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Medical Billing/Coding - Certified Medical Coder


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I am looking for Billing – Coding Representative position with either a Doctor’s Office or a Hospital Department in the North Shore area of MA.
I am also in the process of preparing for the coding exam (to become a Certified Medical Coder).

My resume is here:

28 Aubin Street, Amesbury, MA 01913 Phone : (978) 388-1408 E-mail : natasha55@verizon.net


· 8,5 years experience as Medical Billing-Coding Associate with knowledge and extensive use of computerized billing software (ECW, MediTech, and other similar products, IDX and Medical Manager)
· Familiar with the ICD-9 CM, and CPT-HCPCS universal coding systems and medical terminology
· Very good understanding and knowledge of requirement and policies of insurance plans
· Creative problem solver and negotiator with excellent organizational skills
· Ability to rapidly learn and use new technologies and apply these as needed to solve business requirements
· Ability to work under pressure with well-developed interpersonal skills.


· Operating Systems - Windows Professional, XP, NT, 95/2000 and DOS.
· Billing Software – ECW, MediTech, IDX, Medical Manager
· Applications - Microsoft Office products (Word, Excel, Access and Outlook), Crystal Reports 8, Seagate Info 7, SQL Plus, HTML, Turbo-Basic, Fortran
· EMDEON & NEHEN - Online System.


1/2007- 4/2013 – Women’s Health Care of Anna Jaques Hospital

Billing-Coding Representative

· Reviewing Service Documentation: this includes delivery summaries and delivery notes, operative reports, pathology reports and progress notes; assigning corresponding codes to all diagnoses or services performed by physicians in hospital and preparing the appropriate claims.
· Creating Claims and reviewing the accuracy of medical codes to all diagnoses and procedures assigned by physicians for services performed in medical office, and following up on charges with questions
· Managing Denied Claims that includes: reviewing the related documentation and working with Provider to make a decision on how to get a claim paid (better coding, letter) and provide additional information requested by insurance plan including letter from Provider, progress note, etc.
· Managing of Obstetrical Patients changing insurance plans that includes: checking eligibility of both insurance plans; billing of antepartum care to the previous plan; watching for closing of pregnancies when patient has 4-6 weeks postpartum visit.
· Collecting and posting payments from patients on patient’s account
· Managing Referrals and Authorizations
· Verifying Benefits and Eligibility and updating patient’s insurance information
· Taking phone calls from staff and patients with billing concerns and questions

2/2005 – 12/2006 -PFS Lahey Clinic Hospital - Burlington, MA

Commercial Patient Account Representative

· Balance filing to primary and secondary daily insurance claims (HCFA-1500 and UB92)
· Electronic claims transmission to HP, TUFTS Plan and Medicaid
· Work with rejection claims
· Claims Checks
· Posting Payments and Adjustments
· Prepare the daily and monthly filling and late charges reports in Excel spreadsheet for upper management
· Mail processing and update patient’s insurance information
· Extensively use phone contacts and Internet to find information on patient’s eligibility of insurance and check claims status

10/2004 – 2/2005 - Anna Jaques Hospital – Newburyport, MA

Volunteer with Account Patient Department

· Work with Primary and Secondary Commercial Insurance Claims
· 3rd party follow-up activities, Claim Submissions
· Review / Appeal process for outstanding Claims, Credits / Refunds

01/2002 – 04/2004 Mass Bay College and Millennium Training Institute


08/2000 -08/2001 Commerce –TV Inc. - Braintree, MA

Software Engineer/Crystal Reports Writer

· Analyzed, designed, developed and implemented production reports; enhanced and maintained existing report repository based on several business application databases
· Coordinated work with end users to define reporting requirements and parameters
· Provided business status reports for upper level management and key users
· Created formulas for calculating, concatenating and extracting information from database fields
· Selected types and created charts / graphs for analysis reports
· Extensively used SQL to provide ad-hoc reports
1992-2000 Federal Bureau of Engineering “TITAN” - Volgograd, Russia

Group Manager /Analyst/ Programmer

· Created and developed mathematical programs and modules, quarterly business plans, tracked and reported status of progress and deliverables, implemented user interface for data entry and designed test systems
· Prepared all supporting documentation, including user documentation
· Preparation of financial and operational status reports


Obstetrical and Gynecological coding training course –Washington, DC
Medical Billing & Coding - Millennium Training Institute, Woburn MA
Medical Terminology, Medical Procedures I & II – Massachusetts Bay Community College, Framingham MA
BS in Math/Computer Support – University, Volgograd, Russia
MS in Mechanical Engineering (Mechanism Building Technology) – University, Volgograd, Russia


Thank you.