Tennessee Orthopaedic Clinics - Podiatry Manager Resume Example

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David Garcia

XXX XXXXX XXXXXX, Clinton, TN 37716
H: XXXXXXXXXXXX
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Professional Summary

Accomplished and energetic Coder with a solid history of achievement in the medical field. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include podiatry/orthopedic coding and audits of both claims and provider documentation. Excellent communication and time management skills with prior staff management experience.

Skills

Certified Professional Coder
Podiatric Medical Assistant

Licensed Podiatric X-ray Tech
Judgement and Decision Making

Time Management
Management of Personnel Resources

Organization
Instructing

Operations Analysis
Troubleshooting

Experience

Podiatry Manager, Coder, 08/2006 to Present
Tennessee Orthopaedic Clinics, PC – Oak Ridge, TN

Direct, supervise and evaluate work activities of nursing and clerical personnel.
Budget planning
Coding and Charge Entry for up to 3 providers and 2 MRI locations
Medical Assistant: calling patients back, obtaining vitals, setting up and assisting with procedures, scheduling and pre-certing surgeries and diagnostic testing.
X-ray Tech: taking and developing all x-rays as ordered by provider

Medicare Billing, Special Projects, 09/2003 to 08/2006
Tennessee Orthopaedic Clinics, PC – Knoxville, TN

Review denied medical claims and either correct errors or appeal denial with insurance company to insure correct payment for services rendered.
Work with patients to help them understand their benefits and billing statements
Claim audits
Provider documentation audits
Review DME coding for accuracy
Work with management and providers on documentation requirements
Worked with new physicians on basic coding standards

Front Desk to Office Manager, 10/1992 to 08/2003
Clinton Family Physicians – Clinton, TN

Started working as front desk receptionist - greeted patients, checked in patients (entered demographic and insurance information) scheduled appointments, answered and directed telephone calls.
Promoted to coding/charge entry - entered charges for up to 6 primary care providers
Promoted to Telephone Triage - called in prescriptions, scheduled and pre-certed diagnostic test, scheduled specialist referral appointments, returned patient calls, conveyed instructions to patients as directed by physicians
Promoted to Billing Clerk - billing all claim for up 6 providers, both paper and electronically, sent out patient statements, posted insurance monies and patient payments, worked denied claims to insure proper payment, helped patients with understanding their statements, worked accounts for collections
Promoted to Billing Supervisor - direct and supervise billing staff, work with providers on coding updates and documentation guidelines, reviewed accounts with physicians for collections, prepared all end of month/year reports, developed financial documents for providers, prepared all credentialing forms for providers.
Promoted to Office Manager - all duties as above, plus - direct, supervise and evaluate all office staff; clerical and clinical. Organize training and staff meetings. Work as a liaison between physicians, staff and corporate management.

Education