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CPC-A Seeking an Unique Opportunity in Florida......

  1. #1
    Default CPC-A Seeking an Unique Opportunity in Florida......
    Medical Coding Books

    Motivated Medical Insurance Coding and Billing Specialist, seeking a rewarding, challenging opportunity to utilize my knowledge and application of billing, coding, and collections in a team oriented environment.

    Jan 2009 - Sept 2009 Concorde Career Institute. Miramar, FL
    Insurance Coding and Billing Specialist - Diploma
    Dec 2005 - Apr 2006 Pro-Dive Academy. Ft. Lauderdale, FL
    Master Scuba Diver Instructor - Certificate

    * Knowledge and use of Misys Tiger PM, Athena, and Medical Manager software.
    * Knowledge and use of HIPAA compliance standards.
    * Collection calls to patients and third party payers in an effort to resolve unpaid A/R balances.
    * Able to initiate the claims process and follow it through to the A/R resolution.
    * General knowledge of Medicare, Medicaid, HMO, PPO, and W/C third party guidelines for reimbursement.
    * Ability to code from source documents, i.e. Operative reports, History reports, Radiology reports,
    Pathology and Lab reports: utilizing CPT, HCPCS and ICD-9CM coding guidelines and methodology.
    * Able to review, interpret and process EOB's by posting charges, payments and adjustments to patient accounts.
    * Familiar with hospital reimbursement schemes i.e. DRG, APC's and Medicare's OPPS systems.

    February 2010 – November 2010 Orthopaedics Associates USA, Oakland Park, FL
    Certified Coding and Billing Specialist.
    * Coding from reports in accordance with CMS, billing charge tickets using computer management
    software, creating claims for transmission to payers.
    * Communicating with payers regarding denied / rejected claims, correction of required pertinent patient information and CPT/ICD 9 codes, resubmitting corrected claims for reimbursement.
    * Collecting, transferring and posting payments into patient accounts.
    * Working with assigned physicians, communicating with them on potential claims submission problems, and
    trends. Educating on proper code sequencing, modifier usage and ensuring complete documentation.

    July 2009 - Sept 2009 Compass Health Systems. North Miami, FL
    Insurance Coding and Billing Specialist Externship.
    * Updated patient's insurance and account information.
    * Performed patient eligibility verification of Medicare, Medicaid, and Managed Care Accounts.
    * Communications with payers regarding denied / rejected claims, correcting required codes, resubmission of corrected claims resulting in reimbursement.

    Sept 2007 - Jan 2009 Ocean Divers Inc. Key Largo, FL
    Sales Associate / Instructor.
    * Instructed Scuba , Specialty, and CPR /BLS courses.
    * Performed consultations, and booked group and individual dive charter reservations.
    * Management of daily operations at north location facility.
    * Certified regulator and repair technician.
    * Sales of scuba equipment and supplies.
    * Lead dive expeditions for pleasure or research.

    Aug 2006 – Sept 2007 Atlantis Dive Center. Key Largo, FL
    Operations Manager / Instructor.
    * Scheduled employee shifts, completion of company payrolls.
    * Overseeing daily business operations, including boat and compressor maintenance.
    * Equipment sales and air fills.
    * Resolved customer complaint issues.
    * Worked with vendors, Coast Guard and Law Enforcement officials when requested.

    * AAPC Certified Professional Coder A # 01120830
    * CPR/BLS certified. PADI #199700
    * Certified Master Scuba Diver Trainer. PADI/# 199700

    References available upon request.

  2. Default
    I am looking for a consultant to hire on an hourly basis, either someone doing consulting now or while the person is looking for full time work. I need some specific scenarios researched and it would help if the person had ED room experience as well as the CPC. If that is you please contact me at ""

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