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Medical Coding Patient Care

Location:
Pine, AZ
Posted:
February 20, 2024

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Resume:

SHARON LINS, CPC

PO Box ****

Pine, AZ *****

Phone: 928-***-****

Email: ad3sck@r.postjobfree.com

CREDENTIALS

Certified Professional Coder (CPC)

EDUCATION

Medical Coding Certificate: American Association of Professional Coders RELEVANT EXPERIENCE

Administrative Director: Coding Clarified LLC

May 2020 – Present

Responsible for the administrative, operational and financial support of Coding Clarified. Includes long-term strategic planning, overseeing daily operations.

Remote Ambulance QC Auditor & Coder: The Coding Network May 2019 – Present

Provided quality control for medical necessity of ambulance transports. Providing medical coding and billing for multiple ambulance clients.

Provided accurate and timely patient care reporting, establishing medical necessity.

Completed detail-oriented work including verifying signatures, determining level of service, origin and destination modifiers while assigning ICD-9-CM/ICD-10-CM/HCPCS codes.

Managed compliance with Federal and State regulations and adhered to established principles and guidelines. Achieved at least 95% accuracy on all completed work.

Ensured unpaid and rejected claims were coded correctly, including modifiers. Senior Biller/Collector: PHI Air Medical

April 2012 – August 2017

Led department teams for all aspects of insurance claim follow-up including denied ICD-10/ICD-9 codes and resubmitting corrected claims or appeals.

Reviewed all EFT/EOBs for correct reimbursement or trending insurance company denials. Ensured compliance with all coding and billing guidelines set by CMS.

Consistently exceeded monthly revenue goals working in a remote capacity.

Experience with all insurance types including auto, government, and commercial carriers. Facilitated monthly training meetings with employees. Department Lead: Golden Hour

June 2005 – March 2012

Supervised a team of 10 employees at a 3rd party billing agency.

Excelled in all aspects of air ambulance billing and collections.

Processed claims with all types of insurance companies.

Trained employees and tracked their production, payroll, and yearly reviews.

Responsible for keeping control reports of monthly AR goals and insurance denials using Excel spreadsheets. Applied for all new NPI Number and Taxonomy Codes to provide all insurance carriers to comply with CMS mandate in 2007.

Worked in remote capacity from 2007–2012.

Medical Biller/ICD-9 Coder: Critical Air Medicine

July 2002 – May 2005

Performed start-to-finish air ambulance billing including setting up patient files, collecting patient demographics and insurance information, checking insurance benefits on all types of insurance and medical groups, and completing ICD-9 coding of trauma cases.

RELEVANT SKILLS

HCC Coding

ICD-10-CM

ICD-10-PCS

CPT

HCPCS II

Ambulance Coding

Air Ambulance Coding



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