Medical Biller and Coder

Jodi A. Vaughn

Profile:

• Highly skilled and dependable individual with extensive medical office experience.

• Familiar and proficient with ICD-9, CPT and HCPCS.

• Adept at working independently as well as in a team environment.

• Extremely dedicated and comfortable working in a fast-paced environment.

• Deadline-driven, multi-tasker able to work with minimal supervision.

Work Experience:

2009 – Present

Medical Billing Supervisor, Baldwin Internal Medicine Associates LLC, Fairhope, AL

Manage the billing and insurance department of an Internal Medicine practice. Code superbills, enter charges, post payments, submit electronic and paper claims, follow up remittances, obtain referrals, end of month and year reports, maintain provider licenses, submit and file provider credentialing and contracting applications, and educate personnel and providers on coding and insurance issues.

2006 – 2008

Office Manager, Anchorpoint Systems Inc., St. Petersburg, FL

Managed the administrative department for home improvement company. Responsible for payroll, accounts receivable, accounts payable, answering phones, placing customer orders, scheduling appointments, filing and other day-to-day clerical activities.

• Ensured employees maintained proper OSHA standards

• Directed continuing education program

• Reorganized outdated invoicing system

2004 – 2006

Authorization Specialist/Administrative Medical Secretary, University of South Florida, Tampa, FL

Coded medical charts to obtain outpatient and inpatient diagnostic and surgical authorizations for large general surgery group. Verified patient insurance coverage and benefits. Performed surgical authorization appeals. Responsible for answering phones, directing visitors, filing patient radiology films, transcription, and scheduling diagnostic procedures for patients.

• Restructured radiology filing system for surgical practice

• Streamlined bariatric and plastic surgery authorization process resulting in increased insurance approvals and quicker response time

2003 – 2004

Manager, PJ’s Coffee and Tea Co., Daphne, AL

Responsible for customer service, tracking and ordering inventory, employee scheduling, personnel interviewing and evaluations, and supervising up to ten employees. Maintained daily accounting ledger. Organized weekly entertainment functions such as wine tastings and live music.

2001 – 2003

Medical Secretary/Medical Biller/Authorizations, Digestive Disease Associates, Baltimore, MD

Duties for large gastroenterologist group and outpatient surgery center included: medical claim review for accuracy, ICD-9 and CPT coding, claim submission, payment posting, verifying insurance coverage and benefits, obtaining outpatient surgery authorizations, EOB follow up and appeals, and patient account collections. Additional clerical responsibilities included answering phones, filing patient charts, transcription, scheduling appointments and outpatient procedures, prescription ordering, patient education, customer service and other necessary office duties.

• Restructured outpatient surgery authorization procedures resulting in added approvals and fewer denials

• Completed EOB follow up and claim appeals which resulted in shorter accounts receivable time

Military Experience:

1996 – 2000

Medical Technician, United States Air Force

Performed clinical patient care and office administration. Clinical tasks included emergency response, vital signs, immunizations, casting and splinting, IV administration and minor procedure assistance. Administrative tasks included chart preparation, answering phones, scheduling appointments, training new team members, organizing weekly meetings, cleaning and stocking exam rooms and ambulances, filing charts and completing medical claims.

Computer and Specialized Experience:

Microsoft Word, Excel, Powerpoint, Outlook and numerous medical office softwares (IDX, Allscripts, etc.)Medical Terminology, Electronic Medical Records, Data entry

Education:

American Academy of Professional Coders (AAPC) Coding Prep Course-Apprenticeship Program Community College of Baltimore County, Baltimore, MD (2002)

Medical Technology, Community College of the Air Force, Sheppard AFB (1996-1999)

References:

Shari Lafreniere - Billing Manager

Sandy Riley - Executive Medical Administrative Assistant

Sally Radoci - Medical Administrative Assistant

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