SKILLS

Transplant , Orthopedic, ASC, General Oncology, Dental, Chemical Dependency, Mental Health, Professional, Outpatient and Inpatient Hospital coding.
Infusion and various Surgical Coding
10 years experience working in Epic, Orca, Amkai, Nextgen, Cerner, Ideal, Allscripts and 3M systems.
4 years experience working in CodeCorrect, MedIT and 3M Encoder systems.
Received ICD 10 Certification of Proficiency in October 2015.
Acted as chief coding contact between 6 doctors and the billing department to ensure coding compliance and high revenue collection for Proliance Orthopedics.
Posted and balanced large amounts of Insurance and private pay payments.
Volunteered with AAPC Everett Coding Chapter as Secretary in 2015 and Education Officer in 2017.
EXPERIENCE

Valley Medical Center

6 month Contract to hire through Aerotek;

(suspended temporarily due to lack of work from Corona Virus)

February 2020 to March 2020

Remote Medical Coder

·         coding of medical documentation for Primary Care, Urgent Care Clinics, Inpatient and Outpatient hospital claims

·         communicating and resolving coding issues with providers.

·         resolving denials through claim edits on Epic.

·         Working Pulmonary Function Study and Sleep study hold reports.

Doxo Incorporated

Under contract through Parker Staffing

Payment Processor

January 2020 – February 2020

·         Processed customer payments through billing software.

·         Distributed daily refunds for processing

Premera Blue Cross

(Completed successful Contract Assignment through Robert Half Agency)

Group User Analyst

October 2019 to December 2019

·         Processed and Audited 3000 New and Renewal insurance plans .

·         Processed ID cards as instructed per insurance policies.

Country Doctor Community Clinic

Medical Coder and Biller

February 2019 to October 2019

·         Coding and Billing for 8 doctors in FQHC setting

·         Charge Entry and Insurance follow up on denied claims

·         Answering patient billing inquiries and posting payments

Kaiser Permanente

Medical Coder

(Completed successful Contract Assignment through Insight Global)

September 2018 to December 2018

·         E and M coding and auditing of documentation.

·         Coding of Optometry claims.

Seattle Indian Health Board

(Completed successful Contract Assignment through Nuwest)

Medical Coder

January 2018 to September 2018

Coding of Medical, Chemical Dependency, Mental Health, and Dental claims.
Queried and advised providers on improvement of medical documentation.
Accurately performed leveling of Evaluation and Management coding.
Audited and improved new coding and billing processes.
 

Evergreen Health Professional Billing Office

Denial Management Specialist

(Completed successful Contract Assignment through Nuwest)

July 2017 to December 2017

Effective and Successful Claims follow up on Medicare and Commercial Insurances.
Coded 100 accounts a day and billed claims to Medicare and Commercial Insurances.
Worked effectively with Professional Billing staff on successful claims follow up.
Communicated effectively with clinics and Providers on coding descripencies on denied claims.
Polyclinic/Meridian Medical Management

Medical Coder

April 2017 to June 2017

·      Audited and evaluated Evaluation and Management coding for 4 Orthopedic providers.

Seattle Orthopedic Center

Medical Coder

May 2016 to March 2017

Coded ASC and Professional Fee surgeries.
Coded Inpatient and Outpatient orthopedic surgeries at Swedish Ballard Hospital and Northwest Hospital
Billing of Orthopedic office visits and surgeries.
Accounted for various missing documentation and the billing for office fee slips.
Claims follow up and follow up calls to patients with unpaid balances.
Himagine Solutions, Inc.   Remote Medical Coder (Outpatient and Inpatient Hospital Coding), Community Health Care   Medical Coder (Outpatient Clinics);  ((Completed successful Contract Assignments)

October 2015 – November 2015;   November 2015-April 2016  (2 remote coding jobs)

Resolved claim edit rejections on Outpatient and Inpatient Hospital claims in Epic and 3M systems.
Averaged 100 accounts a day, resolving claim edits and coded and rebilled claims correctly using NextGen system in outpatient physician clinic.
Swedish Hospital Medical Center (0utpatient and Inpatient coding and billing)

Medical Coder and Biller

April 2015 – June 2015

Claims follow up with rebilling of claims on Epic System for outpatient and inpatient hospital billing.

Coded claims and rebilled to insurances.
Posted payments and balanced batches
 

Seattle Cancer Care Alliance (Outpatient Hospital & Ambulatory Surgery Center)

Medical Coder

November 2010-March 2015

The below duties were all performed in a Outpatient Hospital and ASC setting;

Accurately and quickly coded 70 accounts a day on Epic and Orca systems.
Used CodeCorrect and 3M Encoder on a daily basis determining and fixing claim edit errors and determining APC rates for procedures.
Averaged 92 percent accuracy on quarter coding audit.