Thomas Simpkins
Tampa, FL 33624
● Cell: (813) 416-6039 ● Email: tomtom2fl@Gmail.com
________________________________________
CAREER OBJECTIVE
To obtain a position as a certified medical coder utilizing my skills and expertise in pathology billing and medical records auditing.
QUALIFICATIONS
* Ten plus years of experience working in the medical billing and coding industry, with over 8 years working as a Certified Professional Coder (CPC)
* Extremely familiar with medical terminology
* Advanced computer skills include, but are not limited to, Microsoft Office Suite, Encoder, Intergy, Medical Manager, EZ-Claim, Epic, Envision, EDM, Beacon
* Excellent written and verbal communication skills
* Highly motivated personality with a positive approach
* Proven ability to speak in a confident and assertive manner
* Exceptional customer and client servicing skills
BILLING AND CODING EXPERTISE
* Certified Professional Coder (CPC), 2005
ICD-9/10 Coding - CPT-4 Coding - HCPCS - PQRS - Professional Component Billing
SPECIAL SKILLS
* Highly qualified to audit pathology reports for accurate coding
* Profound knowledge of the revenue cycle and the importance of each aspect
* Proficient in assigning ICD-9 codes to the proper specimen
* The mentality to think ?outside-the-box? to continuously improve work flow of the office
________________________________________
KEY ACCOMPLISHMENTS
* Successfully managed billing services for multiple hospital based pathology groups
* Implemented a three step process to audit charges prior to submission to payers; which increased payments, avoided denials and ensured regulatory compliance
* Developed an automated Medicaid enrollment verification system for self-pay patients, which decreased patient statements and increased Medicaid payments and avoided patient accounts from being sent to collections erroneously
* Awarded "employee of the year" after initial year of employment
PROFESSIONAL EXPERIENCE
Capstone Physician Services - Tampa, FL
Medical Billing Supervisor | July 2004 - Dec 2013
* Prepared and presented billing, revenue and audit reports for weekly operations meeting
* Audited medical records for coding discrepancies and provided recommendations based on coding standards set forth by CMS, Medicaid and CAP
* Educated clients and peers on regulatory compliance and best practices for medical coding, specifically as it relates to pathology
* Ensured signatures and appropriate documentation were in order prior to submitting medical records
* Verified appropriate medical coding for services rendered
* Prepared applicable claim documents
* Followed up with insurance companies to ensure that all claims were adjudicated correctly
* Reviewed analytical data to determine trends and patterns within each client?s revenue cycle
* Developed policies and procedures to ensure the company was properly following their compliance plan and regulatory guidelines
* Motivated employees while creating a harmonious working environment that increased productivity
Physicians Independent Management Services, Inc. - Tampa, FL
Verification Team | Aug 2003 - Jun 2004
* Audited medical records for coding discrepancies and provided recommendations
* Assigned ICD-9-CM codes per patient documentation
* Responsible for timely charge entry for multiple pathology clients
________________________________________
EDUCATION
Concorde Career College - Tampa, FL
Medical Billing and Coding Certification | 2003 | 4.0 GPA
REFERENCES
* References available upon request
Tampa, FL 33624
● Cell: (813) 416-6039 ● Email: tomtom2fl@Gmail.com
________________________________________
CAREER OBJECTIVE
To obtain a position as a certified medical coder utilizing my skills and expertise in pathology billing and medical records auditing.
QUALIFICATIONS
* Ten plus years of experience working in the medical billing and coding industry, with over 8 years working as a Certified Professional Coder (CPC)
* Extremely familiar with medical terminology
* Advanced computer skills include, but are not limited to, Microsoft Office Suite, Encoder, Intergy, Medical Manager, EZ-Claim, Epic, Envision, EDM, Beacon
* Excellent written and verbal communication skills
* Highly motivated personality with a positive approach
* Proven ability to speak in a confident and assertive manner
* Exceptional customer and client servicing skills
BILLING AND CODING EXPERTISE
* Certified Professional Coder (CPC), 2005
ICD-9/10 Coding - CPT-4 Coding - HCPCS - PQRS - Professional Component Billing
SPECIAL SKILLS
* Highly qualified to audit pathology reports for accurate coding
* Profound knowledge of the revenue cycle and the importance of each aspect
* Proficient in assigning ICD-9 codes to the proper specimen
* The mentality to think ?outside-the-box? to continuously improve work flow of the office
________________________________________
KEY ACCOMPLISHMENTS
* Successfully managed billing services for multiple hospital based pathology groups
* Implemented a three step process to audit charges prior to submission to payers; which increased payments, avoided denials and ensured regulatory compliance
* Developed an automated Medicaid enrollment verification system for self-pay patients, which decreased patient statements and increased Medicaid payments and avoided patient accounts from being sent to collections erroneously
* Awarded "employee of the year" after initial year of employment
PROFESSIONAL EXPERIENCE
Capstone Physician Services - Tampa, FL
Medical Billing Supervisor | July 2004 - Dec 2013
* Prepared and presented billing, revenue and audit reports for weekly operations meeting
* Audited medical records for coding discrepancies and provided recommendations based on coding standards set forth by CMS, Medicaid and CAP
* Educated clients and peers on regulatory compliance and best practices for medical coding, specifically as it relates to pathology
* Ensured signatures and appropriate documentation were in order prior to submitting medical records
* Verified appropriate medical coding for services rendered
* Prepared applicable claim documents
* Followed up with insurance companies to ensure that all claims were adjudicated correctly
* Reviewed analytical data to determine trends and patterns within each client?s revenue cycle
* Developed policies and procedures to ensure the company was properly following their compliance plan and regulatory guidelines
* Motivated employees while creating a harmonious working environment that increased productivity
Physicians Independent Management Services, Inc. - Tampa, FL
Verification Team | Aug 2003 - Jun 2004
* Audited medical records for coding discrepancies and provided recommendations
* Assigned ICD-9-CM codes per patient documentation
* Responsible for timely charge entry for multiple pathology clients
________________________________________
EDUCATION
Concorde Career College - Tampa, FL
Medical Billing and Coding Certification | 2003 | 4.0 GPA
REFERENCES
* References available upon request
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