Medical Coder Human Resources

Danielle T. Janarek-Farquhar

**** ********* ** ****: 630-***-****

Kalispell, MT 59901 E-Mail: ********@*****.***

Objective

Advance my career as a medical coder

Education

●Colorado State University:

Bachelor’s of Biological Science December 2012 Certification

●AAPC Certified Professional Coder May 2021

Work Experience

Logan Health Revenue Integrity Department

Jessie Beavers June 2021- Present

Job title:Certified Medical Coder

●Abstract and sequence ICD-10 and CPT codes from clinical data for an outpatient heart and lung clinic

●Review and analyze medical records for document deficiencies based on coding guidelines and legal requirements to ensure compliance with regulatory bodies

●Review charges, ensure accuracy and check for medical necessity for ordered tests and procedures. Platforms used are Vitalware and 3M

●Communicate with providers,staff, leadership and hospital departments to ensure documentation supports services

●Work closely with the clearinghouse and billing department to correct denied claims

●Meet productivity and quarterly audit standards set forth by Revenue Integrity Department

●Proficient with Meditech, Citrix, and Change Healthcare

Logan Health Plastic Surgery

Jenny Masa October 2019- May2021

Job title: Insurance Specialist/Patient Care Coordinator

●Read and interpret physician notes to assign appropriate ICD-10 and CPT codes for prior authorization process

●Contact insurance companies through various methods for eligibility, benefits, network status and prior authorization

●Educate patients on the details of their insurance policy and the criteria they have to meet for insurance to cover their procedure

●Present cosmetic quotes to patients and talk through financing options

●Schedule both insurance and cosmetic procedures in the office and operating room

●Collect, track, file, and upload various documents into Meditech

●Act as a liaison between the operating room, clinic, patient and the medical team

Jackson Insurance Agency, Inc

Dave Jackson December 2018-June 2019

Job title: Human Resources Manager/Commercial Insurance Broker

●Manage daily HR responsibilities to include job adverts, interviewing, on-boarding, interpersonal disputes, salary/bonus planning, employee release, performance management, and reporting/analytics

Northern Colorado Family Eye Care

Dr. Paul Neville OD October 2014-December 2018

Job title: Optometrist Assistant/Office Manager

●Abstract Appropriate CPT and ICD-10 codes from physician notes and compile data on CMS 1500 claim

●Submit claims to insurance companies and upload accounts receivable to emr

●Perform pre-testing on all patients. Auto-refractor, NCT, Optomap, and visual field

●Teach and train new contact lens wearers’ procedures for removal and placement

●Dispense patient contacts and make correct adjustments when applicable

●Manage busy and growing office by: developing patient forms, customer scheduling and check-in, training new receptionists, and ordering supplies

Contact this candidate