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Medical Coding And Billing Account Representative Resume

Myrtle Beach, SC


Seeking a position where I can utilize my coding skills, experience in a hospital with patient records, and background in medical terminology to accurately abstract and validate ICD - 9-CM and CPT codes, maintain patient records, and assist a facility overall in their documentation and reimbursement process.

  • ICD-9-CM, CPT and HCPCS Level II coding
  • 3M Encoder & Ingenix Encoder Software
  • Medical Terminology and Prescriptions
  • Independent and Excellent Teamwork
  • Punctual and Well-organized
  • Anatomy, Physiology, and Pathophysiology
  • CMS 1500 and UB-04 Claim Forms
  • DRG & APC Assignments
  • Knowledge of HIPAA and Patient Confidentiality
  • Patient Registration and Insurance Verification
  • Scheduling, Medical Records, Filling
  • Microsoft Office (Word, Excel, Databases)
  • Knowledge of Healthcare Reimbursement
  • Managed Care Regulations / JCAHO Guidelines
  • Medicare / Medicaid Reimbursements
  • Hospital Information Systems: Chart Assembly, Access, Storage, and Status Tracking
  • Clinical Data Analysis and Abstraction

Confidential (Myrtle Beach, SC)

Medical Coding and Billing Account Representative

  • Responsible for defining diagnostic, treatment and procedures of patients by using numeric codes
  • Enter patient demographics information into a database and update and update appropriate insurance carrier
  • Perform responsibilities of conducting investigation in case of rejected claims and ensure that the medical facility is correctly billed by using different corresponding codes
  • Post cash/check payments to patient accounts and create balance reports for deposits, refunds or collections

Confidential (Loris, SC)

Customer Service / Sales Representative

  • Handled inbound calls and live chats to effectively respond to customer inquiries.
  • Provided superior service to new and existing customers providing information and handling product sales.

Confidential (Wilmington, NC)

Receptionist/Prescription Services

  • Responsible for the accuracy and completion of patient accounts.
  • Greeted patients coming into the emergency room and get them registered for the triage nurse.
  • Analyzed insurance coverage and benefits for the service to ensure timely reimbursement.
  • Registered patients by correcting as necessary all patient demographic and financial data.

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