Sureka Moore

Deerfield Beach, FL ***** 754-***-****

acz73m@r.postjobfree.com

Objectives: To obtain a permanent position that will allow me to grow and utilize my skills and my extensive knowledge and successful experience in medical records, coding and billing.

Education:

Concorde Career Institute – Graduated 2004

Insurance Coding & Billing Specialist

Certifications:

CPC Coding Certification from AAPC Medical Coding Organization- May 2007

ICD-10 Certification from AAPC Medical Coding Organization- June 2015

Qualifications:

Extensive experience in customer service, Working knowledge of Medical terminology the Disease process with relation to Anatomy and Physiology. Insurance Verification, Referral authorization. Able to process CMS-1500 claim forms for most major carriers with accuracy. Able to abstract from clinical documents and apply appropriate ICD-10-CM, CPT and HCPCS codes proficiently. Solid understanding of Inpatient and Outpatient coding guidelines.

Experience:

Medical Center Affiliates 02/2010-Present

Medical Coder

* Review medical records and accurately codes the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions, Specialize in HEDIS & HCC Coding

* Utilize electronic health record program- MdVita & MdFlow

* Perform frequent medical record audits for relevancy and consistency of data

* Provide education/training to physicians and other providers on coding and clinical documentation

* Contacts appropriate personnel for clinical documentation inefficiencies

Vista Health Plan 3/07-9/2008

Medical Records Auditor- HEDIS specialist

* Reviewed medical record documentation against coded services to determine accuracy and compliance.

* Participated in audit and coding team meetings to discuss solutions to coding discrepancies.

Sheridan Health Corp. 7/06-2/2008

Medical Coder

* Interpreted medical information and diagnostic descriptions and procedures in order to accurately assign and sequence the correct ICD-9-CM and CPT codes

* Performed diagnosis coding on medical and laboratory requisition report codes for claim denials.

* Reviewed reimbursement claims before submission for completeness and accuracy and to minimize claim denial

Cardiology Associates 5/03-06/06

Medical Coder & Medical Records Manager

* Coded Evaluation and Management (E&M) visits, diagnoses and procedures according to the current ICD-9-CMand CPT/HCPCS rules and principles and coding guidelines

* Maintained accurate medical records system.

* Maintained and processed medical records release or requests for distribution.

* Verified and obtained patient's insurance benefits requirements by telephonic use for prompt payment/reimbursement.

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