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Click here or scroll down to respond to this candidatePage 1 2Candidate's Name
Medical Coding & Billing ProfessionalEMAIL AVAILABLE PHONE NUMBER AVAILABLE Hemingway, SC Street Address
Dynamic and highly-motivated professional with comprehensive experience in various facets of medical billing and coding. Adept at calculating and collecting payments for medical procedures and services. Excel at maintaining patient data, developing payment plans, and preparing invoices. Ability to execute follow-up on outstanding payments, resolve financial discrepancies, and investigate/appeal denied claims. Skilled at coding services, procedures, diagnoses, and treatments; filing documents; and analyzing data needs for reimbursement; and extracting relevant information from patient records. Able to establish and maintain security of medical records to ensure patient confidentiality. Competent at performing completion of claims to payers, submitting billing data, and preparing detailed reports.Areas of ExpertiseMedical Coding & BillingRegulatory ComplianceRecords ManagementTeam Leadership & CoordinationExcellent Patient CareDocumentation & ReportingProcess ImprovementProblem ResolutionData ManagementProfessional ExperienceCSI companies Optum MCARisk adjustment Coder July 2023 January 2024Reporting to MCA the HCC codes and risk adjustment codes to the correct specificity based on the documentation of a condition based on the RAF that an approved provider list A face to face encounter using risk adjustment model software ( HCC CODER, RX HCC, ESRD for certain projects as assigned. Proficient computer skills using MS-word, Excel and PowerPoint,Outlook, Electromic medical records and systems, E clinic works,Cerner,CAC. Griswold Home Health Care Myrtle Beach SC November 2012 Present Certified Nursing AssistantDeliver expert-level support to patients in fulfilment of daily living needs. Accompany patients to plan and schedule numerous activities, including appointments as well as the grocery store and other daily errands. Develop and maintain safe and healthy living areas by cleaning and sanitizing essentials. Obtain and trace patient vitals and glucose levels, while providing assistance with medications. Demonstrated impeccable performance to deliver exceptional care to patients. Coastal Hearing Center Pawleys Island, SC July 2017 September 2017 Medical Billing and Coding Extern (180 Hrs)Fostered recording of patient appointments as well as patient information and invoices in EHR system with high degree of accuracy. Enabled easy accessibility to essential information by filing, coping, scanning, and faxing documents. Steered all activities involved in distributing arriving packages/shipments across the department. Ensured availability of essential by managing and controlling inventory. Medical Reimbursement System Boston Massachusetts March 2009 May 2011 Medical Coding (Remotely)Leveraged Medical Decision Making (MDM) and Medicare guidelines to coordinate billing and coding for emergency room visits. Administered end-to-end activities involved in closing accounts on monthly basis, including all charts unable to code and non-billable chart. Used the ICD-9, CPT, HCPCS level II for assigning codes to emergency room charts. Additional ExperienceProduction Coder Specialist, Brault Practice Solutions with clinical Edge, SanDimas, California Certified Nursing Assistant, Home Care Assistance, Pawleys Island, Sc Medical Coder, Healthcare Business Resources/CBIZ, Pawleys Island Dispatcher/ Administrative Clerk II, City of Georgetown Police Department, Georgetown, SC Administrative Specialist II, South Carolina Department of Transportation Georgetown, SC EducationDiploma/ Medical Billing and Coding Miller-Motte Technical College, Conway, SC Associate Degree Business Accounting Florence Darlington Technical College, Florence, SC Page 2 2Professional CertificationsCertified Billing and Coding Specialist (CBCS)Certified Professional Coder (CPC)Certified Coding Associate (CCA)Certificate/ Certified Nursing Assistant Pee Dee Medical Training Center, Lake City, SC Certificate/ Phlebotomist Horry Georgetown Technical College, Georgetown, SC |
