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Medical Coder Billing

Location:
Newton, NJ
Posted:
July 25, 2024

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Resume:

Julie Dudziak, CPC

Highly motivated remote medical coder, certified through the AAPC. Efficient with ICD10, ICD9, CPT, and HCPCS coding guidelines and procedures. Effective at meeting production standards and quality assessments. Excellent computer skills with strong knowledge of medical terminology and billing procedures. Ability to work independently and in a team environment.

Experience

Remote Provider Reimbursement Admin Anthem BCBS, Middletown, NY 2018-2022

Review company specific, CMS specific, and competitor specific medical policies, reimbursement policies, editing rules of enterprise reimbursement policy.

Translates medical policies into reimbursement rules.

Coordinates research and responds to system inquires and appeals.

Provides post payment audits on multiple modifier concepts.

Remote Medical Coder Comforce, Tampa, Florida 2013-2018

Reviewed numerous physicians’ documentation in all locations to assign correct E/M, procedure, ICD10/ 9, and/ or HCPCS codes.

Understood and followed all coding guidelines of multi-state and federal insurances.

Provided corrections on denial claims for proper reimbursement.

Maintained a low EDI on processing claims in a timely manner.

Teaching facility coding

Remote Medical Coder HIMagine Solutions, Tampa, Florida 2012-2017

Reviewed numerous physicians’ documentation for hospital charges to correctly assign the E/M, procedure, ICD10/ 9, and/ or HCPCS codes.

Completed between 80-100 records daily.

Teaching facility coding

HCC Coding

Maintained a quality standard of above 95% accuracy.

Medical Billing and Coding Instructor Anthem Institute, Parsippany, NJ 2012-2014

Taught all medical terminology including anatomy.

Taught ICD10, ICD9, CPT, HCPCS coding and guidelines.

Taught about third party payers requirements and procedures.

Prepared students to become certified coders.

Education

Rutgers University, New Brunswick, NJ

Advanced Hospital Coding and CCS Prep 2017

University of Phoenix, Phoenix, Arizona

Associates of Arts 2012

Anthem College, Phoenix, Arizona

Associates in Medical Billing and Coding 2007

Objective

71A Woodside Avenue, Newton, NJ 07860 - 908-***-**** - **********@*****.***



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