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Orion Healthcorp - Coding Specialist Resume Example

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Anthony Walker
XXXX XX XXXXXX XXXXXXX XXXXX XXXXX , Houston , TX 77058 | (H) XXXXXXXXXXXX | XXXXXXXXXXXXXXXXXXXXX
Professional Summary
Accomplished Certified Medical Coder/Auditor with a solid history of achievement in provider relations and provider education. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include over fourteen years of experience in various specialized areas of inpatient, outpatient, and emergency medical and surgical coding/auditing, as well as diagnostic imaging, pathology, and laboratory coding. 
Skills
  • Proven Leader
  • Complex Decision Making/Problem Solving Skills
  • Research and Analysis
  • Physician/Patient Relations
  • Medical Coding/Billing
  • Physician Auditing
  • Medical Insurance (Government, Commercial, Worker's Comp)
  • ICD 9
  • CPT 4
  • HCPCS
  • Microsoft Word, Excel, Powerpoint
  • Optum Encoder Pro
Experience
Coding Specialist 08/2012 to Present
Orion Healthcorp Houston, TX
Self-supervised telecommuting coder responsible for abstracting and/or assigning appropriate CPT 4, HCPCS, and ICD 9/ICD 10 codes (using Encoder and coding books) from Pathology and Radiology electronic documents and assigning appropriate modifiers and PQRS codes when required, while maintaining superior accuracy and production standards for multiple local and nationwide accounts.  Responsible for conducting both client and peer audits to ensure all charges were correctly documented and captured on previously submitted claims. Responsible for correcting denied claims. Responsible for maintaining a high level of communication with management regarding workflow and audit findings and with data entry regarding corrected claims.
Quality Coding Specialist/Auditor 05/2006 to 08/2012
MD Anderson Cancer Center Houston, TX
3 year onsite/3 year telecommuting coder/auditor responsible for utilizing guidelines established by institutional compliance (following the 1995/1997 CMS documentation guidelines) to manually abstract and/or assign appropriate CPT 4, ICD 9, and HCPCS codes from electronic medical records, while maintaining department accuracy and production standards.  Responsible for performing a designated number of provider audits for each provider in an assigned Provider Division and initiating consistent and ongoing training for them and other faculty regarding the coding and/or auditing rules and regulations set forth by the American Medical Association, Centers for Medicaid and Medicare Services, as well other individual payers. Provided education on other pertinent issues related to coding as well, while communicating knowledgeably, effectively, and concisely via phone, email, and/or in person. Personal coding, auditing, and educating experience included 20+ oncology sub-specialties within the institution.
Business Office Lead 08/2005 to 05/2006
HealthSouth Diagnostics Houston, TX
Utilized diagnostic imaging, internal medicine, and orthopedic coding skills to maximize center revenue reimbursement. Assisted corporate office with correcting aged and denied insurance claims, and properly resubmitting claims for payment. Responsible for daily deposits and charge posting. Practiced internal chart auditing skills to maintain accurate billing and demographic data. Calculated/input bi-weekly payroll. Responsible for maintaining accounts payable records.
Office Manager 05/2001 to 04/2005
Daria B Lee, MD, FCCP Houston, TX
Utilized organizational, interpersonal, and problem solving skills to assist physician with beginning a new medical practice. Worked directly with physician to ensure functional operations of a specialty practice, and assisted with practice based vitality decisions. Utilized procedural, inpatient, and outpatient internal medicine and pulmonary coding skills to maximize solo practice revenue reimbursement. Followed up, corrected, resubmitted and appealed aged and denied insurance claims. Maintained and applied insurance and individual payments to outstanding patient accounts. Prepared and review operational reports and schedules to ensure accuracy and efficiency. Supervised and directed clinical staff. Resolved all patient related issues.
Education
High School Diploma: May 1997 La Porte High School - La Porte, TX (Vocational training for Medical Coding 1999 - 2002)
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Resume Details

This is a real resume for a Coding Specialist in Houston, Texas with experience working for such companies as Orion Healthcorp, Md Anderson Cancer Center, Healthsouth Diagnostics. This is one of the hundreds of Coding Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Coding Specialist resume.

Previous Companies:

  • Orion Healthcorp
  • MD Anderson Cancer Center
  • HealthSouth Diagnostics

Previous Job Positions:

  • Coding Specialist
  • Quality Coding Specialist
  • Auditor
  • Business Office Lead
  • Office Manager

Schools:

  • La Porte High School

Level of Education:

  • High School Diploma

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