sabinacg
Guest
KEY QUALIFICATIONS
• Certified Professional Coder (CPC®)
• ICD-10 Proficient
• Motivated self‐starter with three + years of experience as coding and medical administrative professional with proven ability to work with complex situations and provide a high level of attention to detail
• Demonstrated application expertise of ICD-9, ICD-10, CPT, and HCPCS coding systems and guidelines
• 80 Contact hours completed of medical coding courses to include medical terminology, coding classification systems, abstracting medical records
• Knowledge of medical terminology, anatomy & physiology
• Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations
• Proficient in Microsoft Applications, CodeX, Encoder Pro, internet
• Strong communication, customer service, and interpersonal skills
• Rapid, accurate entry of data, 10-key by touch
• Ability to multi-task in a fast paced environment in an organized manner with attention to detail and a high level of accuracy
• High standard of ethics, integrity, and professionalism
• Abides by the Standards of Ethical Coding as set forth by the American Academy of Professional Coders
EDUCATION & PROFESSIONAL AFFILIATIONS
Completed 80 Hour - Certified Professional Coder (CPC) prep course | 2016
• ICD-10-CM Code Set and Coding Guidelines
• CPT
• HCPCS Level II
• Evaluation and Management (E&M) CPT Coding
• Practical Application of coding operative reports and E&M Services
• Surgery Coding and Guidelines
• Pathology, Radiology, & Laboratory Coding
Certified Professional Coder (CPC®) – American Academy of Professional Coders (AAPC)
ICD-10 Certification – American Academy of Professional Coders (AAPC)
RELEVANT PROFESSIONAL EXPERIENCE
Pasadena, CA
Medical Coder/Charge Entry | 4/2015 – Present
• Abstract data and accurately assign proper CPT/ICD-10-CM codes for Evaluation and Management codes
• Review operative reports and assigns diagnosis and procedural codes and modifiers
• Utilize CodeX and Encoder Pro for CCI edits
• Review and verify all claims are entered accurately and submitted in timely manner
• Follow-up on unpaid or rejected insurance claims, identify issue, resubmit corrected claims
Medical Collections Assistant | 5/2014 – 4/2015
• Ensured compliance to state and federal regulations for all medical collections
• Prepared patient statements for patient responsibility
• Read and interpreted Explanation of Benefits (EOB’s), enter payments correctly
• Obtained benefits and prior authorization for office and surgical procedures
• Applied adjustments based on patient benefits and claims processing
• Professionally handle all patient inquiries about account balances, insurance benefits, payment plans
• Certified Professional Coder (CPC®)
• ICD-10 Proficient
• Motivated self‐starter with three + years of experience as coding and medical administrative professional with proven ability to work with complex situations and provide a high level of attention to detail
• Demonstrated application expertise of ICD-9, ICD-10, CPT, and HCPCS coding systems and guidelines
• 80 Contact hours completed of medical coding courses to include medical terminology, coding classification systems, abstracting medical records
• Knowledge of medical terminology, anatomy & physiology
• Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations
• Proficient in Microsoft Applications, CodeX, Encoder Pro, internet
• Strong communication, customer service, and interpersonal skills
• Rapid, accurate entry of data, 10-key by touch
• Ability to multi-task in a fast paced environment in an organized manner with attention to detail and a high level of accuracy
• High standard of ethics, integrity, and professionalism
• Abides by the Standards of Ethical Coding as set forth by the American Academy of Professional Coders
EDUCATION & PROFESSIONAL AFFILIATIONS
Completed 80 Hour - Certified Professional Coder (CPC) prep course | 2016
• ICD-10-CM Code Set and Coding Guidelines
• CPT
• HCPCS Level II
• Evaluation and Management (E&M) CPT Coding
• Practical Application of coding operative reports and E&M Services
• Surgery Coding and Guidelines
• Pathology, Radiology, & Laboratory Coding
Certified Professional Coder (CPC®) – American Academy of Professional Coders (AAPC)
ICD-10 Certification – American Academy of Professional Coders (AAPC)
RELEVANT PROFESSIONAL EXPERIENCE
Pasadena, CA
Medical Coder/Charge Entry | 4/2015 – Present
• Abstract data and accurately assign proper CPT/ICD-10-CM codes for Evaluation and Management codes
• Review operative reports and assigns diagnosis and procedural codes and modifiers
• Utilize CodeX and Encoder Pro for CCI edits
• Review and verify all claims are entered accurately and submitted in timely manner
• Follow-up on unpaid or rejected insurance claims, identify issue, resubmit corrected claims
Medical Collections Assistant | 5/2014 – 4/2015
• Ensured compliance to state and federal regulations for all medical collections
• Prepared patient statements for patient responsibility
• Read and interpreted Explanation of Benefits (EOB’s), enter payments correctly
• Obtained benefits and prior authorization for office and surgical procedures
• Applied adjustments based on patient benefits and claims processing
• Professionally handle all patient inquiries about account balances, insurance benefits, payment plans
Last edited: