Current Employment Status:
Hired Full Time on Oct 25, 2024
8 years working as a US Certified Professional Coder and Biller
Medical Coder- Annotator for Natural Language Processing (NLP) Project - Artificial Intelligence (AI) - New York, USA
US Medical Coder- Auditor (Rehabilitation Facility Insurance Auditor) - California, USA
Contractor for US Healthcare Services
Risk Adjustment Coding/ Hierarchical Condition Category (HCC) Coding
Outpatient Coding
Interventional Radiology
Behavioral Health
Anesthesia
Ancillary
Home Health
Emergency Department
Same-Day Surgery
Claim and Denial Edits
Fast medical coding and charging with 100?curacy.
Qualifications/Skills:
Audits records to ensure proper submission of services before billing.
Supplies correct ICD 10 diagnosis codes on all diagnoses provided.
Supplies correct CPT codes for all procedures and services performed.
Expert in Infusion, Intravenous and Hydration Computation, and Charging
A strong understanding of physiology, medical terms, and anatomy
Proficiency in computer skills including typing speed and accuracy
Mathematics skills
Excellent written and verbal communication skills
Organizational skills
Ability to maintain a high level of integrity and confidentiality of medical information
Maintains confidentiality and safeguards the privacy of protected health information (PHI).
Strict attention to detail
Knowledge of data entry and transcription
Also with medical technical abilities and skills work in a private clinic with the following tasks:
US Medical Biller / Claims Specialist / Account Receivable Specialist
Charge Entry
Claims Submission
Account Receivable Management
Payment Posting
Patient demographics Entry
US Medical Virtual Assistant (Insurance Tasks)
Account Retrieval
Patient Intake Process
Patient Scheduling
Patient Check-ins
Next-Day Appointment Reminder
Insurance Verification
Insurance Benefits and Eligibility
Insurance Prior Authorization
* Prescription Prior Authorization
* Medical Prior Authorization
Medication Refills
Understanding of ERA and EOB
Knowledge about Copay, Coinsurance, Deductibles, Out-of-pocket maximum, and in-network and out-of-network.
SOFTWARE TOOLS
Office Ally
drchrono
prompt
EPIC
Cerner
OPTUM LYNX
AlertMD
KIPU
Inception
3M
SelectCoder
Aprima
eMedicalPractice
intakeQ
SRFAX
Availity
Evernorth
MS Office (Word, PowerPoint, Exel)
Microsoft Teams
Google Suite
Outlook
Dropbox
Quickbooks
Slack
In addition, I am eager to take on jobs that allow me to expand my horizons and learn new talents. Thank you very much for your time and consideration.
Think I could be a fit for you? Let's connect for an introductory call!
Experience: Less than 6 months
Experience: Less than 6 months
“They're not only loyal and hardworking, they're super detail oriented!”
- Travis OVAAnswers
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