Permanent Residence:
15 Judith E Lane
Methuen, MA 01844

OBJECTIVE: Looking for a challenging role of medical coder in a physician or hospital base where my skills and knowledge can be utilized to the fullest and can be able to serve the people.

SUMMARY: More than 15 years of progressive accounting and corporate managing.
- 5 years of Medical Billing Experience.

SKILLS: - In-depth knowledge of coding techniques and guidelines of medical coding.
- Very sound knowledge of medical terminology, anatomy.
- Proficient with computer like MS word, MS excel and other MS office tool.
- Excellent in communication, interpersonal and organization skills.
- Well maintained and proficient with the financial records.
- IDX Medical Software, LMR and knowledge of BICS.

EDUCATION: Master of Arts in Psychology (minor in Law), 1987
- City College of Gujarat, (Law) India
- Certificate of medical Billing and coding from Health training center.
- CPC Certificate by AAPC with completion of Terminology and Anatomy.
- Teller certificate from Georgia.

EXPERIENCE: Claims Resolution, September 2006 to Current
Hart Associates. Dedham, Massachusetts
- Responsible for handling different types of medical claims which includes surgery, radiation
treatments, office visits, modifiers etc.
- Utilized HCPCS level III, ICD-9 and CPT coding
- Charge correction applied to any wrong CPT, ICD-9 or modifier billed.
- Maintained the 97 percent of accuracy and productive quality.
- Submitting Medical claims to various insurances in timely.
- Resolving carrier takes backs by researching and manually reprinting paper claims where
- Resolving non-tape edits, scrubbers, and eligibility reports where applicable.
- Answer telephones, update insurance information based on information received, and post denials.
- Completes contractual adjustment report and posts adjustments to patient’s accounts as appropriate.
- Identifies internal billing problems and notifies Supervisor and/or Manager.
- Maintains detailed documentation on individual account activity with the correspondence, phone conversations.
- Notify Supervisor and Manager to any changes based upon third-party billing requirements.
- Counsel patients/customers in resolving outstanding self-pay balances, including settlements and establishing budget plan options.
- Keep the system and documents of the office up to date.

References available upon request