Server Coding
Resume:
ALTHEABOND
*******.*********@*****.*** 352-***-**** Apopka,Florida32712
Summary
MedicalCoderwithover25yearsexperienceinhospitalinpatient/outpatientsurgerycoding.CertifiedinICD-9and ICD-10.Familiarwithcommercialandprivateinsurancecarriers.Motivatedprofessional.Addsvaluetoanyorganization inneedofgreatcollaboration,interpersonalandmultitaskingabilities.Meetstightdeadlines. Skills
●
●MedicalRecording
●Problem-Solving
●MedicalBillingProcessing
●HealthRecordIndexMaintenance
●DRGsPatientAssignments
●InsuranceBilling
●PatientDataCoding
●WordProcessingSoftware
●PatientMedicalRecordsMaintenance
●TreatmentDocumentation
●AttentiontoDetail
●MedicalTerminology
●PatientDataIdentification
●HealthcareClaimCoding
●ProtectedHealthInformation
●RecordsScanning
●MicrosoftExcel
●RecordsReview
●HospitalInpatientandOutpatientRecords
●PatientHealthInformationAccess
●PastDueAccountManagement
●PatientInformationVerification
●EMRSystems
Experience
NuquestConsulting LakeMary,FL
CodingSpecialist
11/2017-03/2022
●MaintainedstrictconfidentialitywithadherencetoHIPAAguidelinesand regulations.
●Investigatedrejectedanddeniedclaims,correctingapplicablecoding.
●Translatedpatientinformationintoalphanumericandnumericmedical codes
●UtilizedLevel1HCPCSandLevel2HCPCSsystemstocompletecoding tasks.
●CreatedandintegratedcomponentforscanningpurposesbaseduponSQL Server.
●MaintainedcurrentworkingknowledgeofCPTandICD-10coding principles,governmentregulation,protocolsandthird-partybilling requirements.
●Addedmodifiersasappropriate,codednarrativediagnosesandverified diagnoses.
EliteMedicalBilling Apopka,Florida
MedicalBillingSpecialist
01/2012-07/2017
●Identifiederrorsandre-fileddeniedorrejectedclaimsquicklytoprevent paymentdelays.
●Postedcharges,paymentsandadjustments.
●Reviewedpatients'insurancecoverage,deductibles,possibleinsurance carrierpaymentsandremainingbalancesnotcoveredunderpolicies.
●Completedappealsandfiledandsubmittedclaims.
●Postedandadjustedpaymentsfrominsurancecompanies.
●Reviewedandverifiedbenefitsandeligibilitywithspeedandprecision.
●MaintainedcurrentworkingknowledgeofCPTandICD-10coding principles,governmentregulation,protocolsandthird-partybilling requirements.
●Appliedpayments,adjustmentsanddenialsintomedicalmanagersystem.
●Preparedbillingstatementsforpatients,ensuringcorrectdiagnostic coding.
●Submittedrefundrequestsforclaimspaidinerror.
●ContactedpatientsforunpaidclaimsforHMO,PPOandprivateaccounts andperformedfriendlyfollow-upstoensureproperpaymentsweremade accordingtocontracts.
●Preparedandattachedreferrals,treatmentplansorotherrequired correspondencetoreduceincidenceofdenials.
FloridaPhysicianMedicalg Altamonte
Springs,FL
MedicalBillingSpecialist
07/1999-11/2011
●Reviewedpatients'insurancecoverage,deductibles,possibleinsurance carrierpaymentsandremainingbalancesnotcoveredunderpolicies.
●MaintainedcurrentworkingknowledgeofCPTandICD-10coding principles,governmentregulation,protocolsandthird-partybilling requirements.
●Preparedbillingstatementsforpatients,ensuringcorrectdiagnostic coding.
●ContactedpatientsforunpaidclaimsforHMO,PPOandprivateaccounts andperformedfriendlyfollow-upstoensureproperpaymentsweremade accordingtocontracts.
●Collaboratedcloselywithotherdepartmentstoresolveclaimsissues.
●Remainedup-to-datedetailsofpatientfinancialresponsibilities, fee-for-serviceandmanagedcareplansbyparticipatingintraining programs.
●Contactedinsuranceproviderstoverifyinsuranceinformationandobtain billingauthorization.
●Maintainedtimelyandaccuratechargesubmissionthroughelectronic chargecapture,includingbillingandaccountreceivables(BAR)system andclearinghouse.
●Consistentlyinformedpatientsoffinancialresponsibilitiespriortoservices beingrendered.
●Performedqualitycontrolofdataentrysystemtoverifyproperpostingof claimsandpayments.
●Billedalllabclaimswithattachedlabslips.
EducationandTraining
MedicalCareerCollege Nashville,TN
MedicalAssistant
09/1984
OrlandoCollege WinterPark,FL
ComputerAndInformationSciences
●3.5GPA
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