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Yyyyyy x. yyyyyy

P.O. Box 0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx ~ abc@xyz.com

 

Career Profile

 

Key Contributor & Effective Leader supporting administrative functions in fast-paced and high-stress environments within the medical industry. Experienced in completing comprehensive medical coding functions, overseeing patient collections, reviewing insurance claims, and managing collections related tasks. Equipped with a significant ability to leverage skills in project management in order to introduce new tools for cost/time savings and efficiency improvements in addition to fostering positive relationships with others.

 

Key Competencies

 

       CPT/ICD9/ICD10/HCPCS

       Medical Terminology

       Process Improvement

       Complex Data Analysis

 

       Training/Development

       Medical Billing/Coding

       Benefit Verification

       Project Management

 

       Case Management

       Complex Problem Solving

       Team Leadership

       Accounts Receivable

 

Professional Experience

Frontporch, Walnut Village Rehabilitation and Care Center, Anaheim, CA May 2008-Present

Medical Billing/Coder Specialist

 

  Directly manage a variety of administrative and operational functions within a fast-paced environment with a focus on increasing productivity and efficiency

  Oversee several financial functions which includes accounts receivable/payable, collections, and both month-end and yearly financial reporting

  Utilize superior communication and interpersonal abilities in order to foster positive relationships with vendors, insurance companies, and co-workers

  Oversee insurance pre-authorizations, complete insurance related paperwork, facilitate all collection related functions, and process payments and deposits

 

CMCS Incorporation, Fullerton, CA February 2000-January 2004

Medical Biller/Coder

 

  Coordinated several administrative operations with a concentration on completing accurate medical coding paperwork along with managing complex billing functions

  Kept abreast of current ICD-ICM & CPT coding best practices, government regulations, and third-party specifications in addition to insurance industry best practices

  Reviewed Physician notes in order to complete proper coding, research inconsistencies within paperwork, and post payments for private insurance, Medicare, and Medicaid

Seasonal Roles Include: HCC Remote Coder, Harmony Healthcare Solutions, Medicare Risk Adjustment, AE & Associates LLC, Medicare Risk Adjustment, Outcomes Health Information Solution, Medicare Risk Adjustment, Precision Medical Services

 

Education & Certifications

ICD-9 CM Coding/CPT Coding, Cypress College, Cypress, CA

ICD-10CM/ICD 10PCS AHIMA Education Program, Tri-County Allied Health School, Corona, CA

Pharmacy Technician, Noccd-School of Continuing Education, Cypress, CA

Medical Billing/Coding & Certified Nursing Assistant, North Orange County ROP, Anaheim, CA

Medical Assistant (Back Office) & AP/AR, Southeast ROP, Cerritos, CA

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