Certified Professional Coder
Certified Professional Coder with 20+ years' experience coding and billing physician and other qualified healthcare provider services. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Certified Professional Coder
Certified Cardiology Coder
Review medical record documentation, assign CPT, HCPC, ICD-10 codes and payment / informational modifiers.
Provide coding and documentation education to new and existing providers.
Maintain open line of communication with providers and clinical staff.
Create encounters and enter charges into Cerner database.
Resolve front end claim edits.
Collaborate with billing team to resolve payer denials.
Assist customers and staff with billing and coding questions.
Verified insurance coverage and plan benefits prior to scheduled testing and procedures.
Obtained prior authorization for scheduled testing and procedures.
Reviewed medical record documentation. Applied CPT, HCPC ICD-9 codes and modifiers to cardiac diagnostic testing.
Posted patient and insurance payments.
Maintained delinquent patient accounts.
Assisted with claim denials and appeals.
Assisted patients with billing questions.