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Helen Sumner, CPC
68 Raisin Lane Hazard, KY 41701| (H): 606-487-1213 (C ):606-854-5526|Email: helen.sumner@krccnet.com
Professional Profile
I have an AAS in Medical information technology with a medical coding emphasis. I have over 6 years of experience
working in a Health Care setting. Currently have 2 years’ experience coding for a cardiology group (OP E&M, Radiology).
Prior to coding I worked for the cardiology group as a transcriptionist/medical scribe; I have extensive medical
terminology and medical anatomy knowledge. I currently work as a Claim processor and mainly work with reviewing
RAs, EOBS, EOPs and working Denials. As well as running aging reports and fixing multiple billing and coding errors.
Skills
Extensive ICD 10, CPT, HCPCS knowledge.
Revenue Cycling/AR
RA/EOB/EOP Knowledge
Medical Terminology/ Medical Anatomy Knowledge
Cardiology coding
E&M Coding
Radiology Coding
Proficient in All Microsoft office programs
Quick Learning Skills
Strong Analytical and Problem solving skills
Self-Sufficient
Detailed Oriented
Experience
Claims Processor Feb 2018- Present
Kentucky River Community Care (OP Mental Health Facility)
• Insurance Verification
• Billing & uploading Payments via clearing house
• Denials and Balance Forwards
• Billing and posting payments from multiple
Contracts including Head start; DOC; Drug Court
• Run Aging Reports/other billing reportscustomize
as needed.
• Self-Pay Statements
• Fix claim issues/Denied claims by doing a
corrected claim.
File Appeals
• Correct modifiers/CPT, ICD codes on denied
claims.
• Ensure claims get paid and do not hit timely
filing.
Billing/Coding Clerk 2016-2018
Appalachian Heart Center (OP Cardiology)
• Gather appropriate inpatient medical records
for discharged patients that are needed in order for
billing supervisor to code.
• Assign appropriate E/M code to new
patient/follow up office visits, as well as assign
appropriate and covering diagnosis codes.
• Radiology Coding (Echocardiograms, Treadmill
stress tests, Stress and Persantine perfusion studies, tilt
table tests, EKGs, and Dopplers) and assign appropriate
and covering diagnosis.
Transcriptionist/Medical Scribe 2012-2016
Appalachian Heart Center (OP Cardiology)
Follow physician and accurately type accounts
of office visit
Select appropriate E&M code for the Visit as
well as the appropriate ICD 10 codes
Download transcriptions
Type multiple tests in an accurate and timely
manner
68 Raisin Lane Hazard, KY 41701| (H): 606-487-1213 (C ):606-854-5526|Email: helen.sumner@krccnet.com
Professional Profile
I have an AAS in Medical information technology with a medical coding emphasis. I have over 6 years of experience
working in a Health Care setting. Currently have 2 years’ experience coding for a cardiology group (OP E&M, Radiology).
Prior to coding I worked for the cardiology group as a transcriptionist/medical scribe; I have extensive medical
terminology and medical anatomy knowledge. I currently work as a Claim processor and mainly work with reviewing
RAs, EOBS, EOPs and working Denials. As well as running aging reports and fixing multiple billing and coding errors.
Skills
Extensive ICD 10, CPT, HCPCS knowledge.
Revenue Cycling/AR
RA/EOB/EOP Knowledge
Medical Terminology/ Medical Anatomy Knowledge
Cardiology coding
E&M Coding
Radiology Coding
Proficient in All Microsoft office programs
Quick Learning Skills
Strong Analytical and Problem solving skills
Self-Sufficient
Detailed Oriented
Experience
Claims Processor Feb 2018- Present
Kentucky River Community Care (OP Mental Health Facility)
• Insurance Verification
• Billing & uploading Payments via clearing house
• Denials and Balance Forwards
• Billing and posting payments from multiple
Contracts including Head start; DOC; Drug Court
• Run Aging Reports/other billing reportscustomize
as needed.
• Self-Pay Statements
• Fix claim issues/Denied claims by doing a
corrected claim.
File Appeals
• Correct modifiers/CPT, ICD codes on denied
claims.
• Ensure claims get paid and do not hit timely
filing.
Billing/Coding Clerk 2016-2018
Appalachian Heart Center (OP Cardiology)
• Gather appropriate inpatient medical records
for discharged patients that are needed in order for
billing supervisor to code.
• Assign appropriate E/M code to new
patient/follow up office visits, as well as assign
appropriate and covering diagnosis codes.
• Radiology Coding (Echocardiograms, Treadmill
stress tests, Stress and Persantine perfusion studies, tilt
table tests, EKGs, and Dopplers) and assign appropriate
and covering diagnosis.
Transcriptionist/Medical Scribe 2012-2016
Appalachian Heart Center (OP Cardiology)
Follow physician and accurately type accounts
of office visit
Select appropriate E&M code for the Visit as
well as the appropriate ICD 10 codes
Download transcriptions
Type multiple tests in an accurate and timely
manner