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| | Click here or scroll down to respond to this candidateCandidate's Name , CPCHighly motivated remote medical coder, certified through the AAPC. Efficient with ICD10, ICD9, CPT, and HCPCS coding guidelines and procedures. Effective at meeting production standards and quality assessments. Excellent computer skills with strong knowledge of medical terminology and billing procedures. Ability to work independently and in a team environment.ExperienceRemote Provider Reimbursement Admin Anthem BCBS, Middletown, NY 2018-2022Review company specific, CMS specific, and competitor specific medical policies, reimbursement policies, editing rules of enterprise reimbursement policy.Translates medical policies into reimbursement rules.Coordinates research and responds to system inquires and appeals.Provides post payment audits on multiple modifier concepts.Remote Medical Coder Comforce, Tampa, Florida 2013-2018Reviewed numerous physicians documentation in all locations to assign correct E/M, procedure, ICD10/ 9, and/ or HCPCS codes.Understood and followed all coding guidelines of multi-state and federal insurances.Provided corrections on denial claims for proper reimbursement.Maintained a low EDI on processing claims in a timely manner.Teaching facility codingRemote Medical Coder HIMagine Solutions, Tampa, Florida 2012-2017Reviewed numerous physicians documentation for hospital charges to correctly assign the E/M, procedure, ICD10/ 9, and/ or HCPCS codes.Completed between 80-100 records daily.Teaching facility codingHCC CodingMaintained a quality standard of above 95% accuracy.Medical Billing and Coding Instructor Anthem Institute, Parsippany, NJ 2012-2014Taught all medical terminology including anatomy.Taught ICD10, ICD9, CPT, HCPCS coding and guidelines.Taught about third party payers requirements and procedures.Prepared students to become certified coders.EducationRutgers University, New Brunswick, NJAdvanced Hospital Coding and CCS Prep 2017University of Phoenix, Phoenix, ArizonaAssociates of Arts 2012Anthem College, Phoenix, ArizonaAssociates in Medical Billing and Coding 2007Objective71A Woodside Avenue, Newton, NJ 07860 - PHONE NUMBER AVAILABLE - EMAIL AVAILABLE |