Clinical Coder II Resume
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Sundale Way West
Bartlett, Tn
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Please review my resume which highlights the skills acquired during my years in the medical billing/coding that will enable me to contribute to your company.
I am a Certified Professional Coder seeking employment in an at home setting. I have over years coding experience along with years of billing and data entry. I have a multispecialty background now specializing in Evaluation and Management for teaching physicians.
EDUCATION
CPC Certification /
Hamilton High School Graduate – /
EXPERIENCE
UT Medical Group, Inc.
Madison, Ste
Memphis, Tn
Coding Department Manager Donna Woodside
Date of hire – March to present
Clinical Coder - Provide ICD-, CPT, E/M codes, and modifiers for billing. Responsible for assignment of diagnosis and procedural codes for inpatient, observation, E/M levels and outpatient records through review of physician documentation. Ensure accurate coding by appropriate review of the medical record and/or billing documents. Complete billing forms to provide all required data. Maintain QI standard daily and provide monthly report. Resolve fatal edits and respond to denials. Identify and report any documentation issues to physicians to maintain and improve coding/billing. Provide and verify demographic and required billing information to ensure completeness of data entry. Additionally, ongoing communication is provided to physicians and their support staff to keep them educated in the functions required in the coding and billing process. Follow all CPT, Medicare, and other appropriate coding guidelines. On a daily
basis, resolve all Claims Manager edits. Report all coding opportunities to the Manager of Clinical Coding Services.
Currently in the Medicine division, which includes the following specialties: Internal Medicine, Infectious Disease, Pulmonary, Nephrology, GI/Hepatology, and Cardiology. Assign procedure codes for Cardiac Catherizations, EGDs, Colonoscopies, Bronchoscopes, and EKGs. Also currently code for Inpatient E/M for our Transplant Division. Further back up coder for Radiology and Emergency Medicine.
Billing Representative/Customer Service – Performed insurance/billing clerical duties, including Review and verification of patient account information against insurance program specifications. Resolved routine patient billing inquiries and problems and follow up on balances due from insurance companies.
Data Entry Clerk – Entered data electronically to process charges, payments, denials and adjustments. Corrected routine coding errors and resubmitted denied claims to insurance companies.
Knowledge, Skills, Abilities
Knowledge of medical billing and insurance claim filing
Knowledge of ICD- and CPT- coding
Use of Medical Encoder
Knowledge of medical terminology
Thank you for taking the time to review the qualifications listed on my resume
