I have a Bachelors degree in Biology from UNC-Chapel Hill and 20 years of laboratory experience and am looking for a career change. I completed Career Step’s online Professional Medical Coding and Billing program with honors and passed the CPC exam, magna cum laude.
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Tag Archives: Certified
Newly Certified? Find a Mentor
I received a lot of feedback from one of my blogs requesting assistance in finding a mentor for newly certified coders or billers. It is great to seek a mentor for your first years as a coder or biller, and it is encouraged by the AAPC and most experienced coders and billers that I know. […]
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Concerns about Certified Coding Compliance Officers reponse on an Email
Hello everyone,
I am writing this post for advice on what I should do about an email from our Coding Compliance Officer in response to an email I sent a certified coder in our organization. I am a CPB and work billing Medicare and some Medicaid at my organization. I have sent the email to the CPC coder asking her to review a date of service where the patient was billed in error and had Medicaid. One of the reasons I needed her to look at it was the provider billed a new patient visit and the patient has been well established with our providers for the last year. I received a response from the Coding Compliance officer stating why was I asking the coder to review it when all I had to do was convert the new patient visit code to the "corresponding" established patient visit code. In my years in this industry and working with many facilities we as billers (who are not certified coders) where told to give those types of visits to the CPC personnel to review for correct coding. Am I wrong in this? and Should our Certified Coding Compliance Officer even be suggesting that I as a non certified coder just randomly change the codes? Thank you for your time in answering my question.
Looking for resources for Certified Diabetes Educator coding
Hello,
I work for a multi-specialty pediatric group and our endocrinology group has hired several Certified Diabetes Educators who are also dual certified as Registered Dietitians. I am looking to find some reputable resources for guidance in billing for their services. Not all of our pediatric patients have a diagnosis of diabetes yet, but are starting to show signs and often also are overweight so our CDE/RD are doing nutritional counseling and I guess you could call it preventive based education/counseling on the risks of developing diabetes.
Any help would be appreciated!
Get Experience as a Newly Certified Coder
I do a lot of mentoring and networking. And as a result, I hear from newly certified coders, who have their CPC-A who are having trouble finding a job because most openings are looking for people who have experience. It feels like a Catch-22 because a new coder can’t get experience to have experience for […]
The post Get Experience as a Newly Certified Coder appeared first on AAPC Knowledge Center.
Certified Medical Coder with 5 years of experience – Miami Area
As a Certified Professional Coder, with over 5 years of experience, I have a proven track record of commitment to continuous improvement. I am also a Certified Coding Specialist (CCS) and Certified Professional Medical Auditor (CPMA).
Throughout my career, I have demonstrated the following key qualifications:
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Specialty coding experience in OBGYN, Surgical Assistants and Anesthesia (Main OR, General Surgery, ASC)
Problem-solving skills to research and resolve discrepancies, claim edits, denials, appeals, and collections
Proficient in official coding guidelines, ICD-10CM, CPT-4 and HCPCS
Ability to learn new tasks and concepts
Flexible, detail and quality-oriented, with the ability to work independently and adapt well to change
Self-drive to meet and exceed productivity goals.
Average of 95% accuracy rate (Semi-annual audits)
Dedication to meet Companys Compliance Directives
I believe I will prove an asset to your Company as I feel confident my experience and background will be a great addition to your winning team.
Should you require any further information please do not hesitate to contact me.
CPC-A (years if coding experience, newly certified), seeking employment
To Whom It May Concern:
If you are looking for a knowledgeable, professional, friendly, self-motivated, confident, and reliable individual, I feel that I am a suitable candidate for this post. A friendly nature and good communication along with good attitude and hard work are important things in smooth working offices. I have worked for 20+ years as a Medical Assistant and recently became a Certified Medical Coder.
In previous jobs I have been hired to work as a medical assistant, but I was always drawn toward the coding and billing aspects of the medical field and would incorporate my coding knowledge into the position.
I hope to hear from you soon.
Please contact me; my phone number is (801)850-1628 or email [email protected].
Thank you for your time and consideration.
Cori Mower
__________________________________________________ __________________________________________________ _____________________
CORI MOWER
PHONE (801)850-1628
71 HUNTERS HAVEN, SARATOGA SPRINGS, UT 84045. EMAIL [email protected]
OBJECTIVE
Twenty years working in the medical field with extensive knowledge of medical terminology and anatomy, CPT, ICD-10, and HCPCS. Professional, hard-working individual. Communicates well with doctors, APCs, colleagues, and other departments ensuring continuity of patient care. Dedicated beyond normal expectations. Absolutely reliable and punctual.
EXPERIENCE
01/2015-Current Intermountain Healthcare Murray, UT
MEDICAL ASSISTANT
Work in plastic surgery office as medical assistant and surgery scheduler.
Daily use of Cerner iCentra Powerchart and Revenue Cycle programs, Microsoft Word, Excel, Outlook 360, and Encoder Pro.
Assist and educate providers on CPT, ICD-10, and HCPCS coding guidelines for office visits, procedures, injections, and surgeries to ensure timely
and proper payments.
Act as liaison between billing department and physicians regarding coding issues and/or insufficient documentation including requesting
addendums, appeal letters, or charge corrections.
Responsible for assignment of CPT and ICD-10 codes for obtaining insurance authorizations for surgeries.
Built strong trusting relationships with personnel in other departments and clinics at Intermountain Healthcare.
Responsible for interviewing patients including collecting health histories, current medications, allergies, sending referrals, collecting vital signs,
cleaning and sterilizing surgical supplies, ordering supplies for the office.
Assist providers with office procedures and ensure sterile environment.
03/2006-12/2014 Neurosurgical Associates, LLC Murray, UT
MEDICAL ASSISTANT, BILLING
Work at busy neurosurgical office.
Work in front office and back office using Intergy scheduling software, paper charts, IHC Help2, Microsoft Word and Excel. Register incoming
patients, collect copays, verify insurance, and triage phone calls. Sent referrals to outside clinics.
Perform collections on outstanding balances on patient and insurance accounts, refund credits on patient accounts, and post payments. Prior-
authorize surgeries and outside procedures.
Schedule clinical and surgery appointments. Collect vital signs, remove sutures and staples and, check wounds for infection. Train new employees.
06/2002-12/2005 Jordan Valley Family Health West Jordan, UT
MEDICAL ASSISTANT
Worked in busy family practice office.
Used Practice Partner EMR. Obtained patient histories and triaged phone calls.
Collected vital signs, administered injections. Performed phlebotomy, urinalysis, eye exams and strep cultures. Ran quality control per OSHA
standards. Assisted in general surgery. Monitored Coumadin dosing.
Developed employee procedure manuals.
11/1999-06/2002 ARUP Employee Health Clinic Salt Lake City, UT
MEDICAL ASSISTANT
Worked in employee health clinic.
Collected vital signs, obtained patient histories, and triaged phone calls.
Administered injections, assisted in general surgery. Performed eye exams, phlebotomy, urinalysis, and strep cultures. Ran quality control per OSHA standards.
06/1998-11/1999 Jordan Medical Arts WEST JORDAN, UT
MEDICAL ASSISTANT
Worked in busy family practice office.
Worked with paper charting, collected vital signs, obtained patient histories, and triaged phone calls.
Administered injections, assisted in general surgery. Performed eye exams, phlebotomy, urinalysis, strep cultures. Ran quality control per OSHA
standards. Sent referrals to outside clinics.
EDUCATION
12/2018 Salt Lake Community College West Jordan, UT Certified Professional Coder
06/1998 Jordan Technical Center Sandy, UT Utah Endorsed Medical Assistant
06/1998 Bingham High School South Jordan, UT Diploma
REFERENCES
References available upon request.
AAPC Certified experienced coder READY TO JOIN YOUR TEAM!
SHEELA SHIVRAMAN
11322 Wishing Well Lane, Clermont FL 34711
248-787-3942 [email protected]
11322 Wishing Well Lane, Clermont FL 34711
248-787-3942 [email protected]
PROFESSIONAL SUMMARY
AAPC trained CPC Certified. Hard working and fully certified and two years of experience. Medical Coding Specialist has a full understanding of ICD-10-CM and CPT coding procedures. Fully proficient with
medical terms and procedures.
CORE QUALIFICATIONS
Strong understanding of ICD-10-CM and CPT codes
Extensive knowledge of medical terminology across a broad range of medical practice areas
Excellent data entry skills
Good multi-tasking abilities
Good interpersonal skills and the ability to function as a team member
Experience with fast-paced medical care environments
PROFESSIONAL EXPERIENCE
Synapse Neurology, Clermont, FL 2014 2019
Medical Office Coordinator
Worked in a fast-paced medical office and reviewed patient charts and assign diagnosis codes (ICD-10) for
insurance billing
Utilized knowledge of CPT and ICD-10-CM to properly translate performed services into numerical code
for insurance billing
Interpreted medical terminology and pharmacological information for translation into the coding system.
Obtained authorizations for the EMG, EEG and Botox injections
Resolved patient issues in regards to patient care satisfaction
Reconciled patient records and invoices
ST. MARY MERCY HOSPITAL, Livonia, MI, 2005-2013
Certified Nuclear Medicine Technologist
Successfully performed general and specialized Nuclear Medicine procedures while exercising initiative,
judgment, problem solving, and decision-making. Daily Cardiology/EKG systems experience.
Gained proficiency in radiation safety, protection, regulations, JACHO, HIPPA, MQSA and ACR
guidelines.
Proficient with medical applications, Radnet, Powerchart, HealthStream and McKesson PACS.
Medical billing performed using ICD-9-CM codes, CPT codes, and HCPCS codes.
Took the initiative to improve patient care and safety standards.
EDUCATION
AAPC Trained Certified Professional Coder, 2019
William Beaumont Hospital School of Nuclear Medicine Technology, Royal Oak, MI 2007
Associate Degree in Nuclear Medicine Technology, Oakland Community College, Southfield, MI 05/08
Bachelor of Science, National College, Bangalore, India 1993
References Available Upon Request
Certified Medical Coder
Seeking medical coding opportunity in the greater Memphis TN area.
Certified Ophthalmology Coder looking for remote position
Currently, I’m Billing Manager for an ophthalmology practice with several locations looking for a remote position. I’m a certified ophthalmology coder who is proficient in using multiple software such as Allscripts, NextGen and Imedicware.
I have enclosed my resume for your review and consideration. If you have any questions or would like to schedule an interview, please contact me at [email protected].