Certified Medical Coder
Resume:
Maria Louis
CPC-A
Charleston, SC *****
**********@*****.***
Certified Medical Coder with an extensive background in several points of healthcare, advanced office and communication skills, with the ability to work independently and remotely.Knowlegeble in ICD-10, HCPCS, and CPT codes as it relates to both inpatient and outpatient setting. Authorized to work in the US for any employer
Work Experience
Certified Medical Coder
ENT & ALLERGY ASSOCIATES - Charleston, SC
September 2021 to Present
Receive medical documentation from providers for the patient's office visit/inpatient counseling and translate descriptions of medical diagnoses and procedures into codes to be billed to the insurance. strong organizational abilities, and communication skills to produce high-quality work in an efficient and timely manner.
(Remote work)
Charge Entry Specialist
Lowcountry Urology Clinics - Charleston, SC
November 2020 to September 2021
• Verify insurance benefits and notate schedule for office to call the patient for appointments
• Enter office visit charges based on medical documentation and the visit superbill
• Enter charges for medical records fees, hospice claims and self pay prescriptions Financial Counselor
MEDICAL UNIVERSITY OF SOUTH CAROLINA
October 2019 to November 2020
* Review patient account in EPIC
* Verify insurance benefits, deductibles, coinsurance, copays and out of pocket max for surgeries and procedures.
* Create and discuss estimate with patient's explaining how much their insurance will pay and how much the patient is expected to pay out of pocket.
* Review financial assistance guidelines with patients and send out and process financial assistance applications.
* Discuss payment options for surgery or procedure deposits.
* Collect surgery deposits
* Stay in communication with the doctors and their staff regarding patient surgery and if the patient is financially cleared for surgery.
Medical Billing Specialist
Carolina Eye Care Physicians, LLC - Charleston, SC April 2018 to October 2019
* Assign appropriate coding and CPT-4 procedure.
* Provide ICD-10 diagnosis codes for procedures performed in the operating room, complex services performed in a procedure room (e.g. Interventional Radiology), procedure coding, and / or MS-DRG assignment.
* Post payments, process denials, adjust claims, and add resubmission codes.
* Clarify physician documentation as appropriate, import charges, and verify daily payments.
* Apply medical terminology, anatomy, and physiology. Customer Service Representative/receptionist
TCC Benefits Administrator - Charleston, SC
July 2014 to April 2018
* Answered telephones and gave information to callers, took messages, and transferred calls to individuals.
* Created and edited documents, charts, spreadsheets, and presentations and edited documents and prepared them for approval.
* Operated office equipment, such as fax machines, copiers, and phone systems.
* Provided excellent customer service to both staff and visitors.
* Used computer for various applications, such as database management and word processing.
* Received claims in mail and price to the system.
* Took inbound calls from members to answer questions regarding insurance benefits and plans.
* Delivered general Medicare information to callers.
* Followed established policies and standard operating procedures and adhered to privacy rules.
* Processed claims, handled prescriptions, and managed monthly fees. Customer Service Representative
DAIL AMERICA
September 2012 to April 2014
* Received inbound calls, asked and answered questions, and provided information.
* Tracked and documented calls using a company specific software program.
* Handled difficult problems and avoided escalation wherever possible.
* Continuously improved call handling skills, system knowledge, and communication skills.
* Provided exceptional service to customer that met or exceeds contractual service level agreements. Cashier
MCDONALDS
June 2010 to June 2012
* Performed a variety of tasks including food production and serving customers at the cash register.
* Processed transactions and accepted payments.
* Maintained clean and organized workstation and guest area.
* Worked in a team environment and communicated effectively with managers and co-workers. Education
ASSOCIATES OF SCIENCE DEGREE in MEDICAL BILLING AND CODING ULTIMATE MEDICAL ACADEMY
May 2019
HIGH SCHOOL DIPLOMA
STRATFORD HIGH SCHOOL
Skills
• Critical thinking and active listening skills necessary to interpret, analyze, and apply information.
• Demonstrates independent work initiative, sound judgment, and attention to detail.
• Shows sound judgment and good decision making when dealing with problems.
• Strong verbal, written and interpersonal communication skills.
• Electronic Medical Records (EMR / EHR)
• Integrity and Allscripts.
• MS Excel; MS Word; MS PowerPoint; 10-key Data Entry; Typing Speed: 38 WPM.
• Epic
• Medical Billing
• Insurance Verification
• Anatomy Knowledge
• ICD-10
• Medical Scheduling
• Medical Terminology
• Office experience
• Medical collection
• Supervising experience
• Microsoft Office
• Customer service
Assessments
Customer focus & orientation — Highly Proficient
May 2020
Responding to customer situations with sensitivity. Full results: Highly Proficient
Electronic health records: Best practices — Familiar August 2021
Knowledge of EHR data, associated privacy regulations, and best practices for EHR use Full results: Familiar
Medical billing — Highly Proficient
August 2021
Understanding the procedures and forms used for medical billing Full results: Highly Proficient
Logic & critical thinking — Expert
September 2020
Using logic to solve problems.
Full results: Expert
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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