Coder Lead

• Jun 2022 - Present

• Provided support with fielding questions from E/M team members• Assisted with monthly coding audits for the E/M team members• Assisted with monthly reporting of documentation and coding discrepancy trends for provider feedback• Participated with special projects for timely completion• Verified ICD-10, CPT and modifiers for correct coding and billing for multiple specialties• Researched information for continuous training of staff• Maintained tracking logs for outside services and employee education• Participating in the continued education of physicians in documentation standards and coding regulations• Assisted with training new employees• Observing and reporting trends in care and operations for purposes of identifying areas needing further training of staff Show less

Certified Specialty Coder

• Apr 2021 - Jun 2022

• Provided support with fielding questions from E/M team members• Assisted with monthly coding audits for the E/M team members• Assisted with monthly reporting of documentation and coding discrepancy trends for provider feedback• Participated with special projects for timely completion• Verified ICD-10, CPT and modifiers for correct coding and billing for multiple specialties• Researched information for continuous training of staff• Maintained tracking logs for outside services and employee education• Participating in the continued education of physicians in documentation standards and coding regulations• Assisted with training new employees• Observing and reporting trends in care and operations for purposes of identifying areas needing further training of staff Show less

Coder II Denials and Reimburstment

• Jan 2020 - Apr 2021

Coder II in the Physicians group solving denials.

Certified Medical Coder

• Mar 2019 - Apr 2020

Coding for a Pulmonary group of doctors that man the local area hospital ICUs. Coding for a Pulmonary group of doctors that man the local area hospital ICUs.

Patient Records Abstractor IV

• Mar 2018 - Jan 2019

Patient Record Abstractor III

• Oct 2013 - Mar 2018

Abstracting diagnosis and procedure coding from patient charts for both professional and facility charges for several different outpatient subspecialties in a teaching hosptial environment. Though my main focus is Pediatric Cardiology, these are a few other specialties I have coded for:Peds General MedicinePeds Urgent CarePeds CardiologyPeds NephrologyPeds RespiratoryPeds GastroenterologyPeds Infectious DiseasePeds EndocrinologyAdult General MedicineAdult RespiratoryAdult GastroenterologyAdult CardiologyAdult EndocrinologyFamily Practice Women's Health Show less

Coder/Analyst

• May 2012 - Oct 2013

Review patient cases prior to billing for coding accuracy. Continually research and educate other medical personel in regards to coding. Review patient cases prior to billing for coding accuracy. Continually research and educate other medical personel in regards to coding.

Medical Collector

• Aug 2011 - Jan 2012

Reviewed and follow-up on aging reports Updated patient insurance information and verified eligibility and benefits Assisted in the primary and secondary insurance billing process Sent patient statements for remaining account balances Researched and gathered information for an appeal process Follow-up with insurance companies to provide proper documentation for reimbursement; Accurately attached documents to CMS-1500 claim forms to send to insurance companies for billing Thoroughly read doctors' reports and verified ICD-9 and CPT codes for billing Reviewed chart notes to make sure the right code for the diagnosis was being used Show less

Medical Biller A/R Rep

• Mar 2011 - Aug 2011

Accurately posted payments to patient accounts Reviewed and follow-up on aging reports Updated patient insurance information and verified eligibility and benefits Assisted in the primary and secondary insurance billing process Sent patient statements for remaining account balances Researched and gathered information to start appeal process Follow-up with insurance companies to provide proper documentation for reimbursement; Hours Accurately attached documents to CMS-1500 claim forms to send to insurance companies for billing Thoroughly prepared and mailed primary and secondary billings Accurately entered patient demographics, insurance data and verified claims mailing addresses Thoroughly read doctors' reports and verified ICD-9 and CPT codes for billing Efficiently posted charges; printed CMS-1500 claim forms and accurately attached proper report documentation and authorizations for mailing to insurance companies Accurately filed documents to ensure staff had quick and easy access to all necessary information Examined the review and correction of unclean claims to be sent out Reviewed chart notes to make sure the right code for the diagnosis was being used Accurately posted charges for the services that were provided on a daily basis Show less

Cashier/Clerk - Customer Service

• Mar 2007 - Mar 2011

Greet customers with a professional and friendly attitude; receive payment for merchandise and correctly give out changeExceed customer expectations by locating hard to find items and recommending alternative optionsRecognized for consistently building productive teams in different departmentsOversaw all aspects of staff performance and facilitated development of hourly associatesSupervised up to nine employees, monitored performance, and maintained daily contact to communicate goalsSkilled in accomplishing multiple tasks to achieve project completion and client satisfactionManaged initial payroll processing Show less

Assistant Food Service Manager

• Apr 2005 - Mar 2007

Oversaw all aspects of staff performance and facilitated development of hourly associates Supervised up to nine employees, monitored performance, and maintained daily contact to communicate goals Skilled in accomplishing multiple tasks to achieve project completion and client satisfaction Managed initial payroll processing

Food Service Clerk - Customer Service

• May 1999 - Mar 2005

Provided quality food products while following health, safety and sanitation guidelinesFollowed operational policies and procedures, including those for cash handling, and maintained cleanliness of the store

Medical Insurance Externship ­ Westshore

• Mar 2010 - Apr 2010

Hours Accurately attached documents to CMS-1500 claim forms to send to insurance companies for billing Thoroughly prepared and mailed primary and secondary billings Accurately entered patient demographics, insurance data and verified claims mailing addresses Thoroughly read doctors' reports and verified ICD-9 and CPT codes for billing Efficiently posted charges; printed CMS-1500 claim forms and accurately attached proper report documen- tation and authorizations for mailing to insurance companies Accurately filed documents to ensure staff had quick and easy access to all necessary information Examined the review and correction of unclean claims to be sent out Reviewed chart notes to make sure the right code for the diagnosis was being used Accurately posted charges for the services that were provided on a daily basis Reviewed chart notes to make sure the right code for the diagnosis was being used Ensured strict confidentiality of financial records Performed miscellaneous job-related duties as assigned Show less