Ramon Lee, CPC
6892 Cal Valley Way• Sacramento, CA 95822 • (916) 690-7275 • leeramon@yahoo.com
Professional Summary:
CPC with over 6 yrs experience within in healthcare industry. Currently audits ICD-9 and CPT coding on inbound Claims to ensure they are correct and to ensure timely reimbursement. Knowledge of medical coding guidelines and coding techniques (ICD-9, CPT-4 and HCPCS). Some knowledge of Anatomy, Physiology and Advanced Medical Terminology. Possess excellent communication and group interaction skills.
Technical Summary
Cerner, Amicus, and Allscripts, CCS, Windows 2003 and XP: Word, Excel, Outlook
Education Summary:
B2B Medical Coding Solutions
American Academy of Professional Coders (AAPC) - (CPC) Certified Professional Coder: Dec 2010
Luther Burbank High School – Graduated: June 1999
Professional Work Experiences
Clerk CHW Medical Foundation 10-2009 – 12-2011
• Audits ICD-9 and CPT coding on inbound Claims to ensure they are correct and to ensure timely reimbursement. If error exists, responsible for researching and sending Claim to the Coding Department for edits.
• Review and organize claims that are received electronically
• Process referrals and authorization form into database (IDX- Reflection for Regis Graphic Session)
• Post Rejections for Appeal Acknowledgements and Appeal Approved received via correspondence
• Pull and print medical records for Workers Compensation Claims from database (Cerner, Amicus, and Allscripts)
Claims Clerk I Superior Staffing (HP-Hewlett-Packard Co)EDS. Aug. 2008 – Mar. 2009 (temporary)
• Entered confidential data into database system(Medical & Medicare)
• Enter CPT codes and ICD-9 codes into database system accurately
Intake Representative Health Net, Inc Nov 2004 – Jun. 2007 (Laid off)
• Entered CPT codes and ICD-9 codes into database system accurately
• Researched diagnosis and procedure for correct ICD-9 and CPT
• Processed HMO and PPO insurance, referrals and authorization forms into Care Coordination system (CCS)
Office Clerk Kyle Reporting, Inc., Sacramento, CA Jan. 2004 – Apr. 2004 (temporary)
• Responsible for filing confidential documents, photocopied and scanned documents
• Answered incoming calls
• Coordinated with other departments to assist with projects
• Reliable for general office administrative responsibilities
6892 Cal Valley Way• Sacramento, CA 95822 • (916) 690-7275 • leeramon@yahoo.com
Professional Summary:
CPC with over 6 yrs experience within in healthcare industry. Currently audits ICD-9 and CPT coding on inbound Claims to ensure they are correct and to ensure timely reimbursement. Knowledge of medical coding guidelines and coding techniques (ICD-9, CPT-4 and HCPCS). Some knowledge of Anatomy, Physiology and Advanced Medical Terminology. Possess excellent communication and group interaction skills.
Technical Summary
Cerner, Amicus, and Allscripts, CCS, Windows 2003 and XP: Word, Excel, Outlook
Education Summary:
B2B Medical Coding Solutions
American Academy of Professional Coders (AAPC) - (CPC) Certified Professional Coder: Dec 2010
Luther Burbank High School – Graduated: June 1999
Professional Work Experiences
Clerk CHW Medical Foundation 10-2009 – 12-2011
• Audits ICD-9 and CPT coding on inbound Claims to ensure they are correct and to ensure timely reimbursement. If error exists, responsible for researching and sending Claim to the Coding Department for edits.
• Review and organize claims that are received electronically
• Process referrals and authorization form into database (IDX- Reflection for Regis Graphic Session)
• Post Rejections for Appeal Acknowledgements and Appeal Approved received via correspondence
• Pull and print medical records for Workers Compensation Claims from database (Cerner, Amicus, and Allscripts)
Claims Clerk I Superior Staffing (HP-Hewlett-Packard Co)EDS. Aug. 2008 – Mar. 2009 (temporary)
• Entered confidential data into database system(Medical & Medicare)
• Enter CPT codes and ICD-9 codes into database system accurately
Intake Representative Health Net, Inc Nov 2004 – Jun. 2007 (Laid off)
• Entered CPT codes and ICD-9 codes into database system accurately
• Researched diagnosis and procedure for correct ICD-9 and CPT
• Processed HMO and PPO insurance, referrals and authorization forms into Care Coordination system (CCS)
Office Clerk Kyle Reporting, Inc., Sacramento, CA Jan. 2004 – Apr. 2004 (temporary)
• Responsible for filing confidential documents, photocopied and scanned documents
• Answered incoming calls
• Coordinated with other departments to assist with projects
• Reliable for general office administrative responsibilities