Objectives
Top performing billing and coding professional seeking a position as a Medical Coder position utilizing expertise in CPT and ICD9/10 coding profound knowledge of medical terminology.

Experience

5/2017 – Current Christus Santa Rosa Hospital San Antonio, Tx
HIM Coder II (ASC ER/Inpatient/Outpatient Surgeries)[/B][/B]
• Print schedules for upcoming surgeries
• Abstract codes from doctor’s dictation and ED Report
• Make sure all cases were coded within a three-day time frame
• Keep hospital informed on outstanding dictation
• Assign the appropriate DRG and Revenue code to each procedure
• Utilized Advantix to generate codes to UB form
• Generated revenue codes for Tbill in Advantx before sending cases out to insurance
• Used ICD-10PCS, ICD10 CM and CPT codes to generate bills for Inpatient and Outpatient surgeries
8/2016 – 12/2016 Nuwest MedTemps Bellevue, WA
Self-Pay Collections Specialist (Evergreen Healthcare Professional Billing Department)
• Print scans for aging claims and prepared them for collections
• Contact patients to reconcile claims
• Write off and adjust balances and apply credits where balances are outstanding
• Refiled claims that were listed as Self-Pay to the insurance if billed to the Patient in error
• Assigned daily task and delegated special projects

03/2015-8/2016 South Texas Spinal Hospital San Antonio, Tx
Medical Billing and Coding Specialist
• Billing for procedures and services for surgeries, office visits, DME equipment and physical therapy. Responsible for reading the Operative
• Trained staff on new procedures and policies
• Responsible for reviewing and correcting Medicare compliance issues
• Responsible for removing/working each edit and making changes to billing to ensure the claims are released to the intermediary
• Responsible for verifying and pre-surgical collections on cases prior to surgery
• Auditing claims in Athena software

11/2002- 3/2015 Account Temps San Antonio, Tx
Medical Billing and Coding Specialist
• Audit Charge Entry for toxicology claims
• DME
• Outpatient/Inpatient Surgeries
• Handled Medicare Guideline issues
• Input and verify correct CPT and ICD 10 codes to match labs
• Assigned, coordinated and implemented projects within company budget
• Oversaw business initiatives vital to the profitability

1/2014-6/2014 Cancer Care Centers of South Texas San Antonio, Tx
Financial Claims Rep (Ultimate Staffing) Temp
• Meeting clients to understand their needs and demands
• Preparing financial plans with a mix of short and long term investments
• Implementing approved plans- Providing periodic updates on the performance of investment portfolios.

9/2011-2/2012 Methodist Hospital San Antonio, Tx
Medical Billing and Coding Specialist
• Ability to multitask
• Knowledge of basic mathematics and payment processing
• Computer experience, with fast, accurate typing skills
• Strong organization abilities and attention to detail
• Outstanding customer service skills
• Ability to remain calm and professional, even in emergency situations

03/2010-8/2011 Everest Institute San Antonio, Tx
Medical Billing and Coding Instructor
• Plan, evaluate, and revise curricula, course content, and course materials.
• Keep abreast of developments and current regulations in the medical coding and billing field, participate in professional conferences.
• Instruct and teach the basics of the coding and billing process and procedures.
• Prepare course materials such as syllabi, homework assignments, and handouts.

7/2009-11/2013 Southern Careers Institute San Antonio, Tx
Medical Billing and Coding Instructor
• Prepares lesson plans using industry-standard approaches (e.g., multimedia, adult learning methodology).
• Teaches courses as assigned, instructs and evaluates students, develops students’ skills and encourages growth, and tracks their attendance, performance, and grades.
• Participates in graduation ceremonies, as assigned.
• Participates regularly in continuing professional development activities.
• Performs other duties or special projects as assigned

9/2003-12/2008 Eye Care Centers Of America San Antonio, Tx
Medical Claims Lead
• Authenticated the information on all medical claims received
• Reviewed and made sure that there is no omitted information
• Answered inquiries from providers on the subject of claim, eligibility, covered benefits and approval status issues
• Kept thorough records of claims and followed up on dropped cases
• Entered claims into computer utilizing knowledge of CPT, ICD-9 codes and medical terminology
• Read and assessed medical documents.
• Documented all activities through CRM

Skills
 Decision Making
 Problem Solving
 Analytical
 Detail Oriented
 Time Management
 Conflict Resolution
 Verbal Communication
 Accuracy
 ICD-9 CM Official Coding Guideline
 ICD-10 CM Official Coding Guideline
 HCPCS
 CPT
 Medicare Part ABC
 Adaptability
 Audits

Education
San Antonio College
Dec 2009 ▪ Associates

AAPC, CPC
March 2017