ROBERT G. RICE, CPC-A, CEBS

*** ******** ***** * ********, PA 15046 l 412-***-**** l adzyy7@r.postjobfree.com

Profile

Certified Professional Coder apprentice seeking a professional medical coder position. Seeking to leverage knowledge of coding guidelines and procedures, anatomy, medical terminology and strong analytical skills to provide accurate & efficient coding service. Self-starter experienced at working independently or as a team member.

Summary of Qualifications

Relevant knowledge of ICD-10-CM, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).

Clear communicator—experienced at interacting with healthcare professionals, claimants, and insurance companies to confirm information and expedite claim processing and billing.

Detail oriented individual experienced with providing guidance to covered members of healthcare plans in utilizing their employer-provided health benefit plans and insurance policies.

Practical experience with administration and compliance for healthcare and employment laws including HIPPA, HITECH, ERISA, & FMLA.

Focused attention to organizing, research, accuracy, and efficiency - delivering rapid turnaround with a high degree of quality.

PROFESSIONAL EXPERIENCE

Business Services Manager, Grant Associates, Inc., Pittsburgh, PA

Managed a team of recruiters who recruited for PA Career Link. Performed full-cycle recruitment, organized recruiting events, and partnered with local business owners to fulfill recruiting needs.

Key Result: Led efforts to build relationships with major employers in our region leading to job placement fulfillment.

Sales Representative, LeafGuard Holdings, Inc., Pittsburgh, PA

Consistently met or exceeded sales goals in a Tri-State region (PA, OH, and WV)

Key Result: Achieved Salesman of The Year Award, and Million Dollar Club by generating over $1 million in revenue.

Human Resources Specialist, WESCO Distribution, Inc., Pittsburgh, PA

Assured compliance for all aspects of HIPPA and the Affordable Care Act reporting requirements. Managed the international wellness program to improve employee engagement and reduce healthcare costs.

Key Result: Planned and implemented wellness fairs at multiple locations, which led to lower healthcare costs.

Human Resources Specialist II, ANH Refractories Company, Moon Township, PA

Served as wellness coordinator and was responsible for benefits administration, new hire orientation, recruiting, and employee & labor relations.

Key Results: Played a key role in the design & implementation of benefit plan design and wellness program initiatives to accomplish a goal of reducing the annual trend in healthcare cost increases by $1.6 million.

Long Term Disability Case Manager, CIGNA Group Insurance, Pittsburgh, PA

Investigated and managed long term disability cases utilizing knowledge of anatomy, medical terminology, and insurance contracts leading to timely decisions and accurate payments. Direct interfacing with physicians and their staff, occupational rehabilitation specialists, and private investigators led to return-to-work scenarios and claim cost reductions.

Key Result: Assigned to a special investigation unit where I contributed towards reducing claim reserve requirements.

EDUCATION & PROFESSIONAL CERTIFICATIONS

Certified Professional Coder – CPC-A (AAPC)

Certified Employee Benefit Specialist – CEBS (IFEBP)

Bachelor of Science in Business Administration: Accounting - Robert Morris University

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