Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

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 Company’s 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.

Attached Files

Medical Billing and Coding Forum

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.

Medical Billing and Coding Forum

CPC with 3 years experience, Looking for Remote OP coding. Attached Resume

Hi,

My name is Jason. I have 3 years ER coding experience, which has allowed me to review many charts that cross over a variety of specialties. Please see the attached resume, or feel free to contact me at 678-497-5960. I am currently wanting to expand my coding experience by working remotely full-time or part-time. Thanks for looking!

Jason Washington, CPC

Attached Files

Medical Billing and Coding Forum

Looking for remote OP coding. I have 26 years experience. I have attached my resume

Elissa Faustina, CPC
2688 Oak Ridge St NW Albany Or 97321
Phone 541-990-1177
[email protected]
Objective: Certified Professional Coder seeking a challenging remote position where my knowledge and experience will be utilized. I am detail oriented, a team player, strong organizational skills, able to complete tasks in a timely manner, able to multi-task effectively and efficiently, honest, ethical and resourceful, analytical and good communications skills.
Qualifications: I have 26 years of experience in coding of hospital and clinic coding. I am very proficient in CPT coding, ICD-9 coding, HCPCS, medical terminology, anatomy, and physiology.
Work History
Varis, LLC 8/16-To Present 916 9245 Sierra College Blvd Roseville Ca 95661 916-294-0860
Reviewed provider medical records to validate accuracy of hospital outpatient coding and billing to ensure the accuracy of CPT-4 and HCPCS II codes, billed service units, and modifier usage. Assure the appropriate customer payment policies were applied to each case reviewed
Himagine Solutions – 8/15-1/16- Tampa Fl. 866-230-7865
I was a Contract coder for University of Arkansas Medical Sciences I processed claim edits using 3M and Epic I had to add or correct diagnosis codes. I corrected injection and infusion CPT codes when entered incorrectly or not on the claim. I corrected edits for Labs and radiology adding diagnosis codes.
Peak Health Solutions- 11/14-6/15- FranklinTn-888-435-6500
I did outpatient surgeries and observation charts using 3M and Epic. I coded the chart from the medical record adding the correct CPT codes and diagnosis codes
KForce – 5/14-8/14 – Tampa. FL. 866-230-7865
I was a contract coder for University of Arkansas Medical Sciences I processed claim edits using 3M and Epic I had to add or correct diagnosis codes. I corrected injection and infusion CPT codes when entered incorrectly or not on the claim. I corrected edits for Labs and radiology.
Comforce – 8/9/12-5/5/14- Jacksonville, Fl. – 770-493-5588
I Coded multi-specialty SDS’s using Epic and 3M.
In Record Time – 3/11 – 7/12- Ft Lauderdale Fl. – 800-788-4960
I coded physician charts w/o E/M and ancillary charts. I coded the diagnosis codes and any CPT codes that needed to be added.
HCCS Coding- 5/10-3/11 – Ft Meyers Fl. – 239-443-3900
I coded multi-specialty SDS and observation charts using Meditech and 3M. I added CPT codes and diagnosis codes.
Multicare/Good Samaritan Hospital – 2/2005-5/2010 – Puyallup, WA. – 800-342-9919
I coded SDC’s, observation, ER w/o E/M, outpatient chemotherapy, injection and infusions, blood transfusions, diagnostic radiology and labs adding the diagnosis codes, and outpatient obstetrics.
Corvallis Clinic – Coding Specialist- 3/1993-2/2004- Corvallis Or. – 541-754-1150
I coded for a multi-specialty clinic processing service records from urgent care, orthopedics, urology, surgery and dermatology. I worked denials from insurance companies. I updated and maintained CPT, ICD9, drug codes and physician files in the chargemaster.

Education
Winthrop Senior high School Graduated 1971
Certified Professional Coder – American Academy of Professional Coders (AAPC) since 2005
I have completed my ICD10 training with Elsevier- Have not taken the Final Exam
References
Connie Swicegood-439-424-8784- I Worked with Connie at In Record Time in 2011.
Andrea Scoltock-541-760-8109- I Worked with Andrea at the Corvallis Clinic 2005
Kathy Jacobs-406-241-4504- I worked with Kathy at HCCS 2010

Medical Billing and Coding Forum

90696 for patients outside of 4-6 years old

Hello,

The nurse at our clinic who administers vaccines sometimes admins a 90696 for kids outside of the 4-6 age rage. She says it’s due to patients being behind on their vaccines and circumstances like that.

Can I code this a a DTaP 90700 and IPV 90713 separately? Or do I have to use the 90696?

I’m the only certified coder and I’m new myself, so any help would be greatly appreciated.

Medical Billing and Coding Forum

CPC seeking coding position in San Diego area, 5 years billing experience

I am looking for an coding opportunity in the San Diego area. I have worked for 5 years for a specialty health company as a third-party biller to insurance agencies across the United States. During my time at this company, I have progressed from Claims Examiner I to level III and am now a claims analyst. Dependability and thoroughness are my greatest strengths. I am able to analyze detailed information and easily make appropriate decisions. I work to avoid denials due to incorrect eligibility information and coding errors. I have a current CPC certification, working to remove the A, apprentice level, through a year-long Practicode program, which requires you to code a variety of scenarios directly from medical records. Though I have not worked in a specific coding position, I believe that I have the ability to quickly assimilate new information and apply what I know. I am constantly learning, I regularly attend AAPC meetings, I adhere to HIPAA standards, and I keep up-to-date with changes to ICD-10 and CPT coding guidelines. Please review my attached resume. I look forward to hearing from you.

Thank you,
Teri Peniston, CPC

Teri Peniston
CPC
AAPC License 01436954
[email protected]
(760) 707-4662

Summary
• Dependable, hardworking professional
• Bilingual in English and Spanish
• Positive interactions with clients and staff
• Detailed and analytical approach
• Training in Office Procedures
• ICD-10, DSM-IV, CPT coding
• Adhere to HIPAA standards

Experience

Claims Compliance Analyst
September 2017 – present
Research and resolve claims issues
Adjust any improper denials
Verify member eligibility and provider coverage
Ensure that ICD-10 and CPT codes are valid
Coordinate benefits
Prepare audits of provider-selected claims
Assist with special projects as needed

Claims Examiner III at American Specialty Health
December 2013 –September 2017
Processed medical claims for chiropractic, acupuncture and physical therapy
Interpreted Explanation of Benefits and coordinated primary/secondary insurance
Consistently met quantitative and qualitative production standards
Verified personal health information and eligibility requirements

Sales Associate at Ross Stores, Inc.
June 2011 – August 2014
Cashier: Handled cash/credit card transactions
Fitting Room Attendant: Enforced loss prevention procedures
Sales Floor: Merchandised items, organized store
Case Manager at Palomar Counseling Services
September 2006 – April 2008
Provided short-term therapy to children, youth and families, including intakes and psychosocial assessments and psycho-educational groups. Completed medical documentation, with appropriate DSM-IV diagnoses and CPT/HCPCS codes, with monthly and annual updates
Provided community resources to families
Educated parents in behavioral interventions
Conducted psycho-educational groups for teen recovery program

Skills & Expertise
• Knowledge of medical terminology
• Familiarity with several commercial insurance companies and Medicare
• Experience interpreting CMS-1500 forms
• CPT and ICD-10 coding
• Coordination of benefits
• Customer Service
• Computer applications: Word, Excel, Outlook, 10-key

Education
Mira Costa College
Certificate in Insurance Coding and Billing, Medical Administrative Professional, 2010 – 2012

San Diego State University-California State University
Master’s degree, Social Work, 2004 – 2006

AAPC
Practicode July 2017 – May 2018

Attached Files

Medical Billing and Coding Forum

Appeals Backlog Gone in 4 Years: Medicare

By law, the Administrative Law Judge level of Appeals has 90 days to resolve appeals submitted to the ALJ level.  However, the Department of Health and Human Services (HHS) Office of Hearings and Appeals (OMHA) has been unable to keep up with the number of appeals submitted to them which has lead to a huge […]

The post Appeals Backlog Gone in 4 Years: Medicare appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Looking for remote position-7 years Pathology experience

I am currently looking for a remote position. I have 7 years of Pathology coding experience and I am currently the lead coder over 8 coders in our independent lab. Please feel free to contact me.

Thank you.

Attached Files

Medical Billing and Coding Forum

CPC with 5 years billing experience also. Looking for REMOTE work. Hours negotiable!

Hello!

I am a highly motivated, hard-working individual seeking to continue my love of working in the medical field.

On my attached resume, please note that I am quite familiar with computers, and am able to adapt to new software quickly.

I have held my CPC since 2015 and have done office billing since 2013. I moved to a different town a year ago and miss my job so I am hoping to find remote work.

I have worked in general practices, as well as done billing and coding for colon & rectal surgery, on-call ED, inpatient, outpatient and ASC surgeries. I am skilled at A/R work, appeals, verifying E&B, and obtaining pre-authorizations.

I have worked for clinics that were contracted with multiple insurances and I have had the unique experience of working with a clinic contracted with no insurance companies.

I am more than willing to adjust my schedule to allow our time zones differences to have no issue with my work.

I feel as if I could be a major asset to your team!

** I would be happy to email my full resume with references if you are interested in learning more. [email protected]. Thank you! **

Medical Billing and Coding Forum