Optum - Clinical Investigator Resume Example

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Liam Johnson
XXXXX XXXXX XXXXXX XX, Coon Rapids, MN 55448
H: XXXXXXXXXXXX
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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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About this resume

Clinical Investigator FROM Coon Rapids , Minnesota RESUME

This is a resume for a Clinical Investigator in Coon Rapids, Minnesota with experience working for such companies as Optum and Interim Home Healthcare & Hospice. The grade for this resume is 0 and is one of 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.

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School Attended
College of St. Scholastica