Medical Coder Customer Service

LINDA M. GILLIAM CPC

**** ****** ****** *********, ** 21215

443-***-**** ***********@*****.***

OBJECTIVE: Seeking a position in the Medical Field, Auditor, Coder, Biller and Customer Service with a progressive organization that will utilize my education, skills and abilities with the opportunity for personal growth and professional advancement

SKILLS:

ICD-9 and ICD 10, CPT and HCPCS codes

Skilled in lining up correct HCC levels to achieve maximum RAF based on M.E.A.T. in medical record

5 years of HCC Coding experience with coding HCC‘s

Knowledgeable of CMS-1500, Aging Reports, RA-HCC, EOB, HMO, PPO, Medicare, Medicaid and Tricare

Computer skills: Microsoft Word, Excel, Power Point, Outlook, Medisoft, E Clinical Works, Athena, Intergy, Allscripts, Centricity

Office Administrative duties: Answer phones, scheduling, faxing, filing, Accounts Receivable and Accounts Payable, EMR’s

Transmission of encrypted claim forms to the insurance company for reimbursement

ACHIEVEMENTS:

American Academy of Professional Coders (AAPC) membership 2011 to current

EMPLOYMENT HISTORY:

Cook/Dietary Aide FutureCare Good Samaritan 8/2020-current

Cook food to feed multiple residents,supervise kitchen staff, stock and inventory. Many more duties.

(HCC IS REMOTE AND SEASONAL)

Medical Chart Auditor Change Healthcare / Altegra Health

6/2013–4/2020 (seasonal) Alpharetta, GA / Florida and Alabama

Travel to Doctor’s offices and pull all information for a patient in a time frame the insurance company audits. HEDIS and PIA projects

Delivery Driver (temp) Hungry Howies

5/2019-2/2020 Pensacola, FL

Deliver food from restaurant to customers.

Medical Coder/Certified Professional Coder Orlando Family Physicians

2/2016 – 8/2017 AKA. Premier Health Network

1/2012-10/2012 (externship) Orlando, FL

Work claims in E Clinical of patient progress notes making sure they are in HCC order for highest pay. Follow up with patient if balance on account. Specifically, coded Cardiologist Nuclear tests, and Ultrasounds and Diagnostics for all 50 Doctor’s send claims to the clearing house then to the insurance for payment

Medical Coder iQUARTIC

6/2015 – 2/2016 (contract based) Boston, MA

Remote position home based. Matrix Building ICD codes for software, Auditing, Coding Doctor Notes for Office and Hospital + HCC

Medical Coder/Biller Family Physicians Group

9/2014 - 5/2015 (job ended) Orlando, FL

Auditing, Billing and Coding Doctor Notes for Office and Hospital + HCC

EDUCATION:

Centura Institute Diploma in Medical Coding and Billing

Orlando, FL

CERTIFICATIONS:

Certified Professional Coder – CPC AAPC obtained 09/2011

mailto:***********@*****.***

Contact this candidate