SUMMARY

Accomplished Coder/Biller offering ** years accurately entering information for insurance and billing purposes. Highly skilled at memorizing frequently used codes and minute for speedy completion of work. Demonstrated professionalism when communicating with patients, insurance companies and healthcare staff. I have been doing coding for the past 17 years and the goal is making sure our providers get paid to the fullest with correct codes.

SKILLS

Year-end reporting Debt Management Accounts Payable Internal Controls Auditing proficiency

Administrative support MS Office Communications Planning and coordination Process improvement

EXPERIENCE

HIM CODER / Arkansas Hospice - North Little Rock, AR

Communicated with insurance companies to provide patient information. Entered charge rationale in patient account notes.

09/2015 - 09/2020

Reviewed account information to confirm patient and insurance information is accurate and complete. Specified service dates by assigning occurrence codes, span codes and date information.

Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage. Accurately assigned codes using software and official print copy of code book.

Assigned value codes and modifiers to provide specific information for services provided. Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.

Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.

Responded to coding questions from callers and other internal departments. Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.

Trained new team members on company policies and accounting systems to keep team operations productive and efficient.

Performed accurate and fully compliant monthly closing processes, accruals and journal entries.

Procedural Coding Specialist / Uams - University of Arkansas for Medical Sciences - Little Rock, AR

08/2012 - 08/2015

Investigated rejected and denied claims, correcting applicable coding. Developed new, efficient and well-tested code for [ different projects. Including coding for all different specialty’s, cardio, hospice, Pall Care, OB Gyn, Rad, ER, Educated others on updates, Surgery’s, Inpatient and outpatient abstract medical records to make sure CPT and Diagnosis code are correct. Translated patient information into alphanumeric and numeric medical codes Utilized Level 1 HCPCS and Level 2

HCPCS systems to complete coding tasks.

Submitted clean claims to insurance companies electronically to secure payments.

CPC and CCS with AAPC

Maintained strict confidentiality with adherence to HIPAA guidelines and regulations. Increased team efficiency by implementing [Type] process improvements.

Verified record copies before handing each over to check for and remove unnecessary details. Entered patient insurance, demographic and health information into software and confirmed records. Determined and implemented techniques to improve medical records retrieval process.

Provided respectful assistance to all parties, including patients, staff members and insurance company representatives.

Created agendas and communication materials for team meetings.

Improved operations by working with team members and customers to find workable solutions.

EDUCATION AND TRAINING

University of North Carolina At Charlotte - Charlotte, NC

Associate of Science: Health Relations-Business

06/1983

UAMS - West Markham, LR Ar 72210

Coder ICD10: ICD10 Coder

05/2014

CERTIFICATIONS

Member of Coders AMBA

AAPC AHIMA AHA

MA

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