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Optum - Clinical Investigator Resume Example

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Liam Johnson
XXXXX XXXXX XXXXXX XX, Coon Rapids, MN 55448
H: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
Professional Background

Desire a management position that offers a challenging and rewarding career where I can utilize my education, work experience and leadership skills effectively. I am a seasoned certified coder with over 17 years of medical assisting and coding experience. I maintain a working knowledge of CPT and ICD-9 coding principles, government regulations, protocols and third party requirements regarding reimbursement and documentation.  I possess solid communication, organization and time management skills and enjoy working as part of a team.

  •     More than 11 years as a Certified Professional Coder (CPC)   
  •     More than 17 years of experience as a Certified Medical Assistant and Coder
Skills
  • ICD-9, CPT and HCPCS coding proficiency
  • Routinely meet and exceed quality standards
  • Leadership Skills
  • Clinical Experience
Experience
Clinical Investigator 03/2014 - Present
Optum - Eden Prairie, MN
  • Investigate, review and provide clinical and coding expertise for medical and reimbursement policies within claim adjudication process through file review.
  • Perform clinical coding review to ensure accuracy of medical coding.
  • Provide clinical support and expertise to other investigators.
  • Work within iDRS, Fastrieve, Filenet, CPW, NICE and Detects platforms.
Clinical Coder/Certified Professional Coder 01/2011 - 03/2014
Interim Home Healthcare & Hospice - Roseville, MN
  • OASIS coding for homecare, Physical Therapy, Nursing visits and wound care coding as well as Hospice.
  • Managed and trained coding department.
Medical Risk Analyst/Certified Professional Coder 06/2008 - 01/2011
Humana - Minnetonka, MN
  • Review charts in provider offices for accuracy of coding.
  • HCC Coding for Family Practice, Cardiology, Ophthalmology, Internal Medicine and multiple specialties.
  • Integral in the training of new Coding Analyst.
Medical Assistant / Coding Specialist 05/2000 - 12/2009
Columbia Park Medical Group - Fridley, MN
  • Rooming patients; assist provider with procedures, charting and assist patients in follow up or specialty appointments.
  • ICD-9, CPT, HCPCS coding, E/M auditing, policy maintenance for Family Practice, Pediatrics, Internal Medicine, ENT, General Surgery, OB GYN, Ophthalmology and Orthopedics.
Coding Specialist/Certified Professional Coder. 10/2005 - 06/2008
North Memorial Clinic Golden Valley - Golden Valley, MN
  • ICD-9, CPT, HCPCS coding, E/M auditing, Charge Entry for DO, Family Practice, Acupuncture, OB GYN, Internal Medicine.
Coding Specialist II/Certified Professional Coder 05/2002 - 10/2005
United Family Practice Health Center - St. Paul, MN
  • ICD-9, CPT, HCPCS coding, E/M auditing, customer service for Family Practice, OB GYN, Podiatry, Hospital Pro Fee Coding as well as Resident coding and education.
Education
Bachelor of Science: Health Information Management 2015 College of St. Scholastica - Duluth, MN
Diploma : Medical Assisting 1996 Lakeland Medical & Dental Academy - Minneapolis, MN
Affiliations

American Academy of Professional Coders - currently local chapter Vice President

American Health Information Management Association

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Resume Details

This is a real resume for a Clinical Investigator in Coon Rapids, Minnesota with experience working for such companies as Optum, Interim Home Healthcare & Hospice, Humana. This is one of the hundreds of Clinical Investigator resumes available on our site for free. Use these resumes as templates to get help creating the best Clinical Investigator resume.

Previous Companies:

  • Optum
  • Interim Home Healthcare & Hospice
  • Humana

Previous Job Positions:

  • Clinical Investigator
  • Clinical Coder
  • Certified Professional Coder
  • Medical Risk Analyst
  • Medical Assistant

Schools:

  • College of St. Scholastica
  • Lakeland Medical & Dental Academy

Level of Education:

  • Bachelor of Science
  • Diploma

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