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Yyyyyy x. yyyyyy
Naples, FL xxx-xxx-xxxx ∙ abc@xyz.com
Medical Analyst
Skilled medical coder, biller, and analyst seeking an office-based or remote opportunity.
Education/Certification
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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