Experienced in-patient hospital Medical Coder trained in ICD-10 and CPT coding for 200 bed hospital Strong attention to detail, accurate reporting and keen understanding of current billing procedures and updates. I am energetic, organized with over 17 years of hospital experience, supporting efficient department operations. Detail-oriented and enthusiastic with great communication skills.
Overview
24
24
years of professional experience
5
5
years of post-secondary education
2
2
Certifications
Work History
Certified Coder
Penn Highlands Mon Valley Hospital
Monongahela, PA
04.2004 - Current
Reviewed In patient & out-patient medical documents of diagnosis and procedures and assigned ICD-10, CPT, and ICD 10PCS according to coding guidelines with 95% accuracy.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Analyzed reports for accuracy on patient information, recorded date of service or procedure and verified location and physician name and signature.
Consulted with physicians and CDI nurses on documentation that was incomplete, inaccurate or required further diagnosis specification.
Used Meditech EHR Software along with Nuance/TruCode encoder to assign procedure and diagnostic codes to patient records for billing purposes.
Worked at various positions throughout the years as a Medical records Clerk, Miscellaneous Clerk and Radiology Clerk which all taught me valuable information that helped in coding patient charts.
Medical Billing Specialist
Porreca Chiropractic Clinic
Belle Vernon, PA
05.1998 - 03.2004
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Prepared billing statements for patients and verified correct diagnostic coding.
Communicated with insurance providers to resolve denied claims and resubmitted.
Trained new employees on multiple medical billing programs and data entry software.
Evaluated patients' financial status and established appropriate payment plans.
Posted and adjusted payments from insurance companies.
Education
Certificate of Completion in Coding Program - Medical Coding
Allied Business Schools
Laguna Hills, CA
10.2014 - 12.2016
Associate in Specialized Business Degree - Medical
Douglas School of Business
Monessen, PA
10.1986 - 02.1988
High School Diploma -
Belle Vernon Area High School
Belle Vernon, PA
09.1984 - 06.1986
Skills
Medical terminology
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Certification
CPC - Certified Professional Coder
Timeline
Certificate of Completion in Coding Program - Medical Coding
Allied Business Schools
10.2014 - 12.2016
Certified Coder
Penn Highlands Mon Valley Hospital
04.2004 - Current
Medical Billing Specialist
Porreca Chiropractic Clinic
05.1998 - 03.2004
Associate in Specialized Business Degree - Medical
Douglas School of Business
10.1986 - 02.1988
High School Diploma -
Belle Vernon Area High School
09.1984 - 06.1986
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