To secure a position in a dynamic and professional environment that will allow me to apply my areas of expertise for the benefit of the company, as well as provide opportunities for personal and professional growth.
Overview
39
39
years of professional experience
Work History
Coder
CODER 3/OP COSC, Allegheny Orthopedics
10.2013 - Current
Apply appropriate CPT and ICD-10 codes to surgeries
Accurately assigned codes using software and official print copy of code book.
Responded to coding questions from callers and other internal departments.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Quickly responded to staff and client inquiries regarding CPT codes.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Verified proper coding, sequencing of diagnoses and accuracy of surgical procedures.
Community Living Support Specialist
PCG
01.2012 - 12.2013
Provide support and aid to persons not fully capable of independent living
Coder II, Orthopedic Technician, Medical Assistant and Surgery Scheduler
UPMC Three Rivers Orthopedic Associates
01.2002 - 01.2012
Assist physicians with patient care
Phlebotomy, lab specimen collection and injection preparation
Suture/staple removal
Cast removal
Scheduled surgery and testing for patients
Applied appropriate CPT and ICD-9 codes to surgeries and office/hospital exams
Entered charges for submission to insurance
Prepared daily cash deposit
Insurance form completion
Managed physician personal and professional schedules
Provided clarification to patients concerning charges
724.713.2813
Lead Medical Assistant
Lawrenceville Family Health Center, Oversaw COPC
01.1993 - 01.2002
(Community Oriented Primary Care) van
Worked alongside physicians treating patients
in their homes and communities
In charge of staffing van, billing charges incurred to insurance and
stocking/ordering supplies needed for treatment
EKG and vital signs
Urinalysis, injections and phlebotomy
Triage
Cast and suture/staple removal
Phlebotomist/Central Processing Clerk
St. Margaret Memorial Hospital
01.1986 - 01.1993
Obtained and prepared laboratory specimens for processing within the hospital, satellite offices and
associated nursing homes
Preparation of weekly schedules
Payroll duties
Ordering of supplies
Education
Graduate Certificate - Medical Assistant
ICM School of Business
Pittsburgh, PA
01-1986
Diploma -
Highlands High School
01.1985
Skills
Coding Error Resolution
ICD-10 Coding
Doctor Communication
Inpatient Coding
COSC
Certified Medical Coder
Procedural Coding
ASC Coding
Medical coding and abstracting
Code assignment research
3M Encoder
HIPAA compliance awareness
Clinical Documentation Review
Timeline
Coder
CODER 3/OP COSC, Allegheny Orthopedics
10.2013 - Current
Community Living Support Specialist
PCG
01.2012 - 12.2013
Coder II, Orthopedic Technician, Medical Assistant and Surgery Scheduler
UPMC Three Rivers Orthopedic Associates
01.2002 - 01.2012
Lead Medical Assistant
Lawrenceville Family Health Center, Oversaw COPC
01.1993 - 01.2002
Phlebotomist/Central Processing Clerk
St. Margaret Memorial Hospital
01.1986 - 01.1993
Diploma -
Highlands High School
Graduate Certificate - Medical Assistant
ICM School of Business
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