Certified Professional Medical Coder

SUSAN BRASHER

Albuquerque NM • 505-***-**** • ************@**.***.***

PROFESSIONAL PROFILE

Medical professional with degree, Certified Professional Coder (CPC) in Healthcare Management,with 20 years of administrative experience. Thorough understanding of anatomy, physiology, pharmacology, and disease management. Provide outstanding customer service while performing tasks including coding, insurance verification, and billing. Demonstrate strong knowledge of medical billing practices and ethical standards. ER Medical Coding

Physician and Facility Leveling

CPT, ICD-10-CM & HCPCS II

Medical Records Abstraction

Infusion Coding

Insurance Billing & Verification

Invoicing & Collections

Medical Records and Regulation

EMR /EHR & Billing Software

SKILLS & ABILITIES

.Highly skilled in abstracting information and assigning codes to describe each documented analysis.Administer electronic medical record and coding/billing computer systems. Proficient with standard software and technology solutions, Microsoft Office and billing software. Demonstrate expertise in ICD-9 CM, ICD-10 CM, HCPCS level II codes and CPT codes. Able to:

● Assign Diagnostic/Operative procedures ICD-9/10-CM, CPT Classification to Emergency Room medical records.

● Assign E/M code for facility and professional components for service in the Emergency Room.

● Assign coding for Infusion IM/IV Codes.

● Knowledge of 3M Encoder Logic and Group Software, EPIC, CERNA, 3M-HDM,3M-360,CERNER POWER CHART to assign diagnostic and procedure codes.

● Constant participation in enhancing and updating coding skills and knowledge to support the effective application of ICD-9/10-CM, CPT, HCPCS coding guidelines.

● Facility Leveling/Modifiers.

● .Managed Care Plans Health Maintenance Organization HMO, Preferred Provider Org PPO, and HDP.

● Medical Records and Regulations..

● STRONG PC SKILLS.

CERTIFICATIONS

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Certified Professional Coder CPC- American Academy of Professional Coders Certified Medical Administrative Assistant - Pima Medical Institute CPR Certification - American Red Cross

WORK EXPERIENCE

Coder 1

HIM Department- Emergency Department

University of New Mexico Hospital 2021

Assign diagnostic and Operative procedures ICD-9/10-CM and CPT classifications following the guidelines of CMS and ACEP to Emergency room medical records. Assign E/M code for facility and professional components. Knowledge of medical records software (EMR/EHR) EPIC and CERNER, 3M encoder logic and grouper software. Medical Records Specialist/Abstractor

Pauline Williams

Lovelace Health Systems 2018-2019

Analytical skills in investigating codes and charts for data completeness. Technical abilities with database and coding software. Projected management experience supplemented by understanding medical terminology and the healthcare system.

MedicalAdministrativeAssistant

Dr.Roland Sanchez M.D. 2017

Maintained patient accounts by recording and updating personal and financial information. Overviewed patients satisfactions, provider time and treatment room utilization by scheduling appointments in person and by telephone. Prepared patients for examination. Assisted physicians during exams. Performed patient vital sign measurements. Owner & General Manager

Complete Office Systems 1996-2015

Directed all day-to-day business activity including administrative management, operational management, accounting, bookkeeping, human resources, sales, marketing, contract management, and supply management. EDUCATION

CPC Certified Professional Coder American Academy of Professional Coders January 2020 Medical Administrative Assistant Certification PIMA Medical Institute September 2017CPR Certification American Red Cross April 2017

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