Professional Summary

Medical billing and coding professional with in-depth knowledge of medical terminology, anatomy, diagnosis, and procedural coding. Demonstrated ability to review and code charges, submit claims, and follow-up on rejected/unpaid claims resolution. Familiar with HMOs, PPOs, Medicaid, Medicare, TriCare as well as Workman’s Compensation and clearing house processing.

Core Strengths

ICD 10-CM/PCS, CPR & HCPCS

EOBs, CMS-1500 & UB-04 and Patient Encounter Forms

Medical Records Management

3M Encoder, EHR Desktop, CMS Reimbursement

HIPPA Compliance

Microsoft Office Suite

Typing: 50 WPM; 10-key KPH

Education

Purdue Global, August 2017; Certificate in Medical Billing & Coding

Relevant Coursework:

Medical Terminology

Human Anatomy & Physiology

Diseases of the Human Body

Medical Coding I & II

Medical Insurance & Billing

Reimbursement Methodologies

Revenue Cycle Management

Middle Tennessee State University, December 2001; Bachelors of Science, Psychology

Professional Experience

Professional Physicians Financial Services; Medical Biller March 2018- Present

Medical billing for ENT, Mental Health, & DME

Proficient in Open Practice Solutions and Brightree Programs

Posting charges and insurance payments and calling Insurance Companies when they have denied claims

Personal relationships with patients and clients.

Interpreted medical reports and data, and assigned CPT codes

Examined patient encounter forms, EOBs, CMS-1500s and UB-04s to verify diagnosis codes and reconciled against services rendered.

Performed insurance verification, pre-certification, and pre-authorization.

Baron Chair & Wicker Works; Co-Owner August 2004-July 2016

Establish or identify prices of goods and services and tabulate the bills

Compile and maintain record and bookkeeping.

Overseer of company with quotes and production for current and new clients and supplies based on standard operating procedures

Professional License/Certification

Certified Coding Associate; October 2017

Professional Memberships

American Health Information Management Association (AHIMA); October 2016-present

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