Professional BackgroundCertified Coding Specialists (CCS) with E M, outpatient, in patient ER admits, diagnostic, procedural pro fee Coding, CMS-DRG, VBP, CPT II codes, HEDIS, HCC, RAF, data analyst and quality auditing in health management programs, ICD 10 Certified. 5 Years experience in Administration Office management and as Coding billing manager. Licensed EMT-I since 2002. 10 years experience in billing and 6 years coding experience, 3rd Party insurance follow up which include commercial, work comp, VA, Medicare, Medicaid, appeals, insurance verification, authorizations. 5 years Clinical as a Medical Assistant, phone triage, in office surgical procedures. I have a total of 18 years working in the medical field and VERY customer service oriented. Knowledgeable with various different EMR, EHR systems, Cerner, Centricity, Athena, Allmeds to name a few. Excel, Word, Outlook,Salesforce. I have two secret Government clearances given 1985 still active thru the Department of Defense so all my background checks run smoothly and pass with flying colors. Skill HighlightsCCSAttestationsSDSHEDIS Quality measuresHCCCMS-DRGOut patinetSkilled nursingHome healthRAFVBPCPT II codesICD- 10EPRGSales forceWordExcelOutlook10 Key by touch62 WMP typingEpicPulseencoderCernerAllmedsEMR EHR Professional ExperienceCMS HHCS HEDIS Coding data analyst and quality coordinator,06 2016-CurrentAltium La Jolla,CA,Review, obtain data extracted remotely and on site physician medical records to analyze quality and outcome of health management programs, quality, pharmacy, Financial, claims, coding, helping to locate where providers need to close gaps, information missing to maintain highest ratings and help with SDS attestation submission. Knowledgeable with many different EMR systems, HHCS, RAF, HEDIS, CMS DRG CPT II, Coding guidelines. Our goal is to see that the physician receives any and all monies available to them and to help them provide the best possible healthcare to our members. We provide training to the offices where they may need help in closing these gapsCoder Billing Manager,04 2015-2016Dr MT Pally MD Cardiologist City,STATE,Performed daily charge entry, review and obtained codes using MS-DRG, VBP, HCC, RAF, HEDIS quality auditing guidelines, Coding for all office visit, inpatient hospital visits, tests, ER admits, Echo s Vascular, Nuclear stress Testing, PET Scan and all nursing home, home health visits. Query physician and tech for any missing or incomplete documentation, maintaining a high productivity standard with 95 accuracy, working denials, letters of appeals. Assisting the front desk whenever needed, answering phones, scheduling appointments, verifying insurance s, obtaining authorizations. Ali XXX XXX 9550Coder Front Office Coordinator coder,08 2014-03 2015Tenet Health Catawba Cariothoracic Surgeons City,STATE,Check in check out, scheduling, phone triage, insurance verification, insurance authorizations, Medical assisting, room patients, obtain vitals, chart documentation, Reviewed and code entry using MS-DRG, VBP, HCC, RAF, HEDIS quality guidelines, answering high volume calls, data entry in Nex Gen EMR, managing medical records, surgical boarding, collecting copays, deposits and provide quality customer service.800 367 2884 Ann Marie.Coder Insurance verification specialists,07 2013-08 2014HMA Physicans Regional Hosptial City,STATE,Reviewed and corrected Coding using the MS-DRG, VBP, HEDIS quality auditing guidelines for all the high cost surgical procedures, verified and authorized insurance, quote patient pricing, answer any patient questions regarding insurance, pricing or procedure, data entry in EMR system, team player and provide excellent customer service. Stacy 704-660-4584.Coder Patient Account Representative,07 2010-01 2013Centura Health Systems City,STATE,Answered high volume patient s questions, insurance verification, data entry in Meditech, work insurance collections, 3rd party follow up, query physicians and tech for missing or clarification of documentation, corrected coding issues, performed paper and electronic billing, correct ICD-9 CPT coding using MS-DRG, VBP, HCC, RAF, HEDIS quality auditing guidelines for accounts receivables, and provide excellent customer service.Was a rehire Tawyna Scott XXX-715 7000.Medical Assistant EMT at Hand Surgery Associates at,09 2009-05 2010The Swedish Hospital City,STATE,Triage and room patients, provided assessment of injury wounds, removed sutures, dressings, applied casts and splints, assisted with surgical procedures, and performed data entry in EMR and provide excellent customer service.Kim Beard XXX 744 7078.Medical Assistant EMT at Associates of Otolaryngology,04 2008-06 2009Associates Of Otolaryngology City,STATE,High volume phone triage, greet and room patients, obtained vitals, performed data entry in EMR system, in room scribe, assisted with office surgical procedures, ICD-9, CPT coding, transcription, injections, biopsies, cultures, lab and radiology orders, Team player and performed excellent customer service.Diana Mcleron XXX 744 1961Office Manager,2005-2008Press O Matic Keyless Locks City,STATE,Manage front office, answered phones, assist with phone sales and walk in sales, invoicing, shipping and receiving, A R, A P, quick books, handled monthly inventory, ordering, restocking, some assembly of production line when needed, faxed, filed, copier, 10 key by touch, 62 WPM typing, some soft collections. Outlook, Excel, Word. Dave Campbell XXX 762 7373.Out patient registration Central Scheduling,10 2001-01 2005Lee Health City,STATE,Handled large volume of patient calls scheduling patients for all out patient testing, obtaining correct dr orders with correct coding. Obtained and data entry correct patient demographics insurance information at time of out patient testing, verified insurance information, collected co payments, assisted patients to areas of testing. provide excellent customer service.Biller customer service payment poster,10 1998-10 200121st Century Oncology City,STATE,Posted large insurance checks and patient payments to correct DOS in accounts, balance daily, answered patient questions regarding billing accounts, worked 3rd party denials, timely filing, letters of appeals for Medicare, Medicaid, VA, work comp, commercial insurances, corrected coding errors. worked with patients on payment agreements and soft collections, met daily productivity goals, provided excellent customer service. Education and TrainingAllied Health Business college ICD 10, Certified Coding Specialists Current NAHP, AHIMA AAPC memberships. Emergency Medical Services,Expected in2002-Edison Community college-,GPA Status-Emergency Medical Services Skills10 key by touch, accounts receivables, RAF, Anatomy, AP, scheduling appointments, AR, auditing, billing, Bookkeeping, Call center, Cardiologist, closing, CMS, CPT II, CPT coding, CPT, excellent customer service, customer service, data analyst, data analysis, data entry, documentation, faxing, filing, Financial, Front Office, home health, ICD 10, ICD-9, injections, Insurance, inventory, invoicing, letters, Director, managing 5, managing, Medical assisting, Medical Manager, Medical Terminology, Meditech, meetings, Excel, Office, Outlook, Word, Nursing, nursing home, ordering office supplies, outside sales, payment processing, pharmacology, Physiology, pricing, processes, Coding, Quality, quick, Quickbooks, radiology, sales, Scheduling, shipping, spread sheet, Supervisor, Surgery, Team player, answering phones, phones, phone, transcription, Triage, phone triage, typing, wound care.  SEP  Senior Revenue Accountant 100 Remote EST Time Zone Consulting A globally recognized SaaS company is looking for a Senior Accountant, who specializes in Revenue Recognition, to join their operations. This is your chance to be a part of a flourishing organization and be a key figure in maintaining revenue processes. Apply today if you match the criteria below! Who You Are Bachelor s in Accounting or Finance CPA highly preferred. 4 years of accounting experience sound knowledge of revenue accounting, revenue billing, and OTC processes. Prior background in SaaS industries and system knowledge in NetSuite and Salesforce REQUIRED! What You ll Do Support monthly revenue related tasks and analysis including monthly revenue close process (e.g., reconcile revenue, revenue accruals, and reserves). Work with external auditors to ensure the company is compliant with ASC 606 principals. Work closely with management and teams to support accurate reporting. What does this position pay? Compensation is determined by several factors which may include skillset, experience level, and geographic location. The expected range for this role is 40 to 75 per hour. Please note this range is an estimate and actual pay may vary based on qualifications and experience. Please send your resume to fmcevoy provenrecruiting.com if you match the criteria listed above! We actively support and promote people of various backgrounds, from race, religion and gender to geographical area, university, lifestyle and personality type. Proven Recruiting is minority-owned, majority women, and is a strong advocate for diversity and inclusion in the broader community. Apply now!

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