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I am a Certified Coder who has knowledge in diseases, anatomy and physiology and medical terminology. Understands numerical coding system used for billing insurance companies for reimbursement. I hold a certification as a CPC, along with four years of Certified Coding Specialist experience.
Currently certified through AAPC
Good interpersonal skills
Excellent attention to detail
10 key by touch
60 + wpm
-Analyze provider documentation to assure the appropriate E&M coding levels are assigned the correct E/M CPT code.
-Communicate with providers and clinical staff on a daily basis to eliminate missing and incomplete coding on encounters.
-Review charges to ensure accurate CPT and ICD-10CM code assignments
-Provide expertise to billing staff by addressing claim denials and verifying or correcting diagnosis for services and procedures performed.
-Provide support as a lead to the Coding team, as needed.
-Daily accepted batch preloaded charges
-Enter payments on account and encounters
-Run and work daily billing reports
-Accept and work EMR task sent to billing group
-Packed Iron Mountain boxes for storage on a monthly basis
-Fix patient accounts and made appropriate adjusments
-Processed credit card payments over the phone
-Worked patient billing issues from all clinic sites
-Posted copay and insurance payments to accounts
-Verified insurance information
-Uploaded claim files to clearing house daily
-Worked NextGen and Navicure rejections daily
-Retrieved Spanish and English patient phone calls
-Processed refunds to patients
-Process refunds to Medicaid, Medicare and other 3rd party insurances
-Maintained organization and upkeeping of sales kiosk
-Handled cash and credit card transactions
-Prepared store for opening and closing
-Provided exceptional customer service
-Maintained inventory and ordered supplies accordingly
-Managed other associates to ensure efficient time management
-Followed up with assisted living centers for symptoms and diagnosis
-Assisted with meeting team goals of 70 completed requisitions each day
-Performed general offices duties such as faxing, filing and making phone calls
-Followed up with insurance companies for resolution
CPT coding, ICD-9 coding, CMS 1500, UB-04, EOB, Microsoft Excel
American Academy of Professional Coders