Profile

• Please consider this letter and attached resume in reference to the Coding position or related position available within your corporation. With being a Certified Professional Coder, my experience provides understanding of medical coding and reimbursement related operations and practices. My advanced communication skills and medical knowledge has given me the ability to communicate at various levels and allowed me to become a resourceful specialist.
• There is a great deal more that I could say concerning my accomplishments and skills, but I am interested in learning more about the company's needs. Hopefully, this overview and attached resume will support my candidacy for the position. I would like to discuss the position and my skills in greater detail. Please feel free to contact me at home number above or mobile number. I look forward to speaking with you.

SUMMARY OF QUALIFICATIONS :

• Ability to multitask and complete assignments in timely manner
• Detailed orientated
• Knowledge of Insurance Policies/Medicaid /Medicare/Commercial/HIPAA
• Types 50 - 55 wpm
• GE Centricity Group Management
• Utilized Encoder Pro Coding System-3m Coder
• Member of Atlanta Perimeter Professional Coders Local Chapter since 2008
• Cerner, IDX, Lotus Notes, Healthquest
• Powerchart EMR, IDX, HealthQuest, and Familiar with EPIC
• Knowledge of Medical Manager/Medisoft 3.0/WINASAP 2000/ E-meds/ Navicure Clearinghouse/ Emdeon Clearinghouse/ Compulink/ NextGen Citrix Health Management
• Proficient use of Star Financial System and Receivables Workstation
• Proficient use of ICD-9 CM and CPT-4 codes and use of UB-92's and HCFA 1500
• Knowledge of Medical Terminology
• Certificate of Continuing Education for The Centers for Medicare and Medicaid Services Diagnosis Coding using ICD-9-CM 2008

EXPERIENCE :

Confidential

General Surgery/Senior Coder

Codes routine diagnoses and treatment of hospital patients and abstracts information from patient records utilizing ICD-9 and CPT-4 codes. Also code ED professional and facility charges for patient physicians affiliated with Children Healthcare of Atlanta. Abstract and enter all required clinical and demographics data into the medical record abstracting system. Review the entire medical record of all outpatient services to assign the admitting, primary, and secondary diagnoses to support medical necessity for all services performed. Accurately assigns CPT-4 and modifiers in compliance with the OPPS guidelines to the appropriate APC assignment for outpatient services such as emergency department. Surgical charges are being billed on a daily such as Same day surgeries, professional charges, Observation, and Emergency Department. Also review TES edits in Claims Manager along with Charge Corrections. Research and /or locate uncoded charts on unbilled lists. Achieve 90 accuracy in ancillary and outpatient code assignment and maintaining required level of productivity. Assist with orientation and training of new staff.

Confidential

Remote Coder/Auditor

Provide a thorough review of all patient documentation to determine the appropriate diagnostic and procedural codes that correspond with the medical record being coded. Also apply the appropriate modifiers, quantities, abstracted information requirements and linking procedures and diagnosis together. Comply with all national and local medical coding guidelines as set by the AMA, CMS, and NCCI as well as other payer and healthcare provider coding guidelines. Coding different specialties utilizing CPT-4, ICD-9, HCPCS, and Encoder Pro if needed to code accurately Outpatient charts and Inpatient charts.

Confidential

Remote Coder

Duties are billing and coding GYN, Pediatrics, Ophthalmology/Optometrist, General Surgery Plastics, Internal Medicine utilizing ICD-9, CPT-4 codes, and use of appropriate modifiers for proper reimbursement. Coding 50-75 operative reports from electronic medical records followed by filing claims through electronic filing system called Emdeon.

Confidential

Remote Coder

Coded outpatient/inpatient medical charts for several medical centers and hospitals. Code 42 inpatient and outpatient facilities utilizing ICD-9, CPT-4, HCPCS Level II, and Anesthesia Crosswalk as coding references. Processed 5 charts/hour daily while maintaining 90 accuracy and productive quality. Utilized ICD-9, CPT-4, Anesthesia Crosswalk manual and 3-M Coder to properly code for multiple specialty facilities Inpatient and Outpatient Hospitals, Medical Centers, Outpatient Surgery Centers, Ambulatory and Digestive Endoscopy Centers, Lithotripsy/Laser Centers, Orthopedic Surgeries, Radiology, General Surgery Plastics, and Emergency Department .

Confidential

Medical Coder

• Coded outpatient charts, emergency room, and diagnostic ancillary services. Abstracted medical records with use of ICD-9-CM, CPT, and Anesthesia Crosswalk coding manuals. Reviewed charts for correct admit/discharge dates and entered proper surgery dates.
• Attended seminars for updates on ICD-9-CM and completed CPT assurance clinical documentation program with 3M Health Information System Consulting Services. Processed payments, made deposits, and performed other general office duties.

Confidential

Medical Biller/Coder

• Performed coding on outpatient medical record, emergency room, and diagnostic ancillary services daily. Abstracted medical records with use of ICD-9-CM, CPT, and HCPCS coding. Reviewed charts for correct admit/discharge dates and entered proper surgery dates.
• Attended seminars for updates on ICD-9-CM and completed DRG assurance clinical documentation program with 3M Health Information System Consulting Services. Processed payments, made deposits, and performed other general office duties.