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Clinical Fraud Investigator II - Registered Nurse And CPC - Carelon Payment Integrity SIU

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Medical Billing and Coding Specialist with 13 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Competent Hospitalist Coder with 13 + years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. 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. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients. Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Coder position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Medical Billing and Coding Specialist with 13 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.

Detail-oriented medical coding professional with over 11 years of healthcare experience as a Certified Nursing Assistant, bringing a strong foundation in patient care, clinical documentation, and medical terminology. Skilled in reviewing medical records and applying ICD-10-CM, CPT, and HCPCS codes through hands-on coding practice. Demonstrates a high level of accuracy, attention to detail, and understanding of compliance standards, including HIPAA. Experienced in fast-paced healthcare environments, with the ability to interpret provider documentation and support accurate coding and reimbursement processes. Seeking to leverage clinical background and coding skills in a medical coding role

Intend to build a career with leading corporate of hi-tech environment with committed & dedicated people, which will help me to explore myself fully and realize my potential.Medical Coder with comprehensive knowledge in health information management and medical billing processes. Solid understanding of medical terminology, coding, ICD-10-CM, and CPT principles. Known for accuracy in data entry and ability to handle confidential patient information responsibly. Demonstrated success in streamlining operations for increased efficiency within previous healthcare settings. Precision-driven Medical Coder known for maintaining high productivity and efficiently completing coding tasks. Possess specialized skills in ICD-10-CM, CPT coding, and medical terminology comprehension. Excel in analytical problem-solving, time management, and adaptability, ensuring accurate and timely submission of medical claims in diverse healthcare settings. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.

As a certified medical coder with Two (2) year of experience specializing in HCC coding, my goal is to continue leveraging my expertise to ensure accurate and compliant coding of healthcare data. Having honed my skills in the nuanced area of Hierarchical Condition Category (HCC) coding, I am eager to contribute my knowledge to further enhance the precision of medical documentation. With a strong foundation in coding processes, industry guidelines, and regulatory requirements, I am committed to ongoing professional development. I am seeking opportunities to collaborate with experienced professionals, apply my expertise, and continue making valuable contributions to healthcare information management.

Detail-oriented and certified Associate Medical Coder with 1 year of experience in accurately assigning diagnostic and procedural codes for medical services. Proficient in ICD-10-CM, CPT, and HCPCS coding systems, with a strong understanding of medical terminology, anatomy, and disease processes. Skilled in reviewing medical documentation for completeness and compliance with coding guidelines. Committed to maintaining coding accuracy, confidentiality, and ethical standards in accordance with regulatory requirements Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

Kathryn Rhodes-Tatum

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Associate of Science - Clerical Skills

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Medical Coder

Associate of Science - Clerical Skills

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