Objective: Seeking a position to utilize my coding skills with a professional and friendly Medical office, Medical facility or billing company.
Summary: Over 17 years experience combined in the medical field in Ambulance, Durable medical equipment and supplies, Hospital, Women’s Health, Behavioral Health and Cardiology.
I have worked with many medical billing programs such as Medical Manager, EC2000, Ambuman, Dezine, Star, HBOC, Procomm Plus, Centricity, Signature, and medical record programs that include ECIS, Prosolv , and have online access to Providence and Regional Hospital medical records.
Education: AAPC-Certified Professional Coder
1991-1992 Yakima Valley Community College, Yakima, Washington
Micro-computers, Computer programming, Art history, Drawing, Algebra, English
Graduated from West Valley High School, Yakima, Washington in 1983.
10/04-11/09 Coder/Charge poster
Alaska Heart Institute, AK.
Responsibilities include auditing E/M’s to ensure appropriate level of service has been chosen and extracting diagnosis codes from dictation. Review Nuclear studies, Echo’s, MRI/MRA’s, and CT’s for payable diagnosis codes and assign appropriate CPT codes. Code from dictation for Pacemaker, Defibrillator implants/extractions, Electrophysiology studies, Ablations, Heart Catheterizations, Vascular studies, Stents, Thrombectomies, etc. ..add appropriate modifiers, check for CCI edits and global periods, in other words, applying Medicare guidelines . Enter info into billing system. Make any corrections if needed on a denied claim.
08/03-10/04 Billing Specialist
Southcentral Foundation, AK.
Duties were billing behavior health accounts which entailed checking Medicaid eligibility, assuring accuracy of both HCPC and ICD-9 codes. Posted charges, payments, denials, adjustments, and complete account resolution. Printed month end Revenue reports and entered them onto an Excel spreadsheet for management.
11/00-7/03 Patient Account Services
Providence Alaska Medical Center, AK.
Responsibilities were reviewing claims to ensure accuracy of ICD-9 ,HCPC, and CPT, insurance and patient information, charges and dates were complete and correct, make sure insurances were in correct sequence by checking for MSP online with Medicare. Complete daily Medicare Inpatient and Outpatient billing while following Medicare Guidelines. Open and work adjustments (corrections) online with Medicare. Work Remittance Advice Reports for account resolution. Worked aging reports for timely filing, and also worked a Medicare credit balance report for overpayments.
10/97-11/00 Receptionist/Medical Records
Responsibilities were checking patients in and out, collecting payments, scheduling appointments, entering patient demographics, calling insurance companies to verify patient’s benefits, answering phones, pull charts, print superbills for the following days appointments, copy patient charts, request records from other physicians.
9/96-10/97 Billing Specialist
Geneva Woods Health Care Services, AK.
Duties involved billing durable medical equipment and supplies to Medicare, Medicaid and third party insurances by entering claims on computer billing system. Required use of HCPC and ICD-9 codes as well as making sure proper documentation was attached to the HCFA form to support medical necessity. Contacted patients and insurance companies regarding account status.
10/95-7/96 Accounts Receivable
Consulting and Pharmaceutical Services, Yakima, Washington (509)575-0009
Responsibilities were billing all Medicaid claims electronically for durable medical equipment, and for prescriptions by magnetic tape. Third party billing, tracking of claims status. Posted payments and assisted Comptroller in maintenance and troubleshooting various software problems.
9/91-6/95 Accounts Receivable
Yakima Ambulance Medic I, Yakima, Washington (509)248-3613
Duties were reviewing medical incident reports to ensure the documentation of medical necessity for the ambulance transport and extracting diagnosis codes from findings on report and using appropriate HCPC codes. Entered information into computer billing system and billed out electronically or by HCFA. Posted payments, prepared bank deposits and ran monthly financial reports for owner.