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Click here or scroll down to respond to this candidateCandidate's Name
Point, TX Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfessional SummaryCertified Hospital Inpatient Coder, seeking Medical Coding position in the Health Administrative field. Provide dedication, commitment, loyalty and perseverance to any company to work for. To grow within a company that supports continuing education to further career and a coder. SkillsExperienceReferral Coordinator & Diagnostics, 05/2023 - Current CVS Healthcare/Oak Street Health Remote/Chicago,IL Certified Hospital Inpatient Coder, 03/2023 - 11/2023 Tyler Junior College Tyler, United StatesHospital Patient Account Specialist, 01/2019 - 07/2021 Trinity Healthcare RemoteBenefit Verification Specialist, 10/2020 - 01/2021 AmerisourceBergen Remote Medical terminologyICD-10 (International Classification ofDisease Systems) CPT Coding Guideline HCPCS Coding Guidelines Office support (phones, faxing, filing) Excellent verbal communication Adept multi-tasked Resourceful and reliable worker Excellent problem solver Office management professional Research and data analysis Anatomy/Physiology Self disciplined Microsoft Excel Microsoft Word AAPC Coder software Finding specialists and facilities for where patients will receive their healthcare services Seeking authorization for referrals/diagnostics from health care companies, as determined by authorization rulesPerforming outbound calls to specialists/facilities to seek verification of information, as determined by program standardsReceiving inbound calls from patients, outside providers/facilities, and am members (care team, etc) Responding to internal messages Preformed Cases containing variety of medical situations. (School) Certified Hospital Inpatient Coding Training - Certified Hospital Inpatient Coder Medical Terminology AnatomyMaintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidanceEnhanced accuracy of medical coding by consistently reviewing and validating medical records for inpatient services Follow up with insurance companies regarding appeals/denials/unpaid claims Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites Fill out Insurance claim Forms Identify and resolve issues causing payer payment delays Identify and trend claims issues to proactively reduce denials Prepared reports detailing billing actions, flags and other key information Sign patient's up on their re-Verification form for medication DUPIXENT: AsthmaCustomer Service Specialist, 08/2003 - 08/2006Baylor University Medical System 2001 Pearl Street Answered fifty to eighty calls per day in efficient manner Handled hospital claims, UB.04 with attached information Updated and corrected patient information and filed claims Managed correspondence with patient accounts Called insurance companies for claims status updates Collected patient paymentsAffiliationsAmerican Academy of Professional Coders (AAPC)EducationCertified Hospital InPatient Coder: Coder, 11/2023 Tyler Junior College, Tyler Texas - Tyler, United States High School Diploma: 05/1983Newman Smith High School - Carrollton, United States Basic 4 yearsCertifications Verification Medicare Part D Benefits All Commercial Insurance,Answered fifty to eighty calls per day in an efficient manner Handled hospital claims,with attached information Updated and corrected patient information and filed claims Managed correspondence with patient accounts Called insurance companies for claims status updates Collected patient payments Enrollment Form & Prescription,Income from Doctor or Patient. AAPC Certified Professional Coder |
