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CPC-A seeks part-time remote position

  1. Smile CPC-A seeks part-time remote position
    Medical Coding Books
    Mountain City, TN 37683
    To assume a position where my knowledge, skills and abilities can be achieved. I recently completed my certification in professional coding and I would like attain a position where my skills could be industrious.
    Aug.1996-Dec.1998 Johnson County Hospital Mountain City, TN
    Admissions Representative
    Responsible for entering all demographic information related to a patients care.
    Answered all incoming phone calls.
    Entered charges for all services.

    Dec. 1998-Aug. 2004 Johnson County Health Center Mountain City, TN
    Sr. Access Specialist
     Responsible for entering all demographic information related to a patients care.
     Entered charges for all services
     Assisted patients to their destination within the facility.
     I worked in several different departments within the facility, including medical records, which required that I file records, fulfill requests for records, and interact with different provider’s requests.
     I worked for two doctors’ offices, making appointments, entering charges, and accepting payments for statements.
     Knowledge of ICD-9 codes and CPT codes.
     Knowledge of medical terminology.
     Verified eligibility and benefits of insurance for patients.
     I also worked with the Emergency Room, which was a very fast paced, demanding, department.

     I Trained new employees and supported them during their transition.
    Assisted my supervisor with issues within the department and covered any call-in situations with other employees for sick days, LOA’s and time off.

    Aug. 2004-June 2008 Clinicient Billing Services Mountain City, TN
    Sr. Patient Account Representative
     I began in the follow-up department calling insurance companies and checking on payments of claims.
     Assisted patients with questions about their statements interacting with providers and insurances globally.
     Posted payments from insurance companies and patient payments.
     Knowledge of Medicare, Medicaid, TN Care, and most any insurance provider.
     Worked in the Billing Department, posting charges and filing insurance electronically. I also worked claims in the electronic clearing house.
     Managed denials, which required that I investigate what the issues are with denied claims processing, resolve the issues, and ensure prompt payment of those claims.
     I file any appeals necessary to insure payment of claims.
     Train all new hires in the follow up and receipt posting department and assisted them with their transition.
     Serve as a support system for all departments resolving issues and questions within the departments.
    __________________________________________________ __________________________________
    July 2008-August 2011 Appalachian Regional Healthcare System Boone, NC

    Medicare Account Representative
     I am the lead Medicare representative.
     I am responsible for Medicare denials and additional information requests from Medicare.
     I work all ‘return to provider’ claims in the fiscal intermediary system.
     I post payments from both Cigna Medicare and Palmetto GBA.
     I also work on special projects that require that I am involved with other insurance carriers as needed.
     I assist patients with Medicare inquiries when specialized attention is needed.

    __________________________________________________ ______________________________________
    August 2011-present Mountain City Care & Rehab Center Mountain City, TN

    Assistant Business Office Manager
    • Assist with management duties including, but not limited to, hiring, training and developing, coaching and counseling, and terminating department staff as deemed necessary.
    • May perform or assist with the performance of payroll input and hours calculation, answer telephones, ancillary input, receipt of resident account deposits and payments, typing.
    • Work with or support Business Office Manager and consultants in planning all aspects of Business Office functions to include interface with all other disciplines and departments.
    • May assist the Business Office Manager to monitor day-to-day operation of the Business Office and to establish priorities and manage records, budgets or supplies.
    • Fill in as Business Office Manager as needed with limited or full authority, as needed.
    • Support and assist Business Office Manager with State, Federal and Company standards, to include alerting management to potential non-compliance issues and the preparation of correction plans.
    • Make bank deposits, as requested.
    • Receive and receipt private, resident portions and Medicaid payments on residents’ bills.
    • Assist with end of month packet procedures such as: charge journals, cash receipts including Resident Accounts, bank reconciliation, and preparation of Resident Trust Fund Accounts for closing and allocation of interest to the proper accounts.
    • Maintain accuracy and efficiency in all work performed.
    • Prepare disbursement checks for payment of expenditures approved by Administrator, maintaining and updating daily, the facility’s check register.
    • Other special projects and duties, as assigned

    Summary of Qualifications

     Great typing skills.
     Deep knowledge of medical terminology, and the various medical specialties as required in areas of responsibility.
    • Excellent communication skills (both verbal and written) necessary to perform the essential functions of the position
    • Ability to work and communicate in a positive and cooperative manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel and patients and their families when providing information and services, seeking assistance and clarification and resolving problems.
    • Knowledge of numerous medical system programs.
    • Knowledge of Microsoft Word, Microsoft Excel, Microsoft Outlook
    • Latest accomplishment was a special project working on Tricare accounts receivable where I was able to clear up over $200K in aged A/R.
    • I am a very swift apprentice and strive to increase my skills and knowledge.

    1996 Graduate Johnson County High School Mountain City, TN
    2011 AAPC Certified Professional Coder

    Lori Davis (423) 471-1505
    Dawn Tester (423) 727-4048
    Anita Atwood (423) 727-5718

  2. #2
    Sarasota FL
    Default Resume
    With all respect, your resume is rather 'wordy' and many prospective employers would soon be bored reading it.
    I would suggest reducing the content quite considerably. If it's too long-winded it will probably end up in the trash.
    It's a bit like a really long E&M consult..the doc thinks that more words = more money. Not true. Keep it to the point and the resume will be more interesting.

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