duties and resolve complex tasks and disputes

Self-motivated with exceptional organizational and problem solving skills

Highly energetic and motivated with pride in providing additional insights and recommendations

Self-starter with ability to learn quickly and effectively

Team player with polished communications skills who can also work well independently

CAREER DEVELOPMENT

Adjunct Instructor UDC Washington DC 20032

September 2014- Current

Medical Billing and Coding Instructor Medtech College Falls Church VA 22042

June 2010 –May 2015

PFS Refund Specialist (Physical therapy) Inova Health System Falls Church VA 22042

January 2013-November 2014

Medical Records Tech( Temp) Walter Reed Military Medical Center Bethesda, MD

April 2008 – September 2008

Front Desk Supervisor Ballston Animal Hospital Arlington VA

August 2007 - March 2008

Medical Assistant Family and Medical Counseling Service Inc Washington DC

June 2001-June 2007

EDUCATION

Medical Office Assistant Certification: ACT College Arlington VA ( 2001)

Associate Degree, Applied Science, ACT College Arlington VA ( 2006)

Bachelor of Science in Health Administration, Kaplan University Health Management December 2016

Certification

CPR certified through American Heart Association

CBCS (certified billing and Coding Specialist)

CEHRS (certified electric health record Specialist)

CCMA ( certified Clinical Medical Assistant)

CPT (Certified Phlebotomy Technician )

CET (Certified EKG Technician)

MEMBERSHIPS

Member: The American Academy of Professional Coders AAPC (ongoing)

COMPUTER

Microsoft applications including Word and strong internet research ability

SKILLS

Education and training HIPAA Compliance CHCS

Medical Clinical procedure MOSS Medisoft 14-17

Customer and Personal Service Medical Mastermind Infection control

Horizon Homecare HPF(IPTC) Vital Signs

Advanced problem –Solving Phlebotomy Medical Ethic

Office Hours E-Clinical OSHA/JCAHO

ICD-9-CM CPT HCPCS Front office skills 9+ year billing

Medical terminology Solid understanding of methods and procedures for treatment of [conditions].

wound cleaning and care Medical Insurance Claims CMS1500 and UBO4

10-key 45-55WPM Medical Record Auditing

References are available upon request

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