April Johnson, CPC

adhqaq@r.postjobfree.com - 757-***-****

SUMMARY OF QUALIFICATIONS

● Ability to communicate effectively

● Pay great attention to detail and stay organized

● Complex problem solving skills

● Reading comprehension skills

● Easily trained; quick learner; adaptable to the changing work environment

● Able to work with different types of personalities

● Service oriented, ethical employee who follows protocols and regulations COMPUTER SKILLS

● eClinicalWorks, Allscripts, Centricity/IDX, Epic

● SuperCoder, AAPC Coder

● Microsoft Word, Excel, Outlook

● Internet & computer savvy; ability to, accurately, type 60 wpm RELEVANT EXPERIENCE

Alliance Spine and Pain Management - 06/17/2019-Current Accounts Receivable Specialist

● Reviewed EOB/Remittance Advice to determine reasons for claim denials

● Communicated with insurance companies to clarify/resolve denial problems

● Looked for and communicated any trends with codes or payers

● Made any corrections to claim and or insurance required to correct denial

● Submitted corrected claims/medical records/documentation via mail/fax/web portal EVMS-Surgery - August 2015-April 2019

Patient Account Specialist

● Keep billing errors low and quickly resolve denials

● Post office, inpatient, outpatient observation services & procedures

● Perform chart reviews to identify/confirm appropriate coding quality/guideline requirements

● Research and assign the appropriate CPT/ICD 10 codes based on the provider’s dictation, and other medical records to ensure the most accurate combination of codes are assigned

● Audit/review for appropriateness of code selections, ensuring the appropriate coding link occurs

● Function as liaison between the provider and EVMS Medical Group Billing Office to communicate and/or educate regarding the appropriate use of procedural and diagnostic coding processes

● Register/verified patient records for accuracy

HealthSouth

Patient Account Representative - July 2001 – June 2007

● Promoted from Receptionist to Insurance Specialist to Patient Account Rep. Biller/Coder

● Assigned appropriate CPT and ICD-9 codes

● Handled patient records, verified patient information for accuracy, checked/validated insurance, obtained authorizations and referrals

● Scheduled patient appointments, checked in/registered patients, collected copay, processed payments, completed cash journal/bank deposits

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