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Yyyyyy x. yyyyyy
10838 Refuge Circle │ Xxxxxx,
AK xxxxxx
xxx-xxx-xxxx
│ abc@xyz.com
Summary of Qualifications
Certified Professional Coder (CPC) and Certified Cardiology Coder (CCC).
Nearly 11 years of valuable, hands-on cardiology coding expertise.
Solid analytical, time management, attention to detail and organizational skills, including prioritizing tasks.
Impeccable judgment, poise and professionalism to proactively identify and resolve problems.
Promoted to positions of greater responsibility during career for outstanding performance.
Stellar listening, verbal communication and interpersonal skills while working with employees, patients, physicians and personnel at outside agencies.
Outstanding knowledge of billing practices and procedures; insurance company procedures regarding reimbursements; EOB categories; and medical terminology and basic human anatomy.
Proficient with Microsoft Outlook, Word and Excel; 10 key by touch; and electronic health record (EHR).
Work Experience
Xxxxxx Heart Institute and Vascular Institute July 2006-Present
Lead Coding Specialist
Supervise the daily work of the coding department and track production, including leading coding staff.
Accurately code and post office and hospital procedures, assigning OPT and 100-9/lCD-10 codes.
Collect charge information from physicians, nurse practitioners and physician assistants in a timely manner.
Analyze external charges for correct coding upon importing into Centricity Practice Management.
Identify bundled codes using CCI edits and properly assign modifiers when required.
Ensure all office and hospital charges are coded and posted for month-end closing.
Investigate coding problems and formulates solutions, including supporting management with researching coding issues related to Physician Office and ASOs.
Communicate with patients, family and healthcare professionals to secure claim preparation information.
TC Associates Oct. 2005-May 2006
Auditor/Trainer, Elmendorf Air Force Base (AFB) Hospital (Contractor)
Educated providers with how to accurately code, including per U.S. Department of Defense coding guidelines.
Coded and audited for multiple departments, including the ER; Audiology; ENT; Surgery; Orthopedics; Pediatrics; Gastroenterolgy; Urology; Ophthalmology; Physical Therapy; Occupational Therapy; Dermatology; Internal Medicine; Pain Clinic; and more, and audited inpatient records.
Audited 200-400 records per month of the different specialties.
Standard Technology, Inc. (STI) June 2004-Sept. 2005
Medical Coding Technician, Elmendorf AFB Hospital
Coded diagnoses, diseases, operations and treatments from medical reports.
Accurately inputted codes into a computer system.
Compiled medical care and census data for statistical reports.
Yyyyyy x. yyyyyy
10838 Refuge Circle │ Xxxxxx,
AK xxxxxx
xxx-xxx-xxxx
│ abc@xyz.com
Work Experience (continued)
HealthSouth 1998-2003
Patient Account Representative (promoted from Data Entry Clerk)
Demonstrated stellar analytical and time management skills to service up to 900 patient billing accounts.
Trained colleagues on best practices of performing duties as a patient account representative.
Adjusted bills; processed refunds; researched missing payments; and distributed collection letters.
Collins and Associates 1997-1998
Office Manager
Supported an independent rehabilitation counselor with approximately 50 clients.
Calculated billable hours and mailed invoices for reimbursements to Workers compensation insurance agencies.
Xxxxxx National Insurance Co. 1987-1997
Claims Specialist (began tenure as Mail Room Clerk and was promoted multiple times)
Provided valuable, hands-on support to two claims adjusters, generating Workers compensation payments and filing compensation reports with the State of Xxxxxx Workers Compensation Board.
Communicated effectively with claimants and adjusters and interacted with accounting and data processing personnel to coordinate credit entries and clarify internal procedures.
Education, Training and Certificates
Certified Professional Coder (CPC)
Certified Cardiology Coder (CCC)
Medical Office Associate Certificate, Charter College Xxxxxx, AK; earned 1998
Accounting and Mathematics Courses, University of Xxxxxx, Xxxxxx, AK; 1994-1995
Affiliations
Member, American Academy of Professional Coders (AAPC)
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