Medical Insurance
Resume:
Annette Welch, CPC CPC-I
Royse City, TX 75189
Cell Phone 214-***-****
Email:welchannette1@ gmail.com
To whom it may concern,
Please review the attached resume. My experience and expertise as a Certified Professional Coder (CPC) and Certified Professional Coder-Instructor (CPC-I) would be an asset to your team as a Coder, Coding Manager, or Business Office Manager. My many years of progressively responsible experience in the medical field involving physician coding, compliance, auditing and education could contribute to the financial success of your facility/department. Your organization could benefit from my skills, knowledge and experience as a Coder. Further, I also currently serve as a certified coding instructor of the Professional Medical Coding Curriculum (PMCC), teaching coding and compliance for the AAPC (American Academy of Professional Coders). My extensive and diverse experience affords me great leadership and teamwork skills as well as those required to be a dedicated, loyal follower. I look forward to meeting with you to discuss the exciting possibilities of joining your team!
Thank you for your time and consideration.
Sincerely,
Annette Welch
Annette Welch, CPC CPC-I
1112 Brazos Court
Royse City, TX 75189
Cell Phone 214-***-****
Email:welchannette1@ gmail.com
Objective
Position in a company with an emphasis in Medical Billing and Coding where I can utilize my skills with an opportunity for growth and advancement.
Experience
Divine Coding Institute- Irving, TX- AAPC Coding Instructor January 2014-Present
Responsible for developing strategies to deliver course material in both a blended and on-site learning environment for students preparing to sit for the CPC and/or CCS-P Exam
Responsible for organizing, preparing and regularly revising/updating course material
Responsible for utilizing educational technology to enhance the learning experience
Responsible for setting clear objectives and expectations for the course
Responsible for designing assignments and tests to conform to the objectives of the curriculum
Responsible for creating interactive classroom learning utilizing Blackboard Learn
Responsible for providing timely feedback to students in regards to their performance
Conifer Health- Frisco TX- Coder and Charging Specialist February 2016 - November 2016
Responsible for emergency room diagnosis coding
Responsible for emergency room charges
Responsible for radiology charges
Responsible for maintaining the emergency room charges and coding are billed within three days of date of services
Responsible for reviewing and researching insurance denials
Responsible for maintaining coding education to code accurately and effectively
Responsible for CPT and ICD-10 changes for the current year
Urology Clinics of N. TX- Dallas- Coder and Auditor- _ _ July 2015 - February 2016
Responsible for physician, staff and CEO education on importance of coding and documentation
Review and research insurance denials from collectors
Conduct quarterly in-services training and development education for staff and physicians
Communicate with staff, physicians, and CEO on any billing, coding, and compliance issues
Communicate with physician on audit results for the quarterly audits
Continue to Assist with ICD-10 inquires as needed
Maintain spreadsheet on pre-payment audits and internal audits
Coding review on difficult /distinct surgical procedures
Responsible for Quarterly Memo/educational information on billing protocol changes.
Responsible for CPT and ICD-10 changes for the current year
Texas Oncology- Richardson, TX Analyst Reimbursement-Gov’t Audits January 2009- July 2015
Receive the pre-payment audits and RAC audits
Responsible for requesting records from the BOM if they are not in the EMR system
Responsible for maintaining the spreadsheet for the pre-payment and RAC audits
Responsible for compiling data for the monthly board reports for the Controller
Responsible for auditing accounts to ensure that the records match what was given and what was billed
Responsible for coding Interventional Radiology Charts
Responsible for refunds, adjustments, appeals, answering the TXO coding questions and assisting with coding projects
Accounts Receivable Specialist Presbyterian Dallas, TX April 2004- January 2015
Performed medical billing and collection
Audited accounts to ensure proper payment
Performed refund processes
Posted patient payments
Performed insurance verifications
Assisted patients with billing questions
Appealed claims for denials
Achieved the Billing and Integrity Program for both Medical and Radiation Oncology
North Texas Heart Center- Dallas, Texas Patient Liaison/Insurance Verification Coordinator- 2004-2009
Performed medical billing and collection
Performed insurance verifications
Posted patient payments
Obtain Referrals
Obtain Pre - Authorizations
Assisted physicians with billing questions
Assisted with the front desk as needed
Assisted the accounts receivable department as needed
Super User for the practice management system
Multicare Medical- Richardson, Texas- Billing Clerk 2003-2004
PI Case Coordinator
Billed Workman’s Comp, Major Medical, and PIP claims
Posted patient payments and balanced the day sheet
Obtained Pre-Authorization for Workman’s Comp
Performed insurance verifications
Obtained Referrals
Collected on the Major Medical and PIP accounts
Brookhaven Family Medicine-Dallas, Texas - Receptionist 2001-2003
Responsible for answering the phones
Scheduled patient’s appointments
Performed insurance verifications
Collected co-pays
Checked patients in and out
Faxed prescriptions to the pharmacies
Notated patient’s account numbers on reports and placed the charts on the physician’s desk
Posted patient payments and balanced the day sheets
Receivable Solution, LC-Plano, Texas - Collector 2000-2001
Medical Collections
Knowledge of hospital and clinic system
Answered patients inquires about insurance policies
Performed insurance verifications and claim status
Executive Assistant
Operated the main switchboard
Maintained employees time, attendance and vacation requests
Responsible for Data entry for bankruptcy notices, consumer disputes verifications and return mail
Responsible for Data entry of employees collection totals
Dr. Anne K. Webb-McKinney, Texas - Receptionist 1998-1999
Answered patient’s inquiries on a multi - line phone system
Updated patient’s information
Scheduled patient’s appointments
Performed insurance verifications
Filed claims
Verified status of a claim
Posted patient payments and balanced the day sheet
Collin County Justice Center-McKinney, Texas - Receptionist 1997-1998
Responded to incoming phone calls on multi-line phone system
Greeted visitors and enforced Justice Center procedures
Organized medical records on current inmates
Organized inmates visitations
Skills
Proficient-Microsoft Word and Excel
Experience with medical software Lytec, QSI, Athena, and Misys
Answering up to 20 telephone lines
PBX switchboard
Blackboard Learn
Excellent communication skills
Vision Practice Management System
Iknowmed Electronic EMR Texas Oncology
XPER EMR for Interventional Radiology
Medifusion for Pathology reports
Nextgen EMR
Epic
Lynx
Casetrakker
Payer Compass
Athena
Education
Graduated from Anna High School 1996
Intro to PC at East Field College in Mesquite, Texas
Certified Professional Coder 2010 through AAPC-80 hour PMCC Coding Course
Certified Professional Coder Instructor 2013 through AAPC-Instructor Training
Affiliations
AAPC
Garner Little League-Fundraiser Representative 2003
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