Medical Office

OBJECTIVE:
To obtain a position which utilizes my experience and training in a company that offers opportunities for advancement.

QUALIFICATIONS:
My customer service has given me the opportunity to develop the skills & qualities needed to work efficiently with other people, whether it is customers or co-workers. Working under fast paced and stressful conditions is a skill I have mastered while working in the environment from previous employment.

EDUCATION:
••••• CPMA Certification, National Alliance of Medical Auditing Specialists (NAMAS)
••••• Direct Data Entry (DDE) Training, Centers for Medicare and Medicaid Services (CMS)
••••• Medical Billing & Coding Workforce Development Program, CVCC
••••• CPC Certification, American Academy of Professional Coders (AAPC)
••••• ACOR Diabetic Shoe Fitting Certification
••••• Registered Health & Fitness Specialist, NAHF
••••• High School Diploma, Central High School


EMPLOYMENT HISTORY:

April ••••• Present Medical Coder/ Auditor, Columbus Clinic

Responsible for coding and auditing all encounter forms for proper reimbursement according to CPT and ICD••••• assigned.
Assisting all providers and co-workers with any and all questions pertaining to auditing and/or coding as needed.
Providing co-workers with all insurance changes as revisions as necessary.
All other duties as assigned.


August ••••• April ••••• Quality Assurance Manager/ Auditor, Roman Medical Group

Responsible for auditing all progress notes & encounter forms for proper reimbursement according to CPT and ICD•••••
assigned.
Coordinating with all physicians to ensure proper documentation guidelines are followed.
Reviewing all patients prior to each visit to review for annual and quarterly screenings required for all chronic conditions according to insurance guidelines.





November ••••• August ••••• Medical Coder, Management Services Network, LLC.
Responsible for assigning CPT and ICD••••• codes to all Radiology Reports on a daily basis.
Worked all medical necessity denials for my client and other clients as assigned; to include sending letters when
necessary to physicians to review and correct documentation when needed.


May ••••• November ••••• Medical Coder, Cypress Partners, LLC

Responsible for assigning CPT and ICD••••• codes to all Radiology Reports on a daily basis.
Assisted with Aged Account Receivable Report when needed.
Prepared refunds for Patients and Payers when needed.
All other duties as assigned.


January ••••• May ••••• Patient Accounts, The Bradley Center of St. Francis

Responsible for all aspects of billing and follow up procedures; to include claim editing and submission, maintaining an aged Accounts Receivable Report ( Inpatient & Outpatient accounts)
Coordinating with our main campus (St. Francis Hospital) to ensure accounts have working thoroughly before any collection procedures begin.
Coordinating with the Utilization Review Department on new inpatient admissions to ensure all authorizations, appeals and discharge dates are provided to the insurance companies before all bills are submitted.
Assisted all patients with inquiries concerning their accounts.


January ••••• November ••••• DME Billing Specialist/ Accounts Receivable, Southeastern Home Oxygen Service

Responsible for all aspects of billing to include; validation, editing (coding corrections), claim submissions, working denials for all commercial insurance companies.
All posting of payments (Commercial Insurance and Private Pay)
Maintains portions of the daily and monthly AR Report
Data Entry; updating patient information, making necessary changes in AR when needed.
Maintains all documentation needed for the processing of all claims.
Processing of all daily cash receipts; to include a daily log of all incoming money and overpayments resulting in refunds
Assists all patients with inquiries concerning their accounts.
Verify all initial and active patients eligibility with insurance companies








September ••••• January ••••• Administrative Assistant/ DME Billing Assistant, Patton Medical Inc.


Performs general clerical duties, including filing, multi- phone lines and other general clerical duties.
Assists with patient insurance and medical billing.
All commercial billing, including hospitals, clinics, rehab centers, etc.
Bill patients for outstanding balances and refer to collection agencies when necessary.
Maintain AR Report
Maintain the charge master
Assigned HCPC & ICD••••• codes for billing on all patients per the service received
Provide services to the public by front counter and telephone.
Fit diabetic patients with the appropriate shoe(s) per diagnosis
Maintained all pre-certifications and re-certifications on all patients
Data entry, including appointments, dictating practitioner notes, posting payments and updating patient personal information.
Assistant HIPPA compliance officer.
Maintain and order office supplies.


PROFESSIONAL ORGANIZATIONS:
National Alliance for Medical Auditing Specialists (NAMAS)

The American Academy of Professional Coders (AAPC)
President, Columbus, GA Chapter •••••


REFERENCES: Available upon request