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Professional Summary
Senior Medical Office/Records Manager with 16-year history in hospital and medical office settings. Adept at building rapport quickly with staff and patients alike to ensure smooth and effective department operations. Seeking position of advanced responsibility with integrated medical organization.
Skills
  • Exceptional verbal, written communication skills, customer service, corporate marketing
  • Benefits & eligibility experience, authorizations, coordination of benefits
  • Durable medical equipment knowledge
  • Process reviews, contract specifics
  • Insurance verification, regulations, billing, coding, collection, auditing patient accounts, CPT, ICD coding
  • Medical and reimbursement terminology, UB 04 requirements,  bill types, APR DRG, interpret EOB, facility face sheets, ICD, CPT reimbursement, voucher posting
  • Adept multi-tasker, creative problem solver, time management, accurate
  • Goals & reporting;Office and start-up organization, setup, equipment knowledge, inventory  management
  • Hospital, surgical, appointment setting, supervised staff
  • Patient, physician, insurance communication 
  • Efficient, productive member of medical teams
  • Independent competent worker; technical, computer literate, quick learner
Work History
Insurance Coordinator, 08/2015 to 04/2016
Orthopedic and Spine Center of the Rockies Fort Collins, CO 80525
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Verified patients' eligibility and claims status with insurance agencies. Diligently filed and followed up on third party claims.
  • Prepared patient charts, pre-admissions and consent forms as necessary.
  • Precisely completed appropriate claims paperwork, documentation and system entry. Correctly coded and billed medical claims for various hospital and nursing facilities.

Hospital Accounting/Collections, 07/2014 to 07/2015
University of Colorado Health Fort Collins, CO 80525
  • Composed effective accounting reports summarizing accounts payable data. Posted receipts to appropriate general ledger accounts.
  • Monitored payments due from clients and promptly contacted clients with past due payments.Researched and resolved accounts payable discrepancies.
  •  Coded and entered at high volume invoices each day into the in-house accounting software.
  • Reconciled vendor statements and handled payment complaints or discrepancies.

Central Billing Claims , 12/2010 to 04/2014
Colorado Plains Medical Center Fort Morgan, CO 80701
  • Reconciled discrepancies between accounts receivable general ledger account and accounts receivable trial balance account.
  • Posted receipts to appropriate general ledger accounts. Researched and resolved accounts payable discrepancies.
  • Balanced monthly general ledger accounts to accurately record cost and month end accruals.
  • Coded inpatient charts at a rate of 150 per day. Coded Observation/Inpatient Professional Services at a rate of 11 per hour.

Office Manager-Ohpthalmology, 12/2009 to 12/2010
Dr. J. Kevin Belville Sterling, CO 80751
  • Located, checked in and pulled medical records for appointments and incomplete patient charts.
  • Met with stakeholders and maintained productive relationships. Supervised social media marketing strategies. Assessed market trends.
  • Maintained compliance with company requirements. Sourced qualified vendors and negotiated contracts.
  • Supervised business/office organization, reviewed and purchased necessary equipment and supplies. Trained new employees on multiple medical billing programs and data entry software.
  • Audited new customer files to verify medical necessity and satisfaction of coverage criteria. Reviewed customer feedback.

Inventory Management Team Member, 05/2008 to 11/2009
The Home Depot Sterling, CO 80751
  • Conferred with store managers to obtain information about customer needs and preferences. Submitted monthly reports to senior management.
  • Organized store merchandise. Ran markdown reports, managed store replenishment and analyzed buying reports.
  • Answered customer questions regarding store merchandise, department information and pricing. Participated in online education and knowledge accrual on new and existing produces.
  • Received Employee of the Month Award in Operations Division.

Market Manager/Sales Team Associate, 12/2004 to 04/2008
Ensigna/Verizon Premium Retailer Sterling, CO 80751
  • Met all customer call guidelines including service levels, handled time and productivity. Managed work flow to exceed quality service goals.
  • Devised and published metrics to measure the organization's success in delivering world class customer service. Facilitated inter-departmental communication to effectively provide customer support. Solved unresolved customer issues.
  • Developed highly empathetic client relationships and earned a reputation for exceeding service standard goals. Followed-through on all critical inter-departmental escalations to increase customer retention rates.
  • Strong leader of customer support staff. Assumed ownership over team productivity and managed work flow to meet or exceed quality service goals.
  • Updated customer orders from start to finish in an accurate and timely manner. Maintained up-to-date knowledge of product and service changes.
  • Maintained top three sales associate position in four different categories for full term of employment.
  • Instrumental team member participating in opening of new store location.
  • Identified and established new marketing opportunity procuring large corporate accounts.

Office Manager/Medical Coder, 03/2003 to 12/2004
Dr. Vincent Yu Sterling, CO
  • Maintained computer and physical filing systems, managed office with multiple priorities. Applied advanced business expertise in office management. 
  • Handled all incoming business and client requests for information. Coordinated special projects and managed schedules.
  • Maintained compliance with company requirements. Renewed licenses and credentials of physician, nurses, and anesthesia, authorized surgical procedures with insurance companies, maintained surgical schedule.
  • Supported and assisted in opening endoscopy facility within practice. 
  • Expanded medical knowledge for physician, nurse practitioner and certified registered nurse of anesthesia.

Medical Office Receptionist/Coder, 08/2000 to 02/2003
Dr. James Miller Sterling, CO 80751
  • Screened all visitors and directed them to the correct employee or office.
  • Input demographics on computer, collected payments, performed medical office duties.
  • Implemented & successfully opened endoscopy room, obtained certifications, credentialed staff, set up procedure room with inventory, gathered and shared knowledge on equipment.

Education
Two Years of study: Science, University of NE - Gering NE 69341
Accomplishments
  • Assisted with opening of new ophthalmology, endoscopy practice
  • Employee of the month (Home Depot)
  • Maintained position in top three sales associate for full employment term in four separate categories, instrumental in opening new retail site, advanced new marketing opportunity (Ensignal/Verizon Premium Retailer)
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Summary
Certified Professional Coder through the National Healthcareer Assocition with extensive expertise in surgical/ multi-specialty coding and reimbursement in hospital and physician practice operations. Experience includes compliance auditing, revenue cycle management and clinical documentation improvement programs that ensures a quality and timely ICD-10-CM/PCS implementation process.
Skills
  • Extensive knowledge of medical terminology 
  • Keyboarding at 65 wpm
  • Proven ability in records management
  • Highly skilled in multi-tasking, flexible, and adaptable
  • Training in ICD-10-CM/PCS
  • Medical Biller/Coding 
  • Advanced knowledge in Microsoft Office
  • Proficient in 3M Encoder, AHLTA(EMR), CHCS, Essentris (EMR), EPIC, Centicity, IDX, Medisoft, TruCode, CareCast, Citrix and Meditech(EMR) software programs
Experience
Outpatient Coder
October 2015 to Current
Crystal Run Health Newburgh, NY
  • Reviewed clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM and CPT-4 codes for billing, internal and external reporting, research and regulatory compliance activities
  • Inpatient/Outpatient Coding validations
  • Resolved error reports associated with the billing process, identified and reported error patterns and when necessary assisting the design and implementation of work flow changes to reduce billing errors
Assistant Lead Outpatient Coder
December 2008 to December 2016
Keller Army Community Hospital West Point, NY
  • Coordinated and conducted reviews of targeted inpatient and outpatient cases to assure timely billing process and accurate hospital reimbursement
  • Achieved and maintain 97% coding accuracy
  • Remote review of clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM and CPT-4 codes for billing, internal, and external reporting
  • System administrator for 3M encoder
  • Performed group and individual training sessions on a wide range of coding and documentation topics
  • Developed process improvement plans/corrective actions to resolve coding issues and to ensure productivity, efficiency and quality
  • Identified trends in down-coding, up-coding, bundling and unbundling
Medical Coder
November 2007 to December 2008
Medicom Management Services Inc New Windsor, NY
  • Performed coding quality audits on multi-specialty outpatient records 
  • Reported problems and trends, identified areas of subsequent audit, prepared reports detailing audit findings and recommendations
  • Reviewed and recommend policy for coding guidelines
Claims Processing Unit Coordinator
September 2006 to November 2007
Millennium Practice Management Associate Ramsey, NJ
  • Performed electronic and paper claims submissions, retrieval and review of validation reports, and correction of electronic rejections due to incorrect ICD-9 and CPT codes
  • Communicated with Medicare, Medicaid and private insurance companies on claims with an emphasis on claims submitted for payment
  • Supported a team of reimbursement specialists handling insurance billing and collections
  • Monitored patient billing to ensure full compliance with government regulations
Education and Training
2017 Kaplan University Fort Lauderdale , FL
Billing and Coding in Biology, 2015 Orange-Ulster BOCES Middletown, NY
High School Diploma : 1991 Newburgh Free Academy Newburgh, NY
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Summary
I am a motivated, hard-working, dedicated graduate of the Community College of the Air Force. I am seeking a challenging career that will offer me the opportunity for advancement based on individual performance and contribution.
Skills
  • MS Office, Excel and PowerPoint
  • Very organized with a strong attention to detail
  • Works well with minimal supervision required
Work History
03/2013 to Current
Medical Technician United States Air Force Reserves
01/2008 to 05/2010
Radiology Coder Scott and White Hospital
  • Assign CPT and ICD-9 Codes; utilize specialized medical classification software to assign procedures for insurance billing; review claims data to ensure that assigned codes meet required signatures and authorizations.
07/2006 to 01/2008
Unit Health Coordinator Scott and White Hospital
  • Manage daily operations and patient flow; promote teamwork and professional staff development; perform administrative and clerical duties; assist with processing patient admissions, transfer and discharge.
ER Admissions Burleson St. Joseph Hospital
  • Processed patient ER charts; entered provider documentation; order patient exams and labs; assemble and maintain patient medical records and related documents.
Education
2013
Associates of Science:
Community College of the Air Force July -
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Summary
Certified Medical Billing and Coder with capabilities of meeting the responsibilities required upon by my employer.  More than two years educational experience in Medical Terminology, Medical coding ICP-10, and CPT and HCPCS II coding. Enthusiastic about working in a hospital or clinic setting where I am confident my education and skills will be an asset to your company.
Skills

  • Medical coding ICD-10
  • CPT and HCPCS II coding
  • HIPAA compliance
  • Medical Terminology
  • Quality assessment of coded data
  • Good written communication
  • Insurance processing

  • Patient/family focused
  • Deadline-driven
  • Maintains strict confidentiality
  • Meticulous attention to detail
  • Computer-savvy
  • Strong work ethics
  • Microsoft Office, Excel and Power point 
​​
Experience
Medical Coder Internship May 2016 to Aug 2016
West Orange Speech Pathologist Orlando, FL
  • Reviewed files to check for complete and accurate information.
  • Follow HIPPA Privacy and Security Regulations extensively.
  • Utilized all the correct coding initiatives for each and every insurance policy as well as state law requirements
  • Reviewed EOB's for various insurance carriers and completed necessary appeals needed for denials received
  • Demonstrated knowledge and ability to assign ICD-9 CM codes to the highest specificity ensuring that diagnostic codes and documentation accurately reflect and support the visit encounter.
Stocker Clerk May 2013 to Aug 2014
Green's Grocery Orlando, FL
  • Handled products and equipment in accordance with safety, sanitation guidelines, and priced merchandise, stocked shelves and took inventory of supplies
  • Help to increase sales in higher profit natural food department by advising customers on bulk alternatives to name
  • Created a Customer-First environment through proper sales floor and backroom presentation standards
  • Prepared ad displays and reset isles schematics by reorganizing products according to the company's request.
Education and Training
High School Diploma, General Studies East Providence High School East Providence, RI
Associate of Science, Healthcare Information Technology Seminole State College Sanford, FL
Technical Certificate, Medical Information Coder + Biller Seminole State College Sanford, FL
Medical Coding and Billing American Academy of Professional Coders Orlando, FL
  • ICD-10-CM General Code setting training 
AAPC Salt Lake City, Utah ​ICD-10 CM codes with HCC or RxHCC value - Presently taking course​
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Summary
Chief financial officer/Healthcare Administration with experience supporting physicians in a busy medical office. Outpatient records coding specialist with ICD-9, ICD-10 coding expertise. Familiar with commercial and private insurance carriers. Skilled at medical billing, coding, Payroll, Accounts payable and receivable and office management.
Skills
  • Bilingual in  Spanish
  • Goal-oriented
  • Analytical
  • Complex problem solving
  • Self-motivated
  • Payroll specialist
  • Attention to detail
  • Exceptionally organized
  • Medical coding, billing
  • Medical denials/collections
Experience
08/2018 to Current
Account Resolution Specialists HCA Hospital Saint Augustine, Fl
  • Processed financial documents including contracts, expense reports, and invoices. 
  • Evaluated each customer's situation with a fresh eye in order to develop the most effective solution.
  • Reviewed accounts with aging balances and contacted customers to review options.
06/1997 to 09/2011
Chief Financial Officer Vallacare Health Services Punta Gorda, FL
  • Compiled financial, accounting and auditing reports and tables for cash receipts, expenditures, accounts payable, receivables and profits and losses.
  • Managed payroll and time and attendance systems.
  • Processed rehires, transfers, terminations, garnishments and withholdings.
  • Monitored daily banking transactions.
  • Researched and resolved collections and billing disputes with tact and efficiency.
  • Medical coding and collections specialist.
  • Consistently ensured proper coding, sequencing of diagnoses and procedures.
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Assisted in start up from 1 to 6 physicians plus mid-levels, over 10,000 patients annually, grew revenue from $400,000 to over $2 million.
06/2004 to 12/2008
Chief Financial Officer National Medical Affiliates Hospitalist Company Punta Gorda, FL
  • Recruited and interviewed physicians.
  • Assisted in aggressive marketing to build practice from 1 to 17 hospitalists in 3 counties.
  • Negotiated contracts with major hospitals.
  • Grew revenue from 100K to 5 Million.
  • Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered for inpatient billing and collections.Posted charges, payments and adjustments.
  • Completed appeals and filed and submitted claims.
06/2004 to 06/2007
Administrator Complete Physical Rehabilitation Punta Gorda, FL
  • Assisted in the design and execution of programs that contributed to growth of the organization.
06/1995 to 06/1997
Administrator Complete Home Health Orlando, FL
  • Expertly planned, coordinated, organized and directed all operations of the agency.
  • Served as a link between management and employees by handling questions, interpreting and administering contracts and helping resolve work-related problems.
  • Recruited and interviewed applicants.
  • Directed the installation of improved work methods and procedures to achieve agency objectives.
06/1993 to 05/1997
Medical Coder and collections Institute of Health Miami, FL
  • Medical coder and collections department.
  • Collected over 100,000 revenue in denied accounts receivable.
06/1991 to 06/1993
Medical Assistant Allergy Institute Plantation, FL
  • Injected skin allergy tests and administered allergy injections as treatment.
Education and Training
2017
CPC: Medical Coder Certification AAPC Jacksonville, Florida, USA
1991
M.D: Medicine University of Puebla Puebla Mexico Medicine
Languages

English - Native language

Spanish - Fluently
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Professional Summary

Hard working and fully Certified Medical Coder with full understanding of ICD-9 and ICD-10-CM and CPT coding procedures.  Highly capable and detail-oriented professional seeking Medical coding position to utilize and enhance industry knowledge, coding experience and education in a growth oriented company.

Skills
  • Attention to detail
  • Physician billing
  • Records management
  • Medical terminology
  • Familiar with commercial and private insurance carriers
  • Office support (phones, faxing, filing)
  • Understands insurance benefits
  • Resourceful and reliable worker
  • CPT, HCPCS, ICD-9-CM, ICD-10-CM
  • Close attention to detail
  • Adept multi-tasker
  • Coding Compliance Editor (CCE)
  • Armed Forces Health Longitudinal Technology Application  (AHLTA)
  • Composite Healthcare System (CHCS)
Work History
Medical Auditor/Coder/Trainer - Naval Health Clinic Hawaii, Pearl Harbor, 10/2012 to 02/2017
Diamond Solutions, Inc. 12150 Monument Drive, Suite 600 Fairfax, VA 22033


  • Read and analyze medical records to identify all diagnosis and procedures relevant to the current episode of patient care.
  • Codes billable care including Medical Services Accounts (MSA), all Other Health Insurance (OHI) encounters 
  • Conduct quality assessment of work to ensure continued improvement in ICD-10 and collection of quality health data.
  • Research/resolve problematic coding practices identified by the MTFs to include data quality discrepancy items
  • Resolve medical record documentation deficiencies through healthcare provider query and provide feedback to health care providers to correct future deficiencies.
  • Assist healthcare providers in diagnostic/procedure sequencing.
  • Work as part of a team interacting with health care providers, government personnel and contract employees to perform medical record coding and research errors or missing documentation.
  • Maintain confidentiality of all records and documents regarding patients, per all DOD guidelines.
  • Conducts audits of government coded medical records in compliance with Department of Defense (DoD) requirements and industry standards; such as the use of modifiers, procedure sequencing and linkage of procedures to diagnosis codes to support medical necessity of services.
  • Identify inaccurate/non-specific code assignments, document improvement opportunities and make recommendations for staff training


Medical Coder - Naval Health Clinic Hawaii, Pearl Harbor, 06/2011 to 09/2012
Peak Government Services 6920 Miramar Road, Suite 305 San Diego, CA 92121


  • Read and analyze medical records to identify all diagnosis and procedures relevant to the current episode of patient care.
  • Clarify inconsistent, ambiguous or non-specific information in a medical record by consulting with the responsible health care provider or project manager.
  • Conduct quality assessment of work to ensure continued improvement in ICD-9 and collection of quality health data.
  • Assess medical record content and identify medical record documentation deficiencies and provide department head and individual providers feedback regarding coding performance.
  • Assist healthcare providers in diagnostic/procedure sequencing.
  • Support the review and correction of records for payment by third party payers.
  • Maintain confidentiality of all records and documents regarding patients, per all DOD guidelines.


Medical Coder - Naval Health Clinic Hawaii, Pearl Harbor, 10/2009 to 05/2011
Standard Technology, Inc. 7315 Wisconsin Avenue, Suite 900W Bethesda, MD 20814

 

  • Read and analyze medical records to identify all diagnosis and procedures relevant to the current episode of patient care.
  • Clarify inconsistent, ambiguous or non-specific information in a medical record by consulting with the responsible health care provider or project manager.
  • Conduct quality assessment of work to ensure continued improvement in ICD-9 and collection of quality health data.
  • Assess medical record content and identify medical record documentation deficiencies and provide department head and individual providers feedback regarding coding performance.
  • Assist healthcare providers in diagnostic/procedure sequencing.
  • Support the review and correction of records for payment by third party payers.
  • Maintain confidentiality of all records and documents regarding patients, per all DOD guidelines.


Medical Coder - Naval Health Clinic Hawaii, Pearl Harbor, 06/2007 to 09/2009
Healthcare Resolution Services, Inc. 14504 Greenview Drive, Suite 102

 

  • Read and analyze medical records to identify all diagnosis and procedures relevant to the current episode of patient care.
  • Clarify inconsistent, ambiguous or non-specific information in a medical record by consulting with the responsible health care provider or project manager.
  • Conduct quality assessment of work to ensure continued improvement in ICD-9 and collection of quality health data.
  • Assess medical record content and identify medical record documentation deficiencies and provide department head and individual providers feedback regarding coding performance.
  • Assist healthcare providers in diagnostic/procedure sequencing.
  • Support the review and correction of records for payment by third party payers.
  • Maintain confidentiality of all records and documents regarding patients, per all DOD guidelines.


Medical Coder, 09/2006 to 06/2007
The Radiology Group, Inc. 94-800 Ukee Street, Ste 303
  • Utilize judgment to relate appropriate diagnosis and treatment procedures to interpret, analyze and select correct codes for radiology reports
  • Handled billing inquires from third-party payers
  • Appeals third-party inappropriate payments and denied claims
  • Responsible for processing and resubmitting rejected claims
  • Outstanding claims and delinquent follow-ups
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Correctly coded and billed medical claims for various hospital radiology facilities.


Medical Billing Clerk, Medical Receptionist, Medical Assistant, 01/1993 to 08/2006
Aiea Internal Medicine Services, LLC 98-1079 Moanalua Rd, Ste 350 Aiea, HI 96701

Medical Billing Clerk

  • Charge entry and submissions of claims
  • Handled billing inquires from third-party payers
  • Responsible for all aspects of physician coding, third-party reimbursement
  • Processing and resubmitting rejected claims
  • Outstanding claims and delinquent follow ups
  • Accounts payable, processing refunds and daily deposits
  • Review monthly charge and payment reports to ensure proper reimbursement

Medical Receptionist

  • Answering telephones, schedule appointments
  • Processing of patient related documents for medical records, transcriptionist
  • Coordinate out-processing of patients at the end of the encounter, manages petty cash and collect co-payments.

Medical Assistant

  • Assist physicians in all aspects of direct patient care
  • Vital signs, injections, assist in minor procedures
  • Coordinating tests and procedures, referrals and call in prescriptions
Education
Certification: Advanced Medical Coding, 2006
Leeward Community College- Office of Continuing Education - 96-045 Ala Ike CE-101
Certification : 1992
Med-Assist School of Hawaii - 345 Queen Street, Ste 400 Honolulu, HI 96813
High School Diploma: 1991
Waipahu High School - 94-1211 Farrington Hwy Waipahu, HI 96797
Certifications
CPC - Certified Professional Coder (AAPC)
This resume is created in 7 minutes.
Professional Summary
Results driven individual with experience in Internal Medicine, Rheumatology, Podiatry,Cardiology, Hospitalist and more. Looking to bring self-confidence, integrity, and commitment to customer service excellent to an organization. I am a proven multi-tasker who has demonstrated a willingness to be a  team player with a positive attitude. 
Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  •  Electronic Medical Record (EMR) software
  • ICD-9 coding
  •  Strong work ethic
  • Team player with positive attitude
  • Troubleshooting proficiency
  • Exceptional telephone etiquette ​
  • Microsoft Office Proficient
  •  Exercises good judgment
Professional Experience
01/2016 to 08/2017
Certified Medical Coder Lemak Sports Medicine & Orthopedics Birmingham, AL
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
Wrote clear and detailed clinical phone messages for physicians.
Resolved and clarified issues with patient medications and collaborated with local pharmacies. Maintained an organized logging system for tracking test results.
01/2006 to 12/2012
CPC Advanced Medical Billing of the Southeast Tuscaloosa, AL
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Acted as a liaison between the business department, billers and third party payers in resolving
01/2013 to 01/2016
CPC Reimbursement Matters LLC Lebanon, TN
Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Thoroughly review remittance codes from EOBS/AR's.
Evaluate the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Complete appeals and file and submit claims.
Post charges, payments and adjustments.
Education and Training
2006
Associate of Arts: Medical Billing Shelton State Tuscaloosa, AL
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Summary
Patient-focused HIS Coder skilled at medical coding. Reliable multi-tasker with internal medicine and family practice experience.  Well-organized and dependable with excellent self direction skills.
Skills
  • Fast learning
  • Relationship/ team building
  • Electronic Medical Record (EMR) software
  • ICD-10 coding
  • CPT and HCPCS coding
  •  Bilingual English/ Spanish
  • Advanced interpersonal skills
  • Communication skills
Experience
HIS Coder
April 2016 to Current
San Ysidro Health Center San Ysidro, CA
  • Review the progress notes and the ICD-10 codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers.
  •  Verifies all diagnostic procedural codes from the electronic health record using ICD-10 and CPT coding classifications.
  • Communicates effectively with providers concerning diagnoses and procedure(s) to assure proper coding and reimbursement.
  • Identify all chargeable items within each progress note to ensure proper CPT/HCPCS codes for each of the items.
  • Apply sequencing guidelines for the diagnosis codes and selection of the principal diagnosis and procedure according to ICD-10 guidelines.
  • Applied payments into medical manager system.
Health Information Services Specialist
October 2013 to April 2016
San Ysidro Health Center San Ysidro, CA
  • Scan and upload patient data into electronic medical record .Strictly followed all federal and state guidelines for release of information .Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Prepared forms and authorizations and written documentation including Subpoenas in Patient Health Information logs as required by the HIS department, State and Federal agencies.
  • Request inactive medical record from storage.
Health Information Services Clerk
August 2009 to October 2013
San Ysidro Health Center San Ysidro, CA
  • Delivers the medical record to the medical providers and other clinical staff.
  • Scans and.
  • maintains the control of the tracking of the medical record in the chart tracking module.
  • Files and retrieves medical records.
Education and Training
CPC Physican Based Medical Coding : AAPC Online Distance Learning, 2016 AAPC
AAPC Online Distance Learing CPC Physician Based Medical Coding : 2013
Medical Terminology 101 Certificate : Universalclass.com, 2013 Universal Class
High School Diploma : 2009 Eastlake High School Chula Vista, CA, US
Certifications
CPC Certification
Languages
Bilingual English/ Spanish
This resume is created in 7 minutes.
Professional Summary
Seeking to obtain a position in the Medical Field where I can utilize skills and gain knowledge for a career path towards growth and accomplishment.
Skills

                         

      • Medical terminology
    • ICD-10 (International Classification of Disease Systems)
    • HIPPA/HIPAA Complaince
    • Patient Demographic Entry
    • Patient Scheduling'
    • CPT Coding
    • Insurance Verification
    • Workers Compensation Billing
    • Pharmacy Billing
  • Office support (phones, faxing, filing)
    Claims Submission
    Electronic and Paper Billing
    Payment Posting
    Appeals
    A/R Followup Denial Management
    Liens
    ACH(Automatic Clearing House) Transactions
    Medisoft Software
    Electronic Health Record Software
  • HCPCS Coding Guidelines

Work History
Medical Billler and Coder, 10/2011 to 05/2013
Pain Relief Management Clinic Reseda, CA


  • Verified patients' eligibility and claims status with insurance agencies.
  • Correctly coded and billed CMS 1500 medical claims for Workers comp and pharamacy facilities.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Confidently and adeptly handled claim denials and/or appeals.
Radio Screener, 02/2007 to Current
Original Sound Los Angeles, CA
Syndicate music selection for live radio broadcast program.
ACH Admininstor, 09/2002 to 02/2007
Washington Mutual Bank Northridge, CA
Process all electronic direct deposits and withdrawal transaction for payroll, IRS, Military, government agencies, and government reclamations
Understand the NACHA operating rules and government regulations.
Investigate and resolve all customer  Affidavit claims and posted electronic transaction through Federal Reserve System.
Education
Medical Billing and Coding, 2011
UEI College - Van Nuys, CA