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Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC).
Four years experience with HCC Risk Adjustment Coding/Auditing and E&M Physician Chart Auditing.
Work history of consistently exceeding performance objectives.
Stellar listening, verbal communication and interpersonal skills to grow relationships with clients and colleagues.
Self-starter and problem solver with a demonstrated ability to achieve favorable solutions.
Proficient with Microsoft Office Suite and proprietary medical claims paying software.
Medical Coder, Fidelis Care New York Amherst, NY 2013-Present
Review charts for HCC Medicare Risk Adjustment as well as ICD-10 code mapping.
Conduct periodic audits of physician charts to ensure compliant billing practices.
Review provider appeals and make judgments on overturning or upholding appeals based on coding knowledge.
Remote Medical Coder, Nicka and Associates Plano, TX 2011-2013
Coded emergency room (ER) physician charts on behalf of several hospitals based in California.
Consistently achieved production goal of 200 charts per day.
Maintained or exceeded the 95% coding accuracy rate.
Medical Coding Supervisor, Docssist Cheektowaga, NY 2007-2011
Significantly increased physician revenue from the previous year due to accuracy and thoroughness.
Led coding workflow of ER physician charts for three hospitals that are part of the largest health care system in Western New York.
Trained staff on the correct use of ICD-9CM and CPT-4 codes.
Medical Biller, Dopkins Medical Solutions Amherst, NY 2005-2007
Completed prompt billing of medical charges for a multi-specialty clinic.
Reviewed encounter forms received from the clinic to ensure accurate procedure and diagnosis coding.
Provider Liaison, Fidelis Care New York Amherst, NY 2002-2005
Served as a key liaison for two of the largest clients, resolving claim issues.
Mentored new employees and also trained personnel on policies and procedures within the unit.
Medical Claims Analyst, North American Administrators Amherst, NY 1996-2002
Analyzed and processed medical claims in an accurate, timely and efficient manner.
Bachelor of Science (BS), Business Management, Marketing focus, State University of New York, Buffalo
Completed AAPC Inpatient Coding Course; Apr. 2016
Risk Adjustment Coding Certificate; earned May 2015
Completed AAPC Risk Adjustment Course; May 2015
Medical Coding Certificate; Aug. 2003
Completed AAPC S ICD-10 Code Set Training and passed ICD-10 Proficiency Assessment
Customer Service Skills Training Certificate; RT Dee and Associates
Dear Hiring Manager:
With this letter, I wish to express my strong interest in joining your organization as a (INSERT JOB TITLE HERE).
As demonstrated in the accompanying resume, I am a Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC). I have four years of experience with HCC Risk Adjustment Coding/Auditing and E&M Physician Chart Auditing. My work history includes consistently exceeding performance objectives.
Currently, I am a Medical Coder for Fidelis Care New York. In this capacity, I review charts for HCC Medicare Risk Adjustment as well as ICD-10 code mapping. Additionally, I conduct periodic audits of physician charts to ensure compliant billing practices. I also review provider appeals and make judgments on overturning or upholding appeals based on coding knowledge. Previously, as a Remote Medical Coder, for Nicka and Associates, I coded emergency room (ER) physician charts on behalf of several hospitals based in California. I consistently achieved my production goal of 200 charts per day. Furthermore, I maintained or exceeded the 95% coding accuracy rate.
I hold a Bachelor of Science (BS) in Business Management, Marketing focus, from the State University of New York, Buffalo. I completed the AAPC Inpatient Coding Course in April 2016 and my Risk Adjustment Coding Certificate in May 2015. I earned my Medical Coding Certificate in August 2003.
As your employee, you will find me to be a team player committed to exceeding your performance expectations. I have no doubt that I would be a valuable asset to your operations, and look forward to interviewing with you in the near future.
Yyyyyy x. yyyyyy
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