mdclcod_rgne@gmail.com | 718-706-1123 | New York, United States
Profile
Certified Professional Medical Coder (CPC) with experience in physician’s offices and ambulatory surgery centers. Adept in assigning accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) for all outpatient encounters.
Work Experience
10/2019 - 06/2022, Medical Coder, Sledmore Health Center, New York
Ensured compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
Worked a flexible 8 hour shift schedule, including overtime and weekends.
Managed a variety of complex and technical assignments related to medical coding.
Resolved discrepancies for coding-related issues.
Reviewed and corrected rejected claims from various third party carriers.
Tracked all IDX record requests.
Documented concise notes within the electronic health record according to established standards to facilitate a comprehensive and accurate claim histories.
05/2014 - 08/2019, Medical Coder, Charles Edgar Healthcare, New York
Prepared and submitted billing data and medical claims via the practice management system.
Audited clinical documentation and coded data to validate documentation support services performed for reimbursement and reporting purposes.
Collaborated with providers to develop templates and improve coding.
Worked to ensure that the medical information for hundreds of patients was accurate and up to date.
Collected and reviewed referrals and pre-authorizations.
Examine denials as necessary and recommend appropriate solutions.
Maintained billing software by updating rate changes.
Education
09/2010 - 05/2014, Bachelor of Science in Business Administration, Hunter College, New York
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