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Peak Health Solution - Remote Medical Coder Resume Example

Leah Long
X XXXXXXXX XX, Portsmouth, RI 02871
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX
Professional Summary

Seasoned ICD-10 Certified Medical Coder with 12 year background in Multi-specialty Coding in outpatient setting.
Motivated leader with strong organizational and prioritization abilities.  Handles tasks with accuracy and efficiency.
Areas of expertise include; Orthopedics,
Family Practice, General Surgery, Internal Medicine, Ophthalmology, Optometry, Otolaryngology,  Pediatric, Physical Therapy, Podiatry,Same day Surgery, Observation and Inpatient Rounds Coding. 

Skills
  • Knowledge of Medical Terminology, anatomy and physiology
  • Proficient in 3M encoder, AHLTA, CHCS, CCE, Caretracker.
  • Broad medical experience also includes billing, reimbursement, HIPPA rules, insurance verification, scheduling, and report creation.
  • Key strengths: ability to work independently, excellent communication skills, leadership and interpersonal skills; multi-tasking, time management and overall resourcefulness.  
Experience
Remote Medical Coder Sep 2014Jun 2015 Peak Health Solution Franklin, TN
  • Accurate Medical coding of Same Day Surgery and Observation encounters
  • Responsible for coding Professional Services rounds.
  • Assigned ICD-9 CM codes to each diagnosis and procedure, following the guidelines provided by (AMA) Coding Clinic and Department of Defense (DOD), and Center for Medicare/Medicaid Systems (CMS) 
  • Queried physicians regarding missing, unclear, or conflicting health record documentation by requesting ad obtaining additional documentation within the health record when needed
Contract Medical Coder Nov 2010Jun 2015 Naval Health Clinic of New England Newport , RI
Peak Health Solutions: Sept 2013-Jun 2015
Caban Resources: Oct 2012-Aug 2013
Diamond Solutions Inc.: June 2011-Sept 2012
Standard Technology Inc: Nov 2010- May 2011

  • Interpreted medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to ensure completeness, accuracy, and compliance with the International Classification of Diseases and Operations Manual - Clinical Modification (ICD-9-CM), and the American Medical Association's Current Procedural Terminology Manual (CPT) and Healthcare Common Procedure Coding System (HCPCS).
  • Assigned appropriate codes to patient records according to ICD-9-CM or other coding schemes to defined diagnoses and procedures.
  • Responsible for coding Professional Services rounds and same day surgery encounters.
  • Ensured data complies with legal standards and guidelines; 
  • Reviewed records for completeness, accuracy, and compliance with regulations.
  • Protected the security of medical records to ensure that confidentiality is maintained.
  • Consulted classification manuals to locate information about disease processes
  • Used CPT, ICD9 and HCPC manuals to correctly identify appropriate code sets.
  • Facilitated and obtained appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient
  • Advised members of the patient care team regarding documentation guidelines,    
  • Queried physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record when needed
Medical Coder/Biller Apr 2003Nov 2010 Orthopedic Group Inc Pawtucket, RI
  • Interpreted medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to ensure completeness, accuracy, and compliance with the International Classification of Diseases and Operations Manual - Clinical Modification (ICD-9-CM), and the American Medical Association's Current Procedural Terminology Manual (CPT) and Healthcare Common Procedure Coding System (HCPCS).
  • Assigned appropriate codes to patient records according to ICD-9-CM or other coding schemes to defined diagnoses and procedures
  • Reviewed records for completeness, accuracy, and compliance with regulations.
  • Resolved or clarified codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  • Consulted classification manuals to locate information about disease processes. 
  • Physical Therapy Coding Liaison in charge of training new providers and performing regular audits. 
  • Posted medical insurance billings
  • Contacted insurance companies to check on status of claims payments and write appeal letters for denial on claims.
  • Verified accuracy of billing data and revise any errors.
  • Accounts receivable management, unpaid claims, appeals and patient correspondence.
Retail Inventory Specialist Jul 2001Jul 2003 RGIS Seekonk, Ma
  • Assistant Team Leader in charge of scheduling appropriate number of associates for each inventory
  • Conducted full small scale inventories either unassisted or minimally assisted, ie. convenience stores.
  • provided inventory expertise to top retailers and warehouses, while using  hand-held computer technology.
  • Fast and accurate counting of merchandise by either sku or price point
  • Provided customer service to clients and prepared inventory result reports
  • Reconciled any inventory discrepancies
  • Traveled to many locations across 3 states

Office Manager- Physical Therapy Aug 2002Apr 2003 Orthopedic Group Inc Pawtucket, R
  • Conducted recruitment, hiring and training of personnel.
  • Protected the security of medical records to ensure that confidentiality is maintained.
  • Entered data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • Released information to persons or agencies according to regulations.
  • Credentialed providers. 
  • Staffing, scheduling, 
  • Insurance verification, Worker's Compensation Authorizations.
  • Maintained daily office practices including cash reconciliations and supply maintenance. 
Education
CPC : Certification # 900016 Apr 2003 AAPC Salt Lake City, UT
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Resume Details

This is a real resume for a Remote Medical Coder in Portsmouth, Rhode Island with experience working for such companies as Peak Health Solution, Naval Health Clinic Of New England, Orthopedic Group Inc. This is one of the hundreds of Remote Medical Coder resumes available on our site for free. Use these resumes as templates to get help creating the best Remote Medical Coder resume.

Previous Companies:

  • Peak Health Solution
  • Naval Health Clinic of New England
  • Orthopedic Group Inc

Previous Job Positions:

  • Remote Medical Coder
  • Contract Medical Coder
  • Medical Coder
  • Biller
  • Retail Inventory Specialist

Schools:

  • AAPC

Level of Education:

  • CPC

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