Medical Billing and Coding Specialist with six years providing administrative and patient support in a hospital setting. Advanced knowledge of private insurance processes and codes. 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.
Overview
20
20
years of professional experience
Work History
Physician Based Medical Coder
Loyola Medical Center
07.2017 - Current
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records
Interacted with physicians and other healthcare staff to ask questions regarding patient services
Applied official coding conventions and rules from AMA, CMS and Medicaid to assign diagnostic codes
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
Correctly coded and billed medical claims for various clinics
Resourcefully used various coding books, procedure manuals, and on-line encoders
Used classification manuals to gain additional knowledge of disease and diagnoses processes
Managed time efficiently in order to complete all tasks within deadlines
Worked well in team setting, providing support and guidance.
Medical Office Assistant
West Suburban Hospital Medical Center
06.2004 - 07.2017
Demonstrated a high level of initiative and creativity while tackling difficult tasks
Used critical thinking to break down problems, evaluate solutions and make decisions
Answered over 30 telephone calls to offer office information, answer questions, and direct calls to staff
Adhered to strict HIPAA guidelines to protect patient privacy
Participated in team projects, demonstrating ability to work collaboratively and effectively
Stayed current on changing procedures to offer expert support for histology laboratory activities
Monitored inventory levels of supplies, equipment, and reagents used and placed orders for replacements
Kept the grossing room fully stocked with necessary supplies and equipment ready for use
Minimized infection risk by regularly cleaning and disinfecting work areas and equipment
Sorted specimens according to priority and difficulty of procedures and recorded all processes in pathology log
Documented routine laboratory instrument maintenance and corrective actions
Entered data on demographics, grossing descriptions, and clinical diagnosis into EMR
Retrieved pathological data and delivered pathologist's dictation tapes and surgical pathology requisitions to medical transcriptionists
Prepared solutions, stains and reagents in accordance with standards
Compiled and maintained preventive maintenance and instrument performance check records according to schedule and regulations
Carried out specific tests and preparation requirements based on orders.
Education
Certification - Certified Professional Coder (CPC)
AAPC
Salt Lake City, UT
11.2016
Associate of Applied Science - Health Information Technology
Northwestern College
Chicago, IL
06.2014
Skills
Outpatient Coding Knowledge
Problem Solving Aptitude
Ethical Conduct and Integrity
Strong Attention to Detail
Personal Information
Title: Certified Professional Coder
Timeline
Physician Based Medical Coder
Loyola Medical Center
07.2017 - Current
Medical Office Assistant
West Suburban Hospital Medical Center
06.2004 - 07.2017
Certification - Certified Professional Coder (CPC)
AAPC
Associate of Applied Science - Health Information Technology
Northwestern College
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