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.
Overview
9
9
years of professional experience
Work History
Medical Coder
TriLakes Family Care
Branson, MO
06.2015 - 10.2024
Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
Verified accuracy of patient information and insurance data in billing system.
Submitted claims to insurance companies electronically or by mail.
Resolved denied claims by researching payer requirements and preparing appeals.
Reconciled accounts receivable to ensure accuracy of payments received.
Provided customer service support to patients regarding billing inquiries.
Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
Ensured timely filing of all claims within established guidelines.
Responded promptly to requests from insurance companies regarding clarification on claim submissions.
Education
GED -
Valley High School
West Des Moines
01-1975
Skills
Data entry and management
Medicare insurance regulations
Statement analysis
Record assessment
Codification
Data Verification
Affiliations
I have over 150 houseplants. I have different varities and like to try a new plant as a challange.