Thomas Van Orden, CPC
Lexington,KY
Summary
Accomplished Certified Medical Coder since 2001, with a proven track record at Optum, Inc., for enhancing client savings by meticulously reviewing workers' compensation claims and ensuring accurate medical coding. Excelled in team leadership and analytical thinking, significantly improving billing processes and client service. Expert in MS Excel and adept at driving results through detailed documentation and reporting.
Overview
20
20
years of professional experience
Work History
Bill Review Analyst
Optum, Inc.
01.2008 - 05.2024
- Reviewed complex workers' compensation medical claims.
- Specialized in cost savings to clients by reviewing records and medical coding for erroneous billing.
- Performed review of medical claims according to the specific workers' compensation rules for each of the 50 states
- Provided lead customer service for several client accounts
- Maintained coding credentials with the American Academy of Professional Coders (AAPC).
Certified Professional Coder/Owner
New Horizon Medical Billing, LLC
04.2006 - 12.2010
- Submitted medical billing for professional medical clients
- Ensured proper reimbursement for medical services billed
Certified Professional Coder
Dermatology Consultants, PSC
02.2004 - 04.2007
- Submitted medical billing for a busy dermatology office according to correct AAPC coding practices.
- Verified billing was paid correctly and filed appeals when paid incorrectly.
- Performed internal audits on the physicians medical billing and provided education if needed.
- Maintained credentialing for the practice's physicians for the state and for insurance plans they participated in.
Education
Bachelor of Science - Biology
Brescia College
Owensboro05.1990
Skills
- Certified Medical Coder since 2001
- Analytical Thinking
- MS Excel
- Team Collaboration and Leadership
- Documentation And Reporting
Timeline
Bill Review Analyst
Optum, Inc.
01.2008 - 05.2024
Certified Professional Coder/Owner
New Horizon Medical Billing, LLC
04.2006 - 12.2010
Certified Professional Coder
Dermatology Consultants, PSC
02.2004 - 04.2007
Bachelor of Science - Biology
Brescia College
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