Nicole H. Martin
2927 Edgewater Street SW
Atlanta, GA 303331
404-346-3674 home
404-434-3825 cell

Certified Coding and Certified Billing Specialist, trained in various systems as outlined, experienced systems manager with working knowledge of different billing formats.

Knowledge of Centricity, Epic/HealthConnect, Resolute, ePremis, SMS, Kmate, Diamond, Business Objects, MACESS, Medical Mastermind, Kredo, Medifax, PBCS, Medisoft, CBSI, Windows XP, Windows 98, MS Works, MS Word, MS Excel, Word Perfect, PowerPoint, Medical Manager, and Lotus 1 2 3. Type 50 wpm; experience on a 10-line switchboard, Internet knowledge, medical terminology, ICD-9, CPT, and HCPCS codes.


2007-Present Charge Processing Supervisor, AMAC
Responsible for the day-to-day operation of all coding and charge capture functions.
Functional knowledge of Radiation Oncology Coding for professional billing.
Quality assurance of CPT modifiers; medical record documentation requirements and CCI edits.
Ensure that insurance is verified prior to charge processing for accurate billing.
Ensure that charges are captured timely and accurately in accordance with company policy.
Maintain a 24-48 hour turn around time of charges for unit.
Working knowledge of professional fee billing processes and procedures.
Manage the daily operation of a six person staff.

2006-2007 Coding Specialist, MedQuest and Associates
Verify and code Radiology charges for submission to Third party insurances.
Focusing primarily on coding MRI, CT, Arthrogram, Ultra Sounds, and X-rays.
Ensure correct coding using LCD and CCI edits in accordance with Medicare guidelines.
Maintains monthly quota of 1600+ charges in Georgia and South Carolina coding.

2005-2006 Billing Specialists, Kaiser Permanente
Provisional supervisor of billing specialists, responsible for managing a unit of four, presided over Third party depositions in furtherance of case resolutions.
Able to work effectively and efficiently in large work ques for charge review or claim edit purposes. Such as Co-pay Discrepancy, Pending Lab charges, Workers Compensation, and Third party liability
Able to do adjustment in SMS
Able to do reversals in SMS for rebilling purposes to outside insurance companies
Knowledge of working Billing Exception Report
Able to find charges for Medicare payment posting that the Payment Unit was unable to find
Knowledge of Medicare Rules
Able to Audit coding for correct billing
Updating Providers in SMS
Able to access provider information in SMS for UPIN and MPIN information

2003-2005 Financial Coder/OPL Representative, Kaiser Permanente
Identify and set up third party cases, such as Workers’ Compensation, Attorney, Insurance, and Slip and fall
Reconcile daily deposit
Code third party cases using ICD-9, CPT, and HCPCS codes
Code visits such as Outpatient surgery, Internal Medicine, Laboratory, Radiology, Prescription drugs, Physical Therapy, Anesthesia, Orthopedics, and OB/GYN.
Data Entry of the cases
Distribute change to the appropriate people
Travel to and maintain daily operation at three Baltimore locations

2002-2003 Billing Specialist, Drs. Feirtag and Ramos
Post payment to patient’s accounts, so that the billing records are accurate
Follow up with insurance companies on the status of claims
Balance daily posting with deposits
Send out HCFA claims to insurance companies
Send out patient invoices

2002-2003 Coding Specialist, Advanced Radiology
Code incoming reports from a variety of nineteen Imaging Centers and seven Hospitals
Code on an average between 60-70 reports per hour
Call Imaging Centers, to retrieve better information to code the reports
Post and clean up the reports before they are sent electronically to the insurance companies

2001-2002 Accounts Receivable Representative, Advanced Radiology
Call insurance companies to question the payments of claims
Clean up claims that have been denied by insurance companies so that they can be resubmitted
File appeals for claims that have been denied
Assist patient, doctors, insurance companies, and attorneys with problems on accounts
Correct billing problems on patient accounts
Answer on an average of 30-80 calls a day
Update insurance, verification of co-pays and coverage
Gather information that needs to be sent to the Coding Department and Adjustment Department
Submit information to Collection Agencies
Work Correspondences for patients, in reference to account balances

2001 Medical Billing Coordinator, MAT/PPMC
Input of charges for patient visits to the office, hospital and surgery center
Electronic and paper claims submission
Posting payment from insurance companies and patients
Follow up on patient claims with insurance companies and hospitals
Knowledge of Ambulatory Surgery Center billing
Knowledge of HCFA and UB-92 forms
Knowledge of ICD-9, HCPCS and CPT codes


2008 Certified Coding Specialist (CCP)
From Professional Healthcare Institute of America

2006 Certified Professional Coder (CPC)
From American Academy of Professional Coders

2006 Certified Medical Billing Specialist (CMBS) From Medical Association of Billers


2001-2002 Insurance Claims Processing and Coding Specialist, Medix School of Technology
1997-1998 Medical Office Administration, Medix School of Technology
1994-1996 General Studies, Catonsville Community College

Reference available upon request