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  R371317 Comcast Business offers technology solutions ranging from Ethernet, internet, and WiFi connectivity to voice, television, and managed Enterprise solutions to power businesses of all sizes to perform better. From small businesses to mid-market and large Enterprise organizations, Comcast Business serves business customers across the country. Powered by an advanced, Gig-speed network and backed by 247 technical support, Comcast Business is one of the largest contributors to the growth of Comcast Cable. The organization is the nations largest cable provider to small and mid-size businesses and has emerged as a force in the Enterprise market, recognized by leading industry associations as one of the fastest growing provider of Ethernet services. Job Summary The Comcast Business Controllership team fosters an innovative, collaborative, and diverse group of individuals to embrace the speed of evolution within Comcast Business while driving a controlled, accountable and results driven organization. We believe in investing and advocating for one another through professional development and career growth skills to create an equitable and inclusive environment. Through these talents, we forge strong relationships to instill a sense of belonging, purpose, and motivation toward working on common goals. We look to stretch ourselves in everything that we do while maintaining balance and focus. The Accountant for Government Programs shall be responsible for ensuring compliance with all Comcast Business Government Program contracts. Primary focus will be on maximizing government funding available to Comcast and its applicable business affiliates under the Schools and Libraries Division of the Universal Service Administrative Company (USAC), the Rural Health Care (RHC) and the California Teleconnect Fund (CTF) Programs. Maintains end to end funding process for universal service programs, ensure that claims are accurate and submitted to appropriate agencies in a timely manner. Serves as a liaison between government program stakeholders including consultants, customers, and other Comcast Business departments (Compliance, Regulatory, Sales, Order Management, Billing, Accounting etc.). Aligns work with Senior Manager and Manager of Government Programs in accordance to program deadlines. Job Description Core Responsibilities Administer all aspects of Government Program funding and invoicing processesAssemble and submit program reporting and necessary certificationsformsCommunicate with government program applicants and government entities on inquiries in a timely and professional mannerAdvise government program applicants of funding status and pending disbursementsContinuously monitor government program changes and compliance requirementsAssists in the preparation of monthly, quarterly and ad-hoc reporting to support Comcast regulatory affairs, government affairs and compliance requestsPrepares financial reports analyzing data for management reviewInterprets accounting data, analyzes reports and recommends action to be takenEnsures the balance sheet accounts are accurately stated based on compiled reconciliation procedures and agreement with source documentsMaintain government program receivables ledger and prepares variance explanationsEnters monthly journal entries to properly record accounting transactions, ensuring that journal entries have proper back up to substantiate the entryResearch ways of streamlining and standardizing processesEnsure that all documents are retained in accordance with government program document retention guidelinesPrepares financial reports analyzing data for management review.Calculates payments to regulatory authorities based on a review of contracts and regulations.Reviews financial statements for operating trends and results.Consistent exercise of independent judgment and discretion in matters of significance.Regular, consistent and punctual attendance. Must be able to work nights and weekends, variable schedule(s) and overtime as necessary.Other duties and responsibilities as assigned. Employees at all levels are expected to Understand our Operating Principles make them the guidelines for how you do your job.Own the customer experience - think and act in ways that put our customers first, give them seamless digital options at every touchpoint, and make them promoters of our products and services.Know your stuff - be enthusiastic learners, users and advocates of our game-changing technology, products and services, especially our digital tools and experiences.Win as a team - make big things happen by working together and being open to new ideas.Be an active part of the Net Promoter System - a way of working that brings more employee and customer feedback into the company - by joining huddles, making call backs and helping us elevate opportunities to do better for our customers.Drive results and growth.Respect and promote inclusion diversity.Do what s right for each other, our customers, investors and our communities. Disclaimer This information has been designed to indicate the general nature and level of work performed by employees in this role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications. Comcast is an EOEVeteransDisabledLGBT employer. Comcast is proud to be an equal opportunity workplace. We will consider all qualified applicants for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other basis protected by applicable law. Education Bachelor s Degree While possessing the stated degree is preferred, Comcast also may consider applicants who hold some combination of coursework and experience, or who have extensive related professional experience. Relevant Work Experience 2-5 Years Base pay is one part of the Total Rewards that Comcast provides to compensate and recognize employees for their work. Most sales positions are eligible for a Commission under the terms of an applicable plan, while most non-sales positions are eligible for a Bonus. Additionally, Comcast provides best-in-class Benefits. We believe that benefits should connect you to the support you need when it matters most, and should help you care for those who matter most. Thats why we provide an array of options, expert guidance and always-on tools, that are personalized to meet the needs of your reality to help support you physically, financially and emotionally through the big milestones and in your everyday life. Please visit the compensation and benefits summary on our careers site for more details.

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