91AV

Motivated business professional with over 33 years of dedicated customer service experience, bookkeeping and record retention. Proven leader in Customer Service. Detail-oriented with the ability to problem solve. Combined this experience with recent education in medical billing and medical coding in an environment where accuracy and efficiency are a top priority.

PRIMARY RESPONSIBILITIES
• Translate patient information and into alphanumeric medical code
• Manage patient account payments
• Submit claims to billing company
• Prepare and review patient encounter forms
• Review delinquent accounts and update system for collection purposes
• Maintain strict confidentiality
• Sort and file paperwork
• Ensure healthcare facilities are reimbursed for all procedures
• Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding
• Know several different coding systems, ICD-9-CM and ICD-10-CM, AMA CPT Professional, including Level I HCPCS and Level II HCPCS
• Use computers to read and organized charts
• Training providers on updates or new coding guidelines. 
• Follow up to see if a claim is accepted or denied.
• Investigate rejected claim to see why denial was issued.
• Conduct audits on providers to insure proper coding, diagnoses, payments, and compile the information into a compliance report for the University

Courses

• Calculus I (MAT251)

• Foundation in Education (102FND)
• Introduction to Medicine (102IM)
• Medical Coding Fundamentals (203OPM)
• Professional Insurance Processing (204PIP)
• Health Care Processes (101HCP)
• Professional Computer Skills / Windows / Word / excel (101PCS)
• Introduction to Microsoft ACCESS and Skillbuilding (204ASB)
• Professional Medical Coding (305INS)
• Career Planning (306BUS)
• Billing and Coding Forms / CPC Reveiw (306INS)
• Medical Computer Skills (306MCS)
• Allied Health Extership (307MED)

• Algebra & Trigonometry (111)
• Chemistry I (211)
• English Composition (311)
• Introduction Steam Engineering (711)
• Introduction Marine Transport (611)
• Physical Education I (011)
• Western Civilization (411)
• Sea Term I (Engine) (714)
• Sea Term I (Deck) (614)
• Comp. Prog. in Basic (113)
• Chemistry II (212)
• General Biology (912)
• Technical Writing (3315)
• Physical Education II (012)
• College Physics I (221)
• Bio / Chem Oceanography (2305)
• Data Management (913)
• Applied Environmental Math (921)
• Analysis / Interrupt of Literature (312)
• Physical Education III (021)
• American Government (442)
• Probability & Statistics (1306)
• College Physics II (222)
• American Literature (321)
• Physical Education IV (022)
• Economics Today (421)

91AV

• ICD-10-CM Anatomy & Pathophysiology
• ICD-10-CM General Code Training
• Certified Professional Biller 

Certifications

August 2013 – Present

April 2021 – Present