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Medical Coding Specialist Resume Profile

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NC

PROFESSIONAL SUMMARY

Seeking a Medical billing and coding specialist job where 6 years of Medical Coding will be utilized in a medical office settings.

SKILLS

  • Medical terminology knowledge
  • CCS/CMS/LCD Guidelines
  • Anatomy and Physiology
  • Encoder Experience
  • ICD-9
  • Remote Coding
  • CPT
  • PQRI Measures
  • Anesthesia Coding
  • E M
  • Surgical Coding
  • Medical Billing software
  • Epic
  • Inpatient Pro Fee Coder
  • Pain Management Coder
  • Deadline driven

WORK HISTORY

Confidential

  • Monitors, reviews and applies correct coding principles to clinical information received from inpatient hospitals for the purpose of reimbursement
  • Identifies and applies diagnosis codes, CPT codes and modifiers as appropriately supported by the medical record

Medical Coding Specialist

Confidential

  • Performs initial charge review to determine appropriate ICD-9 and CPT codes.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Reports to work, meetings and professional obligations on time. Utilizes batch-logging systems to comply with internal audit standards.
  • Interprets progress notes/operative reports and medical records. Enters appropriate data into the Billing System by selecting the appropriate codes, diagnosis, modifiers, and times of start and stop of the case, Anesthesiologist, CRNA, and Surgeon information to complete the charge process.
  • Performed billing and coding procedure for Anesthesia during a inpatient and outpatient setting and Pain Management services.

Batch Reconciliation Specialist/Billing Analyst

Confidential

  • Verifies the accuracy of the physician procedure count to ensure all slips were coded by the coder
  • Balance Hash Totals and identify any skipped and/or duplicated batches
  • Analyze the cause of all billing errors
  • Perform coding clean-up when required
  • Data entry for patient demographics and appropriate insurance carrier

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