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CPC looking for Remote part-time/full-time/seasonal/short term/long term position

Helen Sumner, CPC
68 Raisin Lane Hazard, KY 41701| (H): 606-487-1213 (C ):606-854-5526|Email: [email protected]

Professional Profile

I have an AAS in Medical information technology with a medical coding emphasis. I have over 6 years of experience
working in a Health Care setting. Currently have 2 years’ experience coding for a cardiology group (OP E&M, Radiology).
Prior to coding I worked for the cardiology group as a transcriptionist/medical scribe; I have extensive medical
terminology and medical anatomy knowledge. I currently work as a Claim processor and mainly work with reviewing
RAs, EOBS, EOPs and working Denials. As well as running aging reports and fixing multiple billing and coding errors.

Skills
 Extensive ICD 10, CPT, HCPCS knowledge.
 Revenue Cycling/AR
 RA/EOB/EOP Knowledge
 Medical Terminology/ Medical Anatomy Knowledge
 Cardiology coding
 E&M Coding
 Radiology Coding
 Proficient in All Microsoft office programs
 Quick Learning Skills
 Strong Analytical and Problem solving skills
 Self-Sufficient
 Detailed Oriented

Experience

Claims Processor Feb 2018- Present
Kentucky River Community Care (OP Mental Health Facility)
• Insurance Verification
• Billing & uploading Payments via clearing house
• Denials and Balance Forwards
• Billing and posting payments from multiple
Contracts including Head start; DOC; Drug Court
• Run Aging Reports/other billing reportscustomize
as needed.
• Self-Pay Statements
• Fix claim issues/Denied claims by doing a
corrected claim.
 File Appeals
• Correct modifiers/CPT, ICD codes on denied
claims.
• Ensure claims get paid and do not hit timely
filing.

Billing/Coding Clerk 2016-2018
Appalachian Heart Center (OP Cardiology)
• Gather appropriate inpatient medical records
for discharged patients that are needed in order for
billing supervisor to code.
• Assign appropriate E/M code to new
patient/follow up office visits, as well as assign
appropriate and covering diagnosis codes.
• Radiology Coding (Echocardiograms, Treadmill
stress tests, Stress and Persantine perfusion studies, tilt
table tests, EKGs, and Dopplers) and assign appropriate
and covering diagnosis.

Transcriptionist/Medical Scribe 2012-2016
Appalachian Heart Center (OP Cardiology)
 Follow physician and accurately type accounts
of office visit
 Select appropriate E&M code for the Visit as
well as the appropriate ICD 10 codes
 Download transcriptions
 Type multiple tests in an accurate and timely
manner

Medical Billing and Coding Forum