Amandeep Kaur, CPC, CPCO, CPMA, CPEDC

*** ********** ** ****, ** 27519

919-***-**** adowf9@r.postjobfree.com

Objective

To secure a job with a progressive organization that offers a challenging atmosphere with the opportunity for personal growth and advancement. Highly detail oriented and quality focused professional with over 10 years of experience in Auditing, Coding and Billing.

Skills

Strong analytical skills: including ability to understand quickly the critical steps in a process and understand the related risks of various nature.

Excellent team working capabilities and an ability to build strong business and team relationships.

ICD-10-CM and PCS coding guidelines and conventions.

CPT-4 coding guidelines and conventions.

NCDs, LCDs, CCI, Modifiers, MUEs.

Practical knowledge of Medical Terminology.

Microsoft word, Microsoft Excel, Microsoft Power Point.

Maestro Care, Encoder Pro, Optum, Nthirve, 3M, AAPC Coding Reference.

Experience

Duke University Health System- PRMO January 2019-Present

Medical Coder II (HB Coding, Pathology, AES and Vendor Services)

Perform coding quality audits for Vendor Services.

Review claim denials and rejections pertaining to coding and medical necessity issues and implements corrective action.

Analyze data, identify trends/conclusions and proposes strategies for resolution and education opportunities, provide tip sheets on specific topic and coding guidelines.

Respond to Audit Rebuttals, providing feedback on audit findings.

Respond to complex coding and denial issues that the vendor coders and their supervisors cannot resolve.

Answering vendor clarification requests; researching payer policies and procedures to resolve coding and denial issues; monitoring work queue volumes; working in specific work queues assigned to each of us.

Extensive research and investigation into government and commercial payer policies and billing requirements.

Educate coders on a daily and weekly basis and monitor the work of Phase I and Phase II coders during their onboarding with the vendors.

Develop and assist training, presentations and education tools for any relevant topics as it relates to continuing education programs on areas of specialization, coding, operational workflow and quality control.

Bring significant value to the organization by ensuring quality, thus maximizing reimbursement through timely and accurate resolution of coding edits and coding denials.

Himagine Solutions

Mayo Clinic Pro fee Coder (Multispecialty) – Full Time October 2018- January 2019

Accurate application of appropriate coding and documentation guidelines, including Evaluation and Management Documentation guidelines, CPT guidelines.

Accurate selection of CPT codes for procedures performed. Accurate application of modifiers to CPT codes, accurate selection and evaluation of ICD- 10 CM Diagnosis Coding.

Adherence to Local Coverage Determination (LCD’s), or National Coverage Determination (NCD’s) if applicable, National Correct Coding Initiative (NCCI) edits, payor Specific policies.

Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity.

Communicate with Coding Team Lead on audit timeline task completion.

UNC Physicians Network February 2017- September 2018

Outpatient Coder- Full Time

●Audit medical record documentation to identify under coded and up coded services; preparing reports of findings and meet with providers to provide education and training on accurate coding practices and compliance issues.

●Research, analyze, and respond to inquiries regarding compliance, inappropriate coding, denials, and billable services.

●Acted as a liaison between all levels of administration, physicians and UNC Physicians Network Coding teams.

●Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation.

●Train, instruct, and/or provide technical support to medical providers and Medical Coding Analysts, as appropriate regarding coding compliance documentation, regulatory provisions, and third-party payer requirements.

●Attend coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.

RALEIGH NEUROLOGY ASSOCIATES June 2016- February 2017

Medical Coder -Full Time

●Charge entry for number of providers with specialties ranging from neurology to rheumatology.

●Reviewing medical record documentation to confirm accurate and appropriate CPT and ICD 10 coding.

●Work directly with Physicians and mid-level providers (PA, NP etc.) to ensure proper coding, effectively apply coding guidelines, and communicating all regulatory and policy guidelines changes.

Carolina Heart Center October 2008 – July 2015

Medical Coder/biller - Full Time

●Prepare and review patient statements.

●Maintain strict confidentiality following HIPAA guidelines.

●Translate patient information into alphanumeric medical codes (ICD 9, ICD 10, CPT)

●Collect, post, and manage patient accounts (Lytec).

●Code patient services and enter the codes into a computer.

●Handling collections and unpaid accounts by establishing payment arrangements with patients, monitor payments, and follow up with patients if or when there is a lapse in payment.

●Working directly with the insurance company, the patient, and the healthcare provider, to get claims processed and ultimately paid

●Managing the facility’s Account Receivable reports(Lytec)

●Mode of communication- Phone, fax, email

Azitra/Nazara Indian Bistro 2006 – Present

Manager/ Part Time

Managing staff of 20 (Full time-10, Part time-8)

Scheduling

Billing with QuickBooks

Customer service: greeting, hosting, seat management, escalations and feedback

Menu design

Ordering, budgeting, business strategy and plan execution

Cary Medical Clinic: 2006 – 2007

Certified Medical Assistant

Checking patients in and out

Triage

Prescription refills

Assisting Provider with minor procedures

Educational Qualifications

Medical Assistant, AAS 2005

Medical Careers Institute, VA Beach

Bachelor of Science in Health Science, BS Jan 2021

Purdue Global University

Certifications

CPC-Certified Professional Coder

CPCO- Certified Professional Compliance Officer

CPMA- Certified Professional Medical Auditor

CPEDC- Certified Pediatric Coder

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