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Medical Insurance

Location:
Raleigh, NC
Posted:
May 25, 2020

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Resume:

Kimberly Edwards, CPC-A

*** ********* *****

Raleigh, NC 27603

919-***-****

adde62@r.postjobfree.com

MEDICAL CODER

SUMMARY OF QUALIFICATIONS

CPC Certified Professional Coder (AAPC)

References used for coding include the current International Classification of Diseases (ICD), Clinical Modification; American Medical Association Physicians' Current Procedural Terminology (CPT); Health Care Common Procedure Coding System (HCPCS)

Knowledge of medical terminology and anatomy

Key strengths: communication, leadership and interpersonal skills; multi-tasking and overall resourcefulness

Strong organizational, time management and prioritization skills

Proficient in Microsoft Office Suite (Word, Excel, Outlook), QuickBooks

HIPAA Compliant

PROFESSIONAL EXPERIENCE

Doctors Making House Calls August 2019 – Present

Receive and review patient charts and documentation for accuracy

Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges.

Abstract information from medical records following established methods and work performed

Ensure all codes are current and active

Adhere to ICD-10, CPT, HCPCS and DRG standards and techniques in translation of medical services and procedures into insurance billing encoding

Understanding of medical terminology and pharmacology to ensure proper coding at first issue

Meet daily coding production

Saleeby & Weseels Proctology August 2018 – August 2019

Code and bill surgeries

Follow up with insurance companies for payment

Receive/enter patient and insurance payments

Receive/post electronic remittance from insurance

Perform billing corrections as needed

Review and work outstanding claims

Complete and send doctor’s dictation

Answer and direct incoming phone calls

Schedule Appointments

Medical Records

Audit office coding before submitting to insurance

Perform patient check-in duties

Kim’s Cleaning Company April 2013 – August 2018

Owner/Operator

Developed and created committed base of clientele

Scheduled and performed cleaning and organizing duties for clients while maintaining a high level of customer satisfaction

Created environmentally and family safe cleaning products for use in clients’ homes

Aspen Construction Inc. Sept. 2012 - May 2013

Safety Coordinator/Laborer

Track and report weekly time sheets for each employee and daily logs for each job.

Perform various construction tasks as needed.

Pick up and deliver material to job site.

Running errands as requested

Lowe’s Foods Jan. 2010 - Sept. 2012

Inventory Control Clerk/Deli Clerk

Daily maintenance and organization of department, including smart counts and rotation of inventory.

Preparation and packaging of various foods; pricing and displaying merchandise and inventory.

Direct contact with customers and addressing any customer issues as necessary.

Maintain weekly pull reports.

EDUCATION

Certification Coaching Organization

2018 Medical Terminology and Anatomy

MK Education

2017-2018 Medical Coding

Denby High School

1990 High School Diploma

LICENSURE/CERTIFICATION

Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC)

Medical Terminology Certificate

AFFILIATIONS

American Academy of Professional Coders (AAPC)



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