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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx ~



Experienced Medical Billing and Coding Professional seeking challenging assignment


Core Competencies


Anatomy ~ Physiology ~ Managed Care Contracts ~ CPT Coding ~ HCPCS Coding ~ ICD-9 Coding ~ HIPAA Compliance ~ Office Management ~ Written Communication

Electronic Medical Record (EMR) Software, Medical Billing Software


Profile of Qualifications


  Career built over 13 years in meeting broad array of responsibilities and duties involved in providing highest levels of medical coding and billing

  Tasked to support physicians as well as meet needs of medical facility and work closely with insurance carriers to assure required procedures are met with accuracy and timeliness

  In-depth training in all areas of coding/billing; college-level studies in Business Administration

  Exceptional capabilities in identifying and remediating errors in submitted/filed documentation; particularly skilled in submitting fully completed forms while assuring informational accuracy

  Demonstrated strengths in providing exceptionally rapid input of key information while consistently adhering to crucial performance standards

  Place strong focus on maintaining subject matter expertise and currency in all aspects of coding and billing procedures through continual review of topical publications

  In an earlier assignment covering five years within the Banking industry, held supervisory and personnel oversight responsibilities

Professional Synopsis



Medical Biller/Coder, The University of Kansas Hospital, Kansas City, KS 2015 - Present

         Provide outstanding medical coding and billing support to General Surgery Department; adroitly perform ICD-9 and CPT coding and enter daily charges for six physicians.

         Utilize expertise and experience to appeal any denials from insurance carriers and resubmit claims, ensuring adherence to all insurance guidelines.


Medical Coder/Biller, Providence Medical Center, Kansas City, KS 2010 - 2014

         Successfully employed subject matter knowledge and experience to identify any errors on denied/rejected claims received from Patient Account Representative; corrected errors on claims and re-filed appropriately.

         Diligently reviewed remittance codes from EOBs and ARs, completed appeals and filed/submitted claims, and uploaded data concerning payments/adjustments/denials into medical manager system.

         Ensured timely/accurate charge submission through electronic charge capture, including Billing and Accounts Receivable (BAR) system and clearing house.


Coder, Kansas City Cancer Center, Overland Park, KS 2006 - 2010

         Served as sole Coder for Reimbursement Department of Clinic; developed exceptional skills in performing rapid as well as accurate outpatient encounter coding at rate of 160/day with120 complex special coding.

         During final year of tenure, was responsible for all outpatient coding; during entire assignment uploaded procedure and diagnosis codes as well as other pertinent patient information into billing software.

         Maintained currency with professional coding and billing activities, including informational updates, by continually reading/reviewing current publications, periodicals and professional literature.


Specimen Processor, Lab Corp., Kansas City, MO 2003 - 2005

         Expertly entered all procedure/diagnosis codes as well as other pertinent patient information into billing software.

         Skillfully prepared laboratory specimens for specific departments prior to testing/analysis.




Penn Valley Community, Kansas City, MO, Business Administration Studies


Concorde Career College, Kansas City, MO, Medical Coding and Billing Coursework

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