Medical Coder/Auditor

JACQUELYN W. EDWARDS

*** ***** ***** ***., *********, GA 30253

229-***-****(M) 770-***-****(H) ********@*********.***

OBJECTIVE

To obtain position as a Medical Coder/Auditor

EMPLOYMENT

01/2011-Present Anthelio Healthcare Solutions, Inc., Dallas, TX

Medical Coder II (Remote)

Reviews medical records for the determination and accurate assignment of all documented diagnoses and procedures

Assigns and sequence codes based on medical record documentation

Communicates documentation improvement opportunities and coding issues to the appropriate personnel for follow up and resolution

Serves as a resource for entry level coders and mentors/trains other coders as needed.

03/2010-08/2011 ActionMed Solutions, Macon, GA

Medical Coder/Patient Account Representative

Analyzed and interpreted fee tickets/medical records to identify and determine billable services

Assigned and sequenced appropriate diagnostic/procedure billing codes in compliance with payers

Prepared and submitted claims for electronic billing

Followed up on accounts for proper and timely reimbursement

Resolved account discrepancies through an auditing process

Compiled monthly billed revenue statistical reports

Conducted training with physicians and staff regarding policies and procedures

02/2001-02/2010 Phoebe Health Systems, Albany, GA

Phoebe Worth Medical Center 03/2006-02/2010

Phoebe Putney Memorial Hospital 02/2001-03/2006

Medical Coder

Verified and ensured the accuracy, completeness of diagnosis codes based on documentation

Reviewed and audited medical records

Utilized advanced, specialized knowledge of medical coding to assign and sequence diagnostic/procedure codes

Communicated with health care providers to clarify/confirm diagnosis

07/1996-07/2000 Southwest GA CAC, Inc., Moultrie, GA

Family Service Worker

Maintained files on each caseload

Assisted families to maximize the family well-being and academic

capabilities of the children

Taught workshops to faculty, students, and families

Scheduled transportation to and from medical/health appointments

Acted as liaison between company and community agencies

10/1985-02/1995 United States Army

Non Commissioned Officer

Audited administrative/financial records

Coordinated training and education classes

Supervised a team of soldiers

Managed weekly/monthly schedules

Instructed class sessions for company

EDUCATION

10/2000-07/2001 Albany Technical College Albany, GA

Medical Coding Specialist

07/2000-12/2000 Moultrie Technical College Moultrie, GA

Medical Office Technology

PROFESSIONAL TRAINING AND SPECIAL INTERESTS

Introduction and Tools for CPT Coding Training, Introduction and Tools for ICD-9-CM Coding Training, Code Based Reimbursement Training, Evaluation and Management Coding Training, Ambulatory Payment Classification Training, DRG Training, and Audit Training

Knowledge of Medical Terminology, Anatomy and Physiology, and Disease

Processes

CERTIFICATION

Certified Professional Coder

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