Office Manager Medical Coder

Bernice Gardner

*** ***** *****

Warner Robins, GA 31088

***************@*****.***

EXPERIENCE

August 2017 - October 2024 Georgia Eye Care Center- Macon, GA

Position: Office Manager/Medical Coder & Biller

Duties: Medical practice management to include supervision of five employees. Completion of monthly administrative accounts payables and receivables; scheduling of monthly upkeep of the office and grounds; ordering of office and pharmaceutical supplies. Timekeeping and payroll completion; approval of time off requests; staff interviews and hiring of staff. Completion of employee performance evaluations, employee training, employee reprimands, and approved pay increases. Abstracted information from EMR for completion of coding and charge posting and correct billing, assigning all ICD10 and CPT codes for office, inpatient and outpatient services rendered; completion of claim edit reports prior to electronic submission, investigating and correcting edits; correction and resubmission of incorrectly denied adjudicated claims; filing successful appeals overturning the denial. Retrieved electronic era’s for payment posting with close attention to applying contract write-offs and verifying claims paid at the contracted rate, as well as posting mail in payments from insurance and patients; obtained prior authorization for all services.

June 2008 – April 2017 Middle Georgia Orthopedics - Warner Robins, GA

Position: Reimbursement Specialist/Coder

Duties: Completion of coding and charge posting to include inpatient, outpatient, office, surgery, injections, radiology, anesthesia, DME, physical and occupational therapy; medical records review for abstracting and verification for assigning correct ICD10 and CPT codes and unbilled charges; obtain prior authorizations required for services; insurance follow up with payers for unpaid claims; completion of claim edit reports prior to electronic submission, investigating and correcting edits; correction and resubmission of denied claims, filing successful appeals overturning the denial. Retrieval of electronic era’s for completion of payment posting with close attention to applying contracted write-offs and verifying claims paid at the contracted rate, as well as posting of mail-in payments from insurance and patients. Billing department’s lead coder for eight department billers with successful assistance and instruction in resolving unpaid and denied billing issues and correct coding for their physicians resulting in monthly increases in collections.

July 2007-June 2008 American Professional Institute – Macon, GA

Position: Medical Billing and Coding Instructor

Duties: Completion of daily instruction and lecturing of medical billing concepts, as well as preparation of lesson plans; preparation and administering of weekly assignments quizzes, tests, and final examinations over covered materials; calculation and recording of grades for each quarter and final semester; completed daily class assessment reports and class attendance reports.

July 1999 – July 2007 Resurgens Orthopedics – Atlanta, GA

Position: Reimbursement Specialist/Coder

Duties: Medical coding, billing and charge posting to include inpatient, outpatient, office. surgery, injections, radiology, anesthesia, DME, physical and occupational therapy; medical records review for abstracting and verification to assign correct ICD10 and CPT codes and retrieval of unbilled charges; obtain prior authorization needed for services; performed claim edits prior to electronic submission by investigating and correcting errors; correction and resubmission of denied claims with successful appeals overturning denials. Retrieval of electronic era’s applying contractual write-offs and verifying claims paid at contracted rate; posting of mail in insurance and patient payments.

EDUCATION TRAINING AND CERTIFICATIONS:

April 2015 AAPC COMPLETION OF ICD 10 PROFICIENCY

November 2010 AAPC CPC CERTIFICATION

June 1999 Davenport University – Grand Rapids, MI

DEGREE: A.A.S. HEALTH INSURANCE CLAIMS MANAGEMENT

HIGH HONOR STUDENT

Skills: Excellent organizational skills, attention to detail, adaptive person, initiative-taking, loyal, resolute worker. Ability to work without supervision, knowledge of all billing specialties. Proficient in word processing, Microsoft, medical terminology, managed care, and strong knowledge of all payer guidelines. Medical billing and office contract consulting services. Multi-specialty contract billing services to include internal medicine, gastroenterology, orthopedics, podiatry, ophthalmology and maxillofacial with different offices and physicians for inpatient and outpatient coding, billing, and credentialing services. Practice management program experience with Medical Manager, Centricity, Eclinical Works, Meditech, IDX, Health fusion NexGen, ModMed Office Alley and Advanced MD. as well as EMR systems and full knowledge of RCM.

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