Medical Coder
Resume:
MENDIE E. CLEVELAND
Euless, Texas 76039
******.*********@*****.***
OBJECTIVE: Seeking a Medical Coding position in healthcare and/or insurance facilities. Highly accurate and efficient with strong time management skills and a reliable, hardworking nature.
EDUCATION:
Metropolitan Community College, Omaha NE
AAS in Health Information Management Systems (2011)
Certification for a Professional Coder, AAPC, Salt Lake City, UT, 05/2011
Certification for a Certified Outpatient Coder, AAPC, Salt Lake City, UT, 03/2015
Bellevue University, Bellevue NE
BS in E-Business (2003)
Metropolitan Community College, Omaha NE
AS in Computer Science (1996)
WORK EXPERIENCE:
CHI Health, Omaha, NE (Jan 2020 – Mar 2020)
Coder – Denials
Reviewed patient medical record to compare documentation and coding; changed coding based on documentation to include diagnosis codes, modifiers, place of service, etc.
Followed up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received.
The CSI Companies, Inc. Jacksonville, FL (Aug 2019 – Nov 2019)
Remote HCC Coder
Reviewed medical records and deciphered if they were accurate and complete, accurate and in support of patient risk adjustment score accuracy.
Nebraska Methodist Health System, Omaha, NE (Dec 2013 – Aug 2019)
Certified Coder II (Remote)
Read and reviewed medical documentation provided by physicians and other health care providers in order to obtain detailed information regarding their disease, injuries, surgical operations, and other procedures.
Audited, assigned and sequenced diagnostic and procedural codes using a universally recognized coding system.
Hillcrest Health Services, Bellevue, NE (Aug 2013 – Dec 2015)
Hospitality Hostess
Assisted the senior residents with cleaning, serving meals, and related duties in the memory support homes.
Physicians Laboratory Services, Omaha, NE (April 2012 – Dec 2013)
Claims Specialist
Verified patient information and made appropriate entries into the billing system.
Processed patient information and a variety of other documents and forms by resolving inconsistencies and reviewing data for errors.
Verified, corrected unnecessary data, and combined data from several sources before entering into a client’s database.
Clarkson Heart Center, Omaha, NE (Feb 2012 – March 2012)
Medical Billing & Insurance Specialist
Verified patient information and entered in charges.
Verified, corrected unnecessary data, or combined data enter into a client’s database.
Sent out statements and handled collections.
Heartland Medical Billing, Inc. Omaha NE (Sept 2011 – Feb 2012)
Medical Claims Billing Specialist
Verified patient information and made appropriate entries into Medisoft.
Processed patient information and a variety of other documents and forms by resolving inconsistencies and reviewing data for errors.
Verified, corrected unnecessary data, or combined data from several sources before entering into a client’s database.
Coded using CPT and ICD-9 codes for correct filing of claims.
The Asthma & Allergy Center, Bellevue NE (Sept 2010 – Nov 2010)
Internship Experience
Pulled and updated medical records; worked receptionist desk; some coding and billing
Checked in patients; received payments
Infogroup, Inc., Papillion NE (Feb 2004 – Sept 2011)
Consumer Database Analyst (Oct 2008 – Sept 2011)
Quality Assurance, updated Consumer data, suppressed and ran queries along with demographic information.
Used MS Access and Excel to set up different queries, spreadsheets and programs.
Large Business Compilation Associate (Aug 2006 – Oct 2008)
Handled all non-production and linkage related issues such as Domestic and International feedbacks, Issue view, M&A, IPOs, Sesame Street reports, EIN, Word pairs, etc.
Researched and enhanced the database by verifying and updating businesses and their subsidiaries for the US and Canada.
Researched and set up the corporate structure portfolio of a parent company. Verified the subsidiaries and other locations.
Consumer Public Record Specialist (Sept 2004 – July 2006)
Researched and updated demographic information for counties and states nationwide.
Used MS Access and Excel to set up different queries, spreadsheets and programs.
Teleresearch Representative (Feb – Sept 2004)
Contacted new businesses and existing small businesses to update information for database and business directories.
ADDED VALUE:
Computer Skills: MS Office (Word, Excel, PowerPoint, Access), COBOL, AS400, EPIC
Personal Strengths:
Excellent organizational skills with proven ability to effectively manage multiple tasks
Exceptionally strong analytical, troubleshooting and problem-solving abilities
Self-motivated and able to work both independently and as an effective team player
Contact this candidate