Medical Coder Record
Resume:
DEBRA MARIE CHORBA
SKILLS
Medical record review
Certified Medical Coder CCA
3M Encoder
Epic Systems
ICD-10 Coding
Medical Billing
Medical Terminology
Insurance coding (ICD-10 and CPT)
Outpatient Billing
Anatomy knowledge
Diagnostic Coding
Procedural Coding
Clinical Documentation
HIPAA Compliance
HCPCS Coding
Medical record review
CERTIFICATIONS
• CCA - Certified Coding Associate
LANGUAGES
Spanish
Limited Working
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
WORK HISTORY
April 2014 - Current
Outpatient Medical Coder Allegheny Health Network, Pittsburgh, Pa January 2013 - March 2014
Surgery Scheduling Coordinator Allegheny Health Network, Pittsburgh, Pa
Contributed to the growth of the organization by consistently meeting or exceeding productivity targets while maintaining high-quality standards.
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Time management skills were utilized effectively to balance competing priorities under tight deadlines.
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Enhanced accuracy by implementing thorough medical record reviews and diagnostic coding.
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Collaborated with healthcare providers to ensure accurate documentation of patient diagnoses and treatments.
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Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
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• Input data into computer programs and filing systems. Epic and 3m 360 Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
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Resourcefully used various coding books, procedure manuals, and on- line encoders.
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Analyzed complex medical records, extracting pertinent data for accurate diagnostic and procedural code assignment.
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Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
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Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
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Enhanced patient experience by efficiently scheduling surgeries and managing appointment calendars.
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Contributed to the development of new scheduling protocols, enhancing overall department efficiency.
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Maintained confidentiality and compliance with HIPAA regulations while handling sensitive patient information and documentation.
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Established strong working relationships with other departments involved in surgical care such as anesthesia, radiology and laboratory services.
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Liaised between patients and insurance providers, ensuring proper authorization for scheduled procedures was obtained.
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CONTACT
McKeesport, PA 15131
**********@*****.***
January 2013 - January 2014
Medical Billing and A/R Specialist Independent Physicians Services, Pittsburgh, Pa
Reduced outstanding receivables by diligently following up on overdue invoices and negotiating payment terms with clients.
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Trained junior staff members in best practices for managing accounts receivable portfolios, leading to increased team productivity and effectiveness.
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Assisted with credit analysis for new clients, conducting thorough research and providing recommendations based on risk profiles and payment histories.
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Maintained an organized filing system for all A/R documentation, facilitating easy retrieval for audits or other internal reviews as needed.
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• Researched and resolved billing discrepancies to enable accurate billing. Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
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• Worked with multiple departments to check proper billing information. EDUCATION
Bachelor of Science Healthcare Information Management Herzing University, Dearborn, MI
Associate of Applied Science Medical Billing And Coding Herzing University, Dearborn, MI
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