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HCC Coder
Summary
Medical Coder with more than 3 years of experience in the medical and insurance field. Very knowledgeable in various insurance company guidelines. Outstanding productivity both as a biller and as a medical coder. Possess a strong understanding with coding using CPT, ICD-9, and HCPC Codes. APC reimbursement for Medi-Cal, MediCare, and commercial insurance. Consistently motivating others toward success, a dynamic leader and team builder.
Professional Experience
Medical Data Exchange Long Beach, CA
HCC Coder/Auditor 08/2010 – Present
• ICD-9 and CPT coding while utilizing Medical Dictionaries, Medical Abbreviations, and Coding Clinic books all while following Coding Guidelines.
• Code Inpatient/ER charts
• Outpatient Coding
• DME coding
• Coding for minor surgeries and psychiatric
• HCPC coding, HCC coding and auditing
• APC reimbursement for Medi-Cal, MediCare, and commercial insurance
• Knowledgeable in Medical Terminology, Anatomy, Physiology and Minor Surgery Procedures
• Able to Audit Charts for In proper Coding, Code Injections
• Proficient in E & M Coding using (1995 & 1997) Guidelines
• Medicare Risk Adjustment
• Same Day Surgery Coding
Apollo Health Street Los Angeles, CA
Commercial Insurance Biller/Collector 11/2009– 07/2010
• CPT Codes, ICD-9 Codes for Inpatient, Outpatient, Radiology, Oncology, Hematology, and injections
• HCPC Codes
• Rev Codes
• APC reimbursement for Medi-Cal, MediCare, and commercial insurance, Coding
• Billing to commercial insurance, MediCare, Medi-Cal, and managed care services
• Other billing duties that included: Payment Posting, Collection, Aging Reports, Passport System, Case Management, Contract Interpretation
• Epic Experience
Elizabeth Center for Cancer Detection Los Angeles, CA
Patients Accounts Billing Manager 01/2009 – 08/2009
• Billing to Medical (EWC Program), Medicare, Commercial Insurance
• CPT Codes, ICD-9 Codes hematology, outpatient, and oncology, Oncology Coding
• Other responsibilities included: handling new contracts with health insurance companies, Physician Credentialing, Setting up a new Billing Software System, Obtaining new Clearinghouse for Billing, Memos, Case Management, Statistics Reports, A/R Reports, and working with Emdeon (EDI) billing company
UCLA Medical Center Los Angeles, CA
Pre-Biller/Collections Rep (Patient Business Service) 10/2008 – 11/2008
• ICD-9 Codes, CPT Codes for inpatient
• Billing to Medi-Cal, CCS and GHPP
• Other responsibilities included: Submitting to obtain Retro E-Tars thru EDS for Outpatient Services, working with Emdeon (EDI) billing company, and working with ACMS (CCS)
Education
American Career College Los Angeles, CA
Medical Billing/Health Claims Examiner Program 2004
Medical Billing/Health Claims Examiner, NCICS Coding Certification
Abraham Friedman Occupational Center Los Angeles, CA
G.E.D 2005
The Coding Source Los Angeles, CA
CPC certification 2010
Summary
Medical Coder with more than 3 years of experience in the medical and insurance field. Very knowledgeable in various insurance company guidelines. Outstanding productivity both as a biller and as a medical coder. Possess a strong understanding with coding using CPT, ICD-9, and HCPC Codes. APC reimbursement for Medi-Cal, MediCare, and commercial insurance. Consistently motivating others toward success, a dynamic leader and team builder.
Professional Experience
Medical Data Exchange Long Beach, CA
HCC Coder/Auditor 08/2010 – Present
• ICD-9 and CPT coding while utilizing Medical Dictionaries, Medical Abbreviations, and Coding Clinic books all while following Coding Guidelines.
• Code Inpatient/ER charts
• Outpatient Coding
• DME coding
• Coding for minor surgeries and psychiatric
• HCPC coding, HCC coding and auditing
• APC reimbursement for Medi-Cal, MediCare, and commercial insurance
• Knowledgeable in Medical Terminology, Anatomy, Physiology and Minor Surgery Procedures
• Able to Audit Charts for In proper Coding, Code Injections
• Proficient in E & M Coding using (1995 & 1997) Guidelines
• Medicare Risk Adjustment
• Same Day Surgery Coding
Apollo Health Street Los Angeles, CA
Commercial Insurance Biller/Collector 11/2009– 07/2010
• CPT Codes, ICD-9 Codes for Inpatient, Outpatient, Radiology, Oncology, Hematology, and injections
• HCPC Codes
• Rev Codes
• APC reimbursement for Medi-Cal, MediCare, and commercial insurance, Coding
• Billing to commercial insurance, MediCare, Medi-Cal, and managed care services
• Other billing duties that included: Payment Posting, Collection, Aging Reports, Passport System, Case Management, Contract Interpretation
• Epic Experience
Elizabeth Center for Cancer Detection Los Angeles, CA
Patients Accounts Billing Manager 01/2009 – 08/2009
• Billing to Medical (EWC Program), Medicare, Commercial Insurance
• CPT Codes, ICD-9 Codes hematology, outpatient, and oncology, Oncology Coding
• Other responsibilities included: handling new contracts with health insurance companies, Physician Credentialing, Setting up a new Billing Software System, Obtaining new Clearinghouse for Billing, Memos, Case Management, Statistics Reports, A/R Reports, and working with Emdeon (EDI) billing company
UCLA Medical Center Los Angeles, CA
Pre-Biller/Collections Rep (Patient Business Service) 10/2008 – 11/2008
• ICD-9 Codes, CPT Codes for inpatient
• Billing to Medi-Cal, CCS and GHPP
• Other responsibilities included: Submitting to obtain Retro E-Tars thru EDS for Outpatient Services, working with Emdeon (EDI) billing company, and working with ACMS (CCS)
Education
American Career College Los Angeles, CA
Medical Billing/Health Claims Examiner Program 2004
Medical Billing/Health Claims Examiner, NCICS Coding Certification
Abraham Friedman Occupational Center Los Angeles, CA
G.E.D 2005
The Coding Source Los Angeles, CA
CPC certification 2010