Summary
Overview
Work History
Education
Skills
Certification
Timeline
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SINOUN SENG

Rochester,NY

Summary

Hardworking professional applies official coding conventions and rules established by the American Academy of Professional Coders (AAPC). Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Coding/Compliance Coord

Thompson Health
03.2022 - Current
  • Provides impromptu reviews and formal audits on medical record documentation and coding
  • Responsibilities also include reporting findings to management and the Compliance Committee and reviewing results with applicable individuals in one-on-one, small, and large group sessions
  • Working with providers daily, real-time coding and documentation questions are integral to the position
  • Code-specific services/programs as determined by management.

Billing Analyst/Coder

UR Strong Memorial Hospital
07.2018 - 03.2022
  • Worked daily with numerous Insurance Companies including Medicare, Medicaid & Aetna, and many others
  • Review coding and charges for outpatient surgery and procedures
  • Possess moderate knowledge of CCI edits & LCDs and be able to accurately apply regulation knowledge to coding situations
  • Possess moderate knowledge of level 1 & 2 modifiers
  • Problem-solve insurance rejections and denial issues
  • Proficiency in tracking & report coding and charging issues

Insurance Collection Specialist

UR Strong Memorial Hospital
06.2017 - 07.2018
  • Working on a report for visits that are Worker’s Comp or MVA primary
  • Proficiency in the CBAS system to refund Excellus overpayments
  • Assist in the training of new employees and has made myself available to them
  • Willing assisted in the coding/printing of medical records and mailing of Worker’s Comp/MVA claims
  • Continued to learn and familiarize me with the Worker’s Comp and No-Fault payers

Billing Assistant

UR Strong Memorial Hospital
12.2016 - 06.2017
  • Providing clerical and billing support for MVA and WC
  • Printing medical records, coding claims, calling missing claim numbers, and faxing request documentation
  • Works closely with team members who are responsible for the back-end follow-up on claims payments
  • Proficiency in getting all claims out promptly

Server, Manager

SEA Restaurant
11.2007 - 11.2016
  • Managed front end; hired and trained new staff
  • Maintained high standards of customer service during high-volume, fast-paced operations
  • Communicated clearly and positively with coworkers
  • Handled currency and credit transactions quickly and accurately
  • Followed procedures for safe food preparation, assembly, and presentation
  • Assisted with inventory control and stock ordering
  • Resolved complaints promptly and professionally.

Education

Certified Professional Coder -

Bryant and Stratton College
Rochester, NY
10.2015

Associate degree - Liberal Arts, Business and Marketing

Monroe Community College
Rochester, NY
6.2005

Skills

  • Conduct audits to ensure adherence to standards
  • Identifying compliance issues
  • Strong Understanding of ICD Codes
  • Proficient Communication Skills
  • Time Management
  • Excellent Organizational Skills
  • Effective Problem-solving
  • Critical Thinking Ability
  • Attention to Detail
  • Medical Terminology
  • Procedural Coding

Certification

  • CPC - Certified Professional Coder 10/2015

Timeline

Coding/Compliance Coord

Thompson Health
03.2022 - Current

Billing Analyst/Coder

UR Strong Memorial Hospital
07.2018 - 03.2022

Insurance Collection Specialist

UR Strong Memorial Hospital
06.2017 - 07.2018

Billing Assistant

UR Strong Memorial Hospital
12.2016 - 06.2017

Server, Manager

SEA Restaurant
11.2007 - 11.2016

Certified Professional Coder -

Bryant and Stratton College

Associate degree - Liberal Arts, Business and Marketing

Monroe Community College

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SINOUN SENG