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Candidate's Name , CPCStreet Address  Sandy Point CtSilver Spring, MD Street Address
(Cell) PHONE NUMBER AVAILABLEEMAIL AVAILABLEWORK EXPERIENCE:March 2019 - PRESENTMedical Coder & Review ProcessorGBX /STGInternational Consultants/ICE/DHS, Washington, DCAudit and review medical records for completeness and accuracyAssign and sequence CPT, ICD9-10, HCC, and HCPCS codes for all services rendered todetainees according to Coding GuidelinesQuery physicians for documentation and specificity of services providedMeeting a daily quota of quality and quantity of assigned locationsEducate and train medical staff on coding guidelines and documentationJuly 2016- July 2018 Medstar Georgetown Medical Center, Arlington, VAPractice Coding Reviewer Audit and review medical records for completeness and accuracy with a accuracy of 95%Assign and sequence CPT, ICD9-10, HCC, and HCPCS codes for all services renderedCollaborates with AR department to minimize denialsSpecialties include ER, Pathology, Radiation Medicine, Urology, HospitalistsApril 2014-July 2016 Amerigroup Inc. (Anthem), Hanover, MDCredentialing Specialist, Sr. Responsible for leading, coordinating, monitoring, and maintaining the credentialingand recredentialing processMaintaining accuracy and integrity of credentialing databases and applicationsEnsuring compliance with Joint Commission, NCQA, and CMSNovember 2012-April 2014 Medstar Georgetown Medical Center, Arlington, VAInsurance Analyst Responsible for analyzing, auditing, and investigating aged accountsPreparing and analyzing reports to identify trends and denialsMeeting with Coding team to minimize billing and coding errorsOctober 2010- May 2019 Healthcare Business Solutions Alliance, Landover, MDMedical Consultant Identify and resolve issues to increase accounts receivablesEnsuring practice is in compliance with all federal and national entitiesAssisting in staffing and marketing of practiceProvide credentialing, billing, coding, accounts receivable and payableSept. 2009-Sept. 2011 SRA International, Rockville, MDMedical Coder Abstract and code adverse events through VAERS for CDC maintaining 95% accuracyAudit and adjudicate coded data to ensure accuracy and completenessCompile data to report new advents and trends to CDCEducation: High Point High School, Beltsville, MDSeptember 1982-June 1986 High School DiplomaSpecial Skills: CPC Certified; Medical terminology; ICD-9; ICD-10; CPT; DRG; ECW; CAQH; EMR; 3M.EPIC; IDX; Excel; PowerPoint; Outlook; SMS; NexGen; Cerner; QuickBooks.Medisoft; Salesforce; Member Of AAPC; Member of MAMSSReferences Furnished Upon Request