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Yyyyyy x. yyyyyy

Naples, FL xxx-xxx-xxxx

Medical Analyst

Skilled medical coder, biller, and analyst seeking an office-based or remote opportunity.


CPC Certification, Delaware Program for Medical Coding and Billing

CPMA Certification, NAMAS Boot Camp

Columbus Technical College, Accounting courses

Experience Highlights

Mount Carmel Medical Physicians, 2009-2015

Compliance Analyst

        Reviewed physician medical records for all medical practices.

        Medical billing and coding for outpatient and inpatient neurology procedures, focused on CPT/ICD-9 accuracy. Maintained knowledge of Medicare and Medicare Plus Choice Activities.

Ohio Health, 2009

Medical Coding and Billing

        Coded and billed E/M outpatient and inpatient services and sleep studies for Millihon Clinic.


MediGold Health Plans, 2003-2009

Delgated Claims Auditor

        Performed weekly audits of processed vendor claims for CPT/ICD-9 accuracy.

Enrollment Reconciliation Analyst

        Review and resolve special status and risk assessment discrepancies.

        Researched charts to provide support for diagnosis codes and unrecorded claims submitted to Mt Carmel Health Plan.

        Processing member applications for medical coverage.


Aetna Healthcare, New Albany, OH, 1989-2002

Quality Analyst/Special Claims Processor

        Audited medical and dental claims for CPT and ICD-9 coding for multiple employer groups.

        Reprocessed outpatient and inpatient network provider claims to correct payment erros..


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