Medical Coder Data Entry

Melanie McFadden

**** **** ****

Wichita Falls TX 76306

PHONE 940-***-****

************@*****.***

Ambitious certified medical coder with versatile office skills and proficiency. Strong planner and problem solver who adapts to change, works independently and exceeds expectations. Able to juggle multiple priorities and meet tight deadlines.

QUALIFICATION HIGHLIGHTS

Certified Medical Coder CPT and HCPCS coding Patient-focused care

Maintains strict

confidentiality

Knowledge Medicare and

Medicare Replacements

Qualified pain

management coder

ICD-9 coding & ICD-10

Neurology billing

expertise

Data Entry

HIPAA compliance

Strong Planning Skills

Team player with positive

attitude

Strong work ethic

Computer proficient

Deadline-driven

Quality Control

EXPERIENCE:

United Regional -- (Wichita Falls, TX)

Certified Medical Coder August 2016-present

• CMC with experience supporting Urgent Care and Family Providers.

• Work pending charges while following insurance guidelines: Claim edits, in depth research for denials and deferred charges, emailing/coding query for communication, Optum and super coder for assistance/guidance for the correct cpt/diagnosis and ncci edits proper placement of codes, split tars needing research, excel spreadsheets, run reports for missed charges, taking tests to keep up with changing guidelines (podcast, webex, coding test) help teammates when needed

Diversified Management Services -- (Wichita Falls, TX) Certified Medical Coder Medicare November 2005- August 2016

• CMC with experience supporting 3 Neurology Physicians, 1 Neurosurgeon, 1 Pain Management Physician, and Image Center.

•Medicare and Insurance Coverage

Charges, payments, refunds, appeals, aging reports, inpatient/outpatient hospital ekg, sleep studies. Make sure claims done correctly

Educare – (Wichita Falls, TX)

Manager of MHMR individuals and staff January 2004-November 2005

• Helped with everyday living-making and reaching goals

• Managed money

• Made appointments-Doctor, Dental, and any other

BCBS – (Wichita Falls, Tx)

Claims Processor February 2000-January 2004

Did day to day data entry and customer service.

• Data entry, filing, copier, fax machine.

• Special projects.

Levi Strauss – (Wichita Falls, Tx)

Folder June 1998-October 1999

Checked jeans for quality before being audited

• Rivets, labels, folded and packaged

Texas Home Management – (Wichita Falls, Tx)

Nurse Aide January 197-June 1998

Helped MHMR individuals with everyday living and meet their goals that were set for them. EDUCATION AND TRAINING

High school- Burkburnett High, Burkburnett, TX

American School of Business-Wichita Falls, TX

Certificate: Medical Office Specialist

Practice Management Service-Wichita Falls, TX

Certificate: Certified Medical Coder

SKILLS

Microsoft, Microsoft Word, Acrobat, Excel, Power Point Communication skills

REFERENCES

Upon Request.

Contact this candidate