AG

OBJECTIVE

Seeking a position that will allow me to best utilize my skills from Billing and Coding as well as my degree in Health Management.

SKILLS

Problem Solving – Time Management - Active Listening – Computer Skills – Multitasking - Organizing

EDUCATION

BACHELOR’S DEGREE IN HEALTH MANAGEMENT • OCTOBER 2016 • UNIVERSITY OF PHOENIX

MEDICAL BILLING AND CODING CERTIFICATE • JUNE 2012 • FORTIS INSTITUTE-NASHVILLE

VOLUNTEER EXPERIENCE OR LEADERSHIP

I have been a helper at church working with infants through sixth grade. Maintaining a large group of children, creating activities, and helping the children through the activities to learn the current topic selected. Helping direct the children where to go while at VBS to get them from one activity to the next.

AMBER GILES, CPC

MEDICAL CODER HTTPS://WWW.LINKEDIN.COM/IN/AMBER-GILES-2577A752

EXPERIENCE

MEDICAL CODER • OPTUM• APRIL 2017- PRESENT

Capture risk adjustment (HCC) codes from charts. Move from project to project to apply the appropriate diagnosis codes working with multiple insurance providers to follow the guidelines set in place. Understanding the hierarchy of the HCC codes making sure to capture the most accurate code.

CODING SPECIALIST • TOA• AUGUST 2016 – APRIL 2017

Review medical charts for accurate coding. Research rejected claims, correct, and resend as corrected claims. Audit claims for peer review and provide references for any difference found to bot coworkers and management.

PAYMENT POSTER• PAIN MANAGEMENT GROUP• MARCH 2015 – AUGUST 2016

Gather all paper mail and make post to each patient’s account. I reconcile all the money that is collected each day at the front counter of multiple locations including the surgery center. Make calls to insurance companies and/or customers on accounts that are past due or not up to date due to denials for all of worker comp. and various insurance companies. Code charts for office visits and surgical procedures as well as imaging. Take care of patient’s accounts and billing question both face to face and phone. In charge of checking all exceptions and rejections. Make deposits at bank. Create projects for externs to help with and follow up to make sure all their questions are answered, and they have access to all the tools they need for a job well done. Then check to make sure it was done correctly and assist when needed.

MEDICAL CODING• ROBERT HALF • NOVEMBER 2013 – DECEMBER 2014

Code medical charts selecting appropriate HCC codes for risk adjustment. Querying providers for clarification on their documentation to provide the best code to capture the most accurate information.

SCHEDULER• ROBERT HALF• JULY 2013 – NOVEMBER 2013

Schedule for assessments in Outlook. Call members to set up appointments. Email providers for updates and travel plans after creating their schedule. Answering all providers and customers questions related to the appointment.

CODING ANALYST• ACCOUNTING PRINCIPALS • NOVEMBER 2012 - DECEMBER 2012

Code medical charts selecting appropriate HCC codes for risk adjustment. Querying providers for clarification on their documentation to provide the best code to capture the most accurate information.

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