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Click here or scroll down to respond to this candidateQWCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE Montgomery, AL Street Address
Dedicated and detail-oriented medical billing and coder with extensive experience in analyzing documentation and accurately assigning diagnosis and procedure codes for proper patient classication. Expertise in compliance with regulatory guidelines. Experience in working hand-in-hand with proper information for claims processing and helpful professionalism with experience in resolving billing issues and reviewing claim denials. Collaboration and TeamworkPharmaceutical CalculationsInsurance BillingHIPAALabeling prescriptionsHealthcare regulationsResolving customer issuesSupporting pharmacy operationsProblem-solving skillsProcessing paymentsInsurance VericationBilling supportCertied Billing and Coding #R5X4Q3A7Pharmacy Technician #T44876Procient in ICD and CPT coding guidelinesStrong understanding of regulatory fraud and abuse guidelinesExcellent attention to detail and accuracyAbility to establish primary and secondary diagnosis and procedure codesSkilled in reviewing and correcting codes for accuracy Experience with inpatient and outpatient codingprocessesFamiliarity with electronic health record systemsStrong communication and Pharmacy'sSelect proper codes using the current code set and encoder product suite, ensuring all procedures le correctly to the appropriate Patient Care Encounter . Add Anesthesia and Pathology codes to PCE encounters for all billable surgical cases.United Healthcare Montgomery, ALHospice Pharmacy Services Specialist01/2021 - CurrentFollowed up with doctors' oces regarding any clarication needed on prescriptions or rells requested by customers.Prioritized and organized tasks to eciently accomplish service goals. Displayed strong telephone etiquette, eectively handling dicult calls. Maintained schedule of class assignments to meet deadlines. Provided assistance communicating, typing correspondence or obtaining information.Checked documents for accuracy and completeness prior to typing. Code inpatient professional fee services for identied inpatient admissions, Establish primary and secondary diagnosis and procedure codes for inpatient professional encounters, following applicable regulations, instructions, and reimbursement requirements.Link appropriate diagnosis to procedures and determine the level of E/M service provided.Code all inpatient procedures reported inapplying ICD and CPT coding SummarySkillsExperienceguidelines.Select proper codes using the current code set and encoder product suite, ensuring all procedures le correctly to the appropriate Patient Care Encounter .Procient in ICD and CPT coding guidelinesStrong understanding of regulatory fraud and abuse guideline's Excellent attention to detail and accuracyAbility to establish primary and secondary diagnosis and procedure codes Skilled in reviewing and correcting codes for accuracy Experience with inpatient and outpatient coding processes Familiarity with electronic health record systemsStrong communication and teamworkBrantwood Children's HomeMontgomery, ALSocial Worker Assistant05/2023 - 03/2024Supported patients' needs by maintaining positive, supportive and structured environment.Assessed mental health needs of each child and coordinated appropriate services when needed.Monitored self-administered medications and set up strategies to help patients maintain schedules during periods away from program facilities. Developed workable solutions for recurring problems for individuals and families.Created individualized service plans based on each client's specic needs and goals.Provided crisis intervention services such as counseling or referral information when needed.Collaborated with other professionals to coordinate interventions and long-term plans for clients.Researched new methods of delivering mental health services in order to improve outcomes.Walgreens Montgomery, ALPharmacy Technician07/2014 - 06/2020Teamed with peers, technicians and pharmacists to prioritize and complete orders.Created new customer proles and updated demographics, allergies and new medications in pharmacy computer systems.Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.Maintained strict patient condentiality to adhere to HIPAA regulations and avoid data compromises.Worked with insurance companies to process claims, resolve problems and obtain payments.Transmitted claims to insurance companies for payment and reconciled EOBs.Experience with inpatient and outpatient coding processes Familiarity with electronic health record systemsStrong communication and teamwork skillsPhlebotomy Ink Birmingham, ALAssociate of Healthcare in Billing And Coding Specialist 04/2024Jeerson Davis High School Montgomery, ALEducation and TrainingHigh School Diploma06/2012Chandra GarrettEMAIL AVAILABLE workPHONE NUMBER AVAILABLERoger HooksEMAIL AVAILABLEPHONE NUMBER AVAILABLEJamaica RodgersPHONE NUMBER AVAILABLEEMAIL AVAILABLEReference |
