Patrice Richardson

Point, TX ***** 903-***-**** ad37sy@r.postjobfree.com

Professional Summary

Certified Hospital Inpatient Coder, seeking Medical Coding position in the Health Administrative field. Provide dedication, commitment, loyalty and perseverance to any company to work for. To grow within a company that supports continuing education to further career and a coder. Skills

Experience

Referral Coordinator & Diagnostics, 05/2023 - Current CVS Healthcare/Oak Street Health – Remote/Chicago,IL Certified Hospital Inpatient Coder, 03/2023 - 11/2023 Tyler Junior College – Tyler, United States

Hospital Patient Account Specialist, 01/2019 - 07/2021 Trinity Healthcare – Remote

Benefit Verification Specialist, 10/2020 - 01/2021 AmerisourceBergen – Remote

● Medical terminology

ICD-10 (International Classification of

Disease Systems)

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● CPT Coding Guideline

● HCPCS Coding Guidelines

● Office support (phones, faxing, filing)

● Excellent verbal communication

● Adept multi-tasked

● Resourceful and reliable worker

● Excellent problem solver

● Office management professional

● Research and data analysis

● Anatomy/Physiology

● Self disciplined

● Microsoft Excel

● Microsoft Word

● AAPC Coder software

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● Finding specialists and facilities for where patients will receive their healthcare services Seeking authorization for referrals/diagnostics from health care companies, as determined by authorization rules

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Performing outbound calls to specialists/facilities to seek verification of information, as determined by program standards

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Receiving inbound calls from patients, outside providers/facilities, and am members (care team, etc)

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● Responding to internal messages

● Preformed Cases containing variety of medical situations. (School)

● Certified Hospital Inpatient Coding Training - Certified Hospital Inpatient Coder

● Medical Terminology

● Anatomy

Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance

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Enhanced accuracy of medical coding by consistently reviewing and validating medical records for inpatient services

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● Follow up with insurance companies regarding appeals/denials/unpaid claims Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites

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● Fill out Insurance claim Forms

● Identify and resolve issues causing payer payment delays Identify and trend claims issues to proactively reduce denials Prepared reports detailing billing actions, flags and other key information

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● Sign patient's up on their re-Verification form for medication DUPIXENT: Asthma

Customer Service Specialist, 08/2003 - 08/2006

Baylor University Medical System – 2001 Pearl Street Answered fifty to eighty calls per day in efficient manner

● Handled hospital claims, UB.04 with attached information

● Updated and corrected patient information and filed claims

● Managed correspondence with patient accounts

● Called insurance companies for claims status updates

● Collected patient payments

Affiliations

American Academy of Professional Coders (AAPC)

Education

Certified Hospital InPatient Coder: Coder, 11/2023 Tyler Junior College, Tyler Texas - Tyler, United States High School Diploma: 05/1983

Newman Smith High School - Carrollton, United States Basic 4 years

Certifications

● Verification Medicare Part D Benefits

● All Commercial Insurance,

Answered fifty to eighty calls per day in an efficient manner

● Handled hospital claims,with attached information

● Updated and corrected patient information and filed claims

● Managed correspondence with patient accounts

● Called insurance companies for claims status updates

● Collected patient payments Enrollment Form & Prescription,Income from Doctor or Patient.

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● AAPC Certified Professional Coder

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