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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Mark Street Apt 1AStaten Island, New York Street Address
Mobile : PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEOBJECTIVE: Coding and medical billing for over ten years has grounded me in the healthcare field. As a Certified Professional Coder I strive to deliver the highest accuracy of coding and maximizing my revenue. I look to assist in the development, review and assessment of a companys goals for success.EMPLOYMENT HISTORY:Healthcare Associates in Medicine, P.C.09/17- Current Staten Island, New YorkBilling SpecialistAnalyze accounts receivable and correct all problemsInitiate appeals of denials of payment for servicesThorough knowledge concerning patient confidentiality and HIPAA rulesMet all productivity and collection goals including dollars collected and accounts handledEducating coding requirements to improve coding quality to maximize revenueAudit reviews for documentation and sharing of information with other departmentsResearch and reconciliation of denied claims for reimbursement.Use strong analytical skills to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy.Posting of payment, adjustment and recoupment transactions.Coordinate with other coding staff to ensure reportable services are captured and assigned.Good ability to interpret rules and regulations set by Medicaid, Medicare and commercial payorsPedia-Care Physicians, PLLC07/10 12/15 Brooklyn, New YorkCoder/ Billing ManagerAssign appropriate CPT codes, ICD and modifiersCompose claims files and submit to clearinghouse, handling rejections and acceptance reports.Ensure accurate resolution of claims held due to edits, charge errors and/or reimbursement conflictsFollow claims cycleCoordinate and manage claims projectsTrack payer revenue performanceIdentify trends and further reviewMaximize reimbursement from 3rd party insurersPerform software updates/upgrades and daily maintenance on workstations and SQL serverSFTP interfacing with third partiesPOS system managementMonitor insurance verifications, referrals and authorizationsPost payments, adjustments and write-offsFollow-up and collection of overdue AR accountsMaintain up to date expertise and knowledge of healthcare billing laws, regulations and developmentsCreate reports from various data extractionEvaluate payer updates and recommend improvements to achieve more positive resultsPrepare documents for audits/chart reviewCommunicate and supply charge captureCode documents using CPT, HCPCS and ICD-10Marine Park Pediatrics03/07 05/09 Brooklyn, NYMedical AssistantEnsured the cleanliness, sanitation and maintenance of all exam rooms and equipment.Proficient in computer usage and knowledge of various applications (e.g. MS Excel, MS Word, MS PowerPoint, Medware, and Versaform)Gathered and assessed office needs and developed functional specifications for improving protocol.Demonstrated efficient handling of administrative duties (scheduling appointments, maintaining medical records, and insurance verification)Helped implement practices quality assurance and control program. Efforts ensured compliance with HIPAA, CLIA and OSHA regulationsPerformed daily Quality Control on various machines including calibration with controls.Taking patient medical histories and vital signs, performing venipunctures, injections and various diagnostic procedures and ancillary tests (e.g., immunoassays, hematology, urinalysis, and chemistry analysis)Knowledgeable in medical terminology, disease processes and pharmacology.Verifying insurance and navigating insurance websites.EDUCATION:College of Staten Island, Staten Island, NewYork 09/15-01/19Completion of Associates of Arts and ScienceMember of Verrazano Program for Academic ExcellenceMember of the LGBT and Psychology ClubCertified Professional Coder - AAPCFranklin Career Institute, Brooklyn, New York 09/05 - 06/07Nationally Certified Clinical Medical Assistant Graduated June 2007 |
