Medical Biller And Coder Resume Samples

Description :

1. Interpreted medical reports to apply appropriate ICD-9, CPT-4, and HCPCS codes.
2. Thoroughly reviewed remittance codes from EOBS/ARs.
3. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification, and provider signature.
4. Added modifiers as appropriate, coded narrative diagnoses, and verified diagnoses.
5. Retrieved physician correspondence from dictation service and made edits when necessary.
6. Scheduled surgeries and procedures in conjunction with the Surgical Coordinator.
7. Resolved problems prior to claiming submission and assists with post submission problem resolution.

Experience

10+ Years

Level

Senior

Education

Medical Assistant

Description :

1. Extensive billed and coded for family medicine, oncology, radiology physicians and ambulance billing.
2. Ensured claims are entered and submitted within 48 hours of receipt.
3. Thoroughly investigated past due invoices and minimized number of unpaid accounts.
4. Carefully reviewed medical records for accuracy and completion as required by insurance companies.
5. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
6. Acquired insurance authorizations for procedures and tests ordered by the attending physician.
7. Provided administrative support for three physicians.

Experience

2-5 Years

Level

Junior

Education

Medical Billing And Coding

Description :

1. Organized billing and invoice data and prepared accounts receivable and expected revenue reports for controllers.
2. Eliminated outdated records by sending the records to be scanned.
3. Verified that information in the computer system was up-to-date and accurate.
4. Thoroughly investigated past due invoices and minimized the number of unpaid accounts.
5. Recorded and filed patient data and medical records.
6. Carefully reviewed medical records for accuracy and completion as required by insurance companies.
7. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.

Experience

2-5 Years

Level

Junior

Education

Nursing

Description :

1. Prepared chargemaster for lab hospital billing.
2. Strictly followed all federal and state guidelines for release of information.
3. Verified coding on claims is accurate.
4. Sent delinquent accounts to collection agency.
5. Processed insurance payments to patient accounts in Practice Management system.
6. Re-billed insurance companies or other third parties to secure payment.
7. Verified entries made by cashiers and makes corrections if necessary.

Experience

2-5 Years

Level

Junior

Education

Medical Billing And Coding

Description :

1. Reviewed records for completeness, accuracy, and compliance with regulations.
2. Retrieved patient medical records for physicians, technicians, or other medical personnel.
3. Entered data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
4. Processed and prepared business or government forms.
5. Compiled and maintained patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
6. Assigned the patient to diagnosis-related groups (DRGs), using appropriate computer software.
7. Identified, compiled, abstracted, and coded patient data, using standard classification systems.

Experience

2-5 Years

Level

Junior

Education

Diploma In Medical

Description :

1. Determined proper diagnosis codes, related procedure codes and modifiers.
2. Insured that chart record validates the level of service or exam billed.
3. Reviewed EOB to check that procedure codes were paid.
4. Mediated with Medicare and private insurance companies when codes or procedures are rejected.
5. Maintained compliance and educated office staff of changes in Medicare coding initiatives and related changes in podiatry billing.
6. Tracked the coordination of benefits for patients with multiple insurance coverage.
7. Recorded the frequency of codes billed to maintain practice within normal percentage or similar billings.

Experience

2-5 Years

Level

Executive

Education

Diploma in Medical

Description :

1. Responsible for submitting claims electronically and in hard copy.
2. Provided follow up on proper payment collection.
3. Reviewed denied claims and appeal if necessary.
4. Communicated directly with attorney regarding collections activities on outstanding balances.
5. Assisted intake department with authorizations and referrals.
6. Reviewed referrals and patient medical records to insure proper diagnosis.
7. Created patient statements, work with patients on outstanding balances, work with medical records by creating patient charts, and apply payments to patient accounts.

Experience

2-5 Years

Level

Junior

Education

Certification In Medical Billing

Description :

1. Billed claims of clinic diagnosis and procedure codes of multiple Dr.'s and locations.
2. Updated patient registration and insurance information when needed.
3. Pulled account receivable ledger to find rejected claims.
4. Contacted insurance company to get status of claim and reason for rejections.
5. Created and resubmitted claim after making corrections.
6. Used Medical terminology, data entry, customer care, attention to detail.
7. Contacted customers in order to obtain or relay medical account information.

Experience

2-5 Years

Level

Junior

Education

Certificate In Accounting

Description :

1. Verified accuracy of medical billing data and revise any errors.
2. Operated typing, adding, calculating, and billing machines.
3. Prepared itemized statements, bills, or invoices; and record amounts due for items purchased or services rendered.
4. Reviewed documents such as purchase orders, sales tickets, charge slips, or hospital records in order to compute fees and charges due.
5. Performed bookkeeping work, including posting data and keeping other records concerning costs of goods and services and the shipment of goods.
6. Kept records of invoices and support documents.
7. Resolved discrepancies in accounting records.

Experience

2-5 Years

Level

Junior

Education

Medical Coding & Billing

Description :

1. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
2. Meticulously identified and rectified inconsistencies, deficiencies, and discrepancies in medical documentation.
3. Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
4. Verified patients' eligibility and claims status with insurance agencies.
5. Diligently filed and followed up on third-party claims.
6. Accurately selected the proper descriptive code when more than one anatomical location was indicated.
7. Researched CPT including ICD-10 coding discrepancies for compliance and reimbursement accuracy.
8. Resourcefully used various coding books, procedure manuals, and on-line encoders.

Experience

2-5 Years

Level

Junior

Education

Certificate In Medical

Description :

1. Thoroughly investigated past due claims and minimized the number of unpaid accounts.
2. Acquired insurance authorizations for home healthcare.
3. Accurately entered procedure codes, diagnosis codes, and patient information into billing software.
4. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
5. Added modifiers as appropriate coded narrative diagnoses and verified diagnoses.
6. Confirmed patient information, collected copays, and verified insurance.
7. Completed charisma and filed and submitted claims.

Experience

7-10 Years

Level

Consultant

Education

AA

Description :

1. Prepared and submitted clean claims to various insurance companies either electronically or by paper.
2. Answered questions from patients, clerical staff and insurance companies.
3. Identified and resolved patient billing complaints for example if the patient were overbilled for a specific service.
4. Prepared, reviewed, and sent patient statements Review accounts for possible assignment and make recommendations to the Billing Supervisor.
5. Performed daily backups on office computer system.
6. Performed various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
7. Processed payments from insurance companies and post them.

Experience

7-10 Years

Level

Senior

Education

Diploma