23730
To obtain a position that provides for a challenging work environment and offers progressive
opportunities for advancement. With a vast knowledge and understanding of the medical billing
revenue cycle, I feel that I would be an asset to any healthcare organization. I am not only a Certified
Professional Coder but have extensive knowledge in medical billing, as well as provider credentialing.
With over 10 years of experience in healthcare administration, I am able to maintain and exceed goals,
as well as train and assist co-workers when needed.
Work Experience
Surgical Coder
Andrews Sports Medicine
September 2018 to Present
Evaluation and management coding for non-operative physicians, as well as surgical coding for
various orthopedic surgeons. Keep up to date and accurate surgical spreadsheets. Communicate with
physicians on any and all dictation errors or improvement opportunities. Attend educational webinars
and seminars in order to keep up to date with all coding edits and changes.
MEDICAL CODING SPECIALIST AND CREDENTIALING DEPARTMENT TRAINING
CREDENTIALING DEPARTMENT TRAIINER, MEREM HEALTHCARE SOLUTIONS
March 2018 to September 2018
Accurately abstracts and assigns required CPT, ICD-10, HCPCS codes and modifiers. Well-rounded
knowledge of multiple practice management (PM) and electronic medical records (EHR systems).
Experience in evaluation and management coding, orthopedics, surgery, pain management and
anesthesia. Review and research claim denials for corrections and payer trends. Oversee and train all
credentialing department employees.
CREDENTIALING MANAGER AND MEDICAL CODER
MEREM HEALTHCARE SOLUTIONS
November 2016 to September 2018
Provider credentialing and contracting for multiple group practices across the United States, maintain
physician data files and payer contracts, create and maintain company credentialing policies, contract
negotiations, evaluation and management coding. Oversee credentialing department by training,
prioritizing and communicating with clients, as well as internal departments. E/M and surgical as
needed.
BILLING SPECIALIST
MEREM HEALTHCARE SOLUTIONS
May 2016 to November 2016
Billing representative for multiple clients, monthly billing reports, work denials and determine the best
course of action, assist patients with billing questions, posting corrections, train new employees on
billing procedures and practice management software
OFFICE SERVICE SPECIALIST III
UAB DEPARTMENT OF PEDIATRICS
September 2007 to June 2011
Set up clinic templates, handle all insurance issues including prior authorizations, coding and billing
corrections, assisted physicians with research, recruitment and fellowship program
Education
BACHELOR OF SCIENCE in BUSINESS ADMINITRATION
UNIVERSITY OF ALABAMA AT BIRMINGHAM – Birmingham, AL
May 2015
Skills
BILLING (4 years), CONTRACTS (1 year), LEADERSHIP SKILLS (Less than 1 year), MEDICAL BILLING (Less
than 1 year), MEDICAL INVOICING (Less than 1 year), CPC, Medical Coding, Aapc, Icd-10, ICD
Certifications/Licenses
Certified Professional Coder (CPC)
August 2017 to March 2021
Additional Information
SKILLS
• Able to communicate clearly and effectively
• Ability to stay calm under pressure
• Clear understanding of medical billing revenue cycle
• Excellent time management skills
• Easily adapts to change
• Ability to work individually or as a member of a team
• Able to differentiate types of payer contracts
• Knowledge of medical licensure procedures
• Strong leadership skills
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Contact Candidate
To contact this candidate email jnw0324@aol.com