Certified Professional Coder
Resume:
To Whom It May Concern;
I am writing to inquire about the data entry position as advertised on Indeed. I think my background in management, billing, customer service, and leadership experience make me an ideal candidate for this position.
I am a highly-motivated, organized individual who always goes above and beyond when completing all assigned tasks, and meeting goals. I enjoy learning new things and strive to master any task I am given. My goal is to provide excellent customer service and care to all I come and contact with, and remain positive and professional at all times.
My background in management has provided me with excellent and professional communication skills, the ability to work both independently, as well as part of a team, and the skills to consistently remain detail-oriented and provide/ensure exceptional customer experiences. I am well-versed in multi-tasking to ensure project deadlines are met and expectations are exceeded. I am always seeking new ways to contribute to my organization and strive to make a positive difference in all that I do.
Being a Certified Professional Coder here over the last several months has provided me with good insight and experience within the organization. However, I am looking for a more impactful role in which I can use the organizational and leadership skills I possess to help the company achieve its goals. This position seems like an exciting opportunity for me, and I hope to be considered among your other candidates.
Attached is my resume for your review. I would be happy to elaborate on any experience. Thank you very much for your consideration for this position.
Kind Regards,
Joycelyn Cross
Joycelyn Cross
Shady Side, MD 20764 301-***-**** *************@*****.***
Professional Summary
Ambitious and detailed CPC certified medical coder with over 4+years of experience in application and evaluation of various code sets. Adept at delivering accurate and efficient medical billing and coding leadership. In previous roles abstracted and assigned ICD and CPT codes to patient medical records.
AREAS OF EXPERTISE
Medical Billing & Coding
Medical Terminology
Data Archiving
Insurance Claims
Insurance Verifications
Appeals
ICD -10-CM
HCPCS
Payments & Adjustments
Charges
Office Practicum
Medical Mastermind
WayStar
EPIC
Electronic Medical Records
Electronic Health Records
Documentation
Chart Audits
Effective communication and
customer service
EDUCATION & CERTIFICATES
Highschool Diploma GPA – 4.0 Crossland Highschool, 05/2001
CPC- Certified Professonal Coder
PROFESSIONAL EXPERIENCE
Certified Professional Coding Specialist Anne Arundel Gastroenterology, Annapolis, MD 2024 – Present
●Advanced knowledge of CPT, ICD-10, HCPCS, and modifiers.
●Accurately assign ICD-10, CPT codes and modifiers to patient medical records for Anesthesiology, E/M, Pathology and Hospital superbills.
●Identifies and abstracts information from medical records (paper and electronic) for audits, internal and external.
●Obtains and updates patient information safeguarding the accuracy of demographic and insurance data while maintaining strict adherence to privacy guidelines.
●Audits billing documentation ensuring accuracy, thoroughness, and proper use of ICD-10-CM codes.
●Verifies insurances, prepares, and accurately assigns referrals and/or prior authorization to submitted claims.
Medical Coder/ Medical Billing Specialist South River Pediatrics, Edgewater, MD 2022 – 2024
●Verified insurances, prepared, and submitted claims, and processed payments and adjustments, escalated appeals, denials, EOBs, and remits.
●Collaborated with patients to evaluate financial states and establish practical payment plans.
●Balanced all payments, including insurance and patient at the end of the day.
●Maintained and worked all charges to ensure timely payment from patients and insurance companies.
●Created weekly A/R reports.
●Performed E/M audits.
●Present audit findings and identified opportunities within the organization for training.
●Accurately assigned ICD and CPT codes to patient medical records for office patients.
●Identified and extracted information from medical records (paper and electronic) for audits, internal and external.
●Obtained and updated patient information safeguarding the accuracy of demographic and insurance data while maintaining strict adherence to privacy guidelines.
●Audited billing documentation ensuring accuracy, thoroughness, and proper use of ICD-10-CM codes.
Front Desk Manager South River Pediatrics, Edgewater, MD 2014 – 2022
●Maintained and prepared medical charts and record requests.
●Verified insurance eligibility.
●Created referrals for required insurances.
●Provided patient statements, collected copays and balances.
●Created SQL, recalls and patient A/R reports.
●Served patients by greeting and helping, answering patient questions, and resolving concerns.
●Scheduled patient appointments.
●Obtained and updated patient information safeguarding the accuracy of demographic and insurance data while maintaining strict adherence to privacy guidelines.
●Managed performance reviews.
●Maintained contacts with managers and the director to obtain and analyze additional patient information.
●Ensured the activities of the front desk department conducted in a manner that is consistent with overall department protocol, and follow HIPAA, Federal, and State regulations, guidelines, and requirements.
●Scheduled and cancelled patient appointments.
MEDICAL BILLING STAT Medical Consulting, Chesapeake Beach, MD 2007 to 2012
●Identified and abstracted information from in-patient hospital and nursing home medical records (paper) for audits, internal and external.
●Obtained and updated patient information safeguarding the accuracy of demographic and insurance data while maintaining strict adherence to privacy guidelines.
●Audited billing documentation ensuring accuracy, thoroughness, and proper use of HCPCS and ICD-10-CM codes.
●Verified insurances, prepared, and submitted claims, and processed payments and adjustments, escalated appeals, denials, EOBs, and remits.
●Collaborated with patients to evaluate financial states and establish practical payment plans.
Contact this candidate