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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.
  • 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.

Two Years of study: Science, University of NE - Gering NE 69341
  • 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)
This resume is created in 7 minutes.
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.
  • 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
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
This resume is created in 7 minutes.
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.
  • 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.
Associates of Science:
Community College of the Air Force July -
This resume is created in 7 minutes.
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.

  • 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 
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​