Medical Billing Coding Specialist
Resume:
ALEMNESH MCKOY
***** * **** ****** ******** NE
402-***-**** *************@*****.***
Health Information Management System
A health information system professional, motivated medical billing and coding specialist with over three years of experience in revenue cycle management, billing, and coding. Expertise in ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals.
Always maintains a clean, orderly, and well-organized environment. Career supported by AAPC membership since February 2017.
Education
Associate of Science (A.S.) Health Information Management System
Minor: Medical Billing and Coding Metropolitan College 2018
American Academy of Professional Coders (AAPC) Member ID 01524730
Bachelor of Science in Information Technology/Ashford University 2021
Specialty Skills
FQHC Outpatient proficient
CPT and HCPCS Coding
ICD-10 Coding
Auditing
Anatomy and physiology
Customer Oriented
Attention to Detail
Patient Confidentiality
HMO insurance proficient
Professional experience
Full time student, 2015-2018
Charles Drew Health Center Billing and Coding Specialist, Omaha NE, 2018 -Present
Review and validate accuracy of charges, including dates of service, services provided, location,
patient identification, and provider signature in EHR
oProcess 200 new electronic claims daily
oHands on electronic claims submission to insurance for payment
oProcess electronic claims to Medicare, Medicaid, and commercial insurance
oCommunicate with insurance companies about coding errors
oReview providers documentation and determine the correct CPT, ICD-10, HCPCS code and append the correct modifier
Subject matter expert for women’s health billing
oManaged Every Woman Matter (EWM) claims and payments
oEnsure accuracy of diagnosis, ICD-10 codes for EWM processing
Increased work center experience through Telehealth claim processing
oLearned new modifiers and CPT codes for Medicare, Medicaid, and commercial insurance
oValidated patients/parents’ consent forms
Process insurance verification, pre-certification, and pre-authorization
oValidate patients’ current insurance in the system for billing
oCorrect errors in patient files through researching insurance company websites or calling insurance customer service
Excellent people and customer service skill
oAssist patients with bill reconciliation and receive payments in person or over the phone
oDemonstrates patience with difficult conversations, flexibility and positive attitude when answering customer calls for billing questions with patients of all ages and ethnic backgrounds
oLiaison for patients’ attorney requesting itemized statement for accident case filing
Ensure billing and coding proficiency
oConsistently follow and maintain current coding, sequencing updates through AAPC training
oAssists staff with pediatric preventive service and client inquiries regarding CPT and diagnosis codes.
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