LargoFLSunshine
Networker
Marcie Sumner
Certified Professional Coder
sumner46@att.net
I am seeking a full or part time position with a reputable company who will utilize my coding expertise and give
me the opportunity to expand my coding knowledge.
WORK EXPERIENCE
Certified Professional Coder (Currently Remote)
Contemporary Women's Health - Knoxville, TN - February 2009 to Present
Claim and Medical Record Auditing and Interpretation
Application of Correct CPT, ICD-9-CM, and HCPCS Codes
Claims Appeals and Reconsiderations.
Patient Billing and Collections
EMR, Electronic Claims Submission, Gateway EDI, and Greenway
Medicare and HIPAA Compliance Officer
Accounting and Payroll
Visiting Angels Assisted Living Services - Saint Petersburg, FL - July 2013 to November 2014
Maintaining Payroll for Independently Contracted Health Care Professionals via Quickbooks
Weekly Invoicing of private and Long Term Care Insurance Clients
Monthly Billing to the Area Agency on Aging for Home Health Services
Coding and Portal Billing for Medicaid HMO clients
Certified Professional Coder
Matrix Medical Network - Largo, FL - September 2012 to April 2013
Interpretation of Physician Records for Assignment of Applicable Hierarchical Condition Categories via ICD-9-
CM Codes for Submission to Medicare Managed Care Organizations.
99% Overall Coding Accuracy
Insurance and Billing Specialist
Generations OBGYN - Knoxville, TN - September 2006 to February 2009
Claim Follow Up, Appeals and Reconsiderations
Patient Billing and Collections
Maintaining Physician Contracts and Fee Schedules
Office Administrator
Knoxville Accident and Injury Treatment Center - Knoxville, TN - July 1998 to September 2006
All Aspects of Human Resources Including Interviews, Terminations, and Payroll
CTA (Certified Therapy Assistant- State of TN)
Maintaining Provider Relations With Local Insurance Agencies As Well As Legal Firms
Personal Injury and Workman's Compensation
All Aspect of AR
Business Closed in 2005
SKILLS
Microsoft Office, Quickbooks, Medical Manager, Greenway, Chiro 7000
CERTIFICATIONS
Certified Professional Coder with Proven Proficiency in ICD-10-CM
December 2009 to Present
I am certified through the American Academy of Professional Coders and Have Passed My Proficiency Exam
for ICD-10-CM as of 2014.
Certified Therapy Assistant
2001 to 2006
ADDITIONAL INFORMATION
References Available Upon Request.
Certified Professional Coder
sumner46@att.net
I am seeking a full or part time position with a reputable company who will utilize my coding expertise and give
me the opportunity to expand my coding knowledge.
WORK EXPERIENCE
Certified Professional Coder (Currently Remote)
Contemporary Women's Health - Knoxville, TN - February 2009 to Present
Claim and Medical Record Auditing and Interpretation
Application of Correct CPT, ICD-9-CM, and HCPCS Codes
Claims Appeals and Reconsiderations.
Patient Billing and Collections
EMR, Electronic Claims Submission, Gateway EDI, and Greenway
Medicare and HIPAA Compliance Officer
Accounting and Payroll
Visiting Angels Assisted Living Services - Saint Petersburg, FL - July 2013 to November 2014
Maintaining Payroll for Independently Contracted Health Care Professionals via Quickbooks
Weekly Invoicing of private and Long Term Care Insurance Clients
Monthly Billing to the Area Agency on Aging for Home Health Services
Coding and Portal Billing for Medicaid HMO clients
Certified Professional Coder
Matrix Medical Network - Largo, FL - September 2012 to April 2013
Interpretation of Physician Records for Assignment of Applicable Hierarchical Condition Categories via ICD-9-
CM Codes for Submission to Medicare Managed Care Organizations.
99% Overall Coding Accuracy
Insurance and Billing Specialist
Generations OBGYN - Knoxville, TN - September 2006 to February 2009
Claim Follow Up, Appeals and Reconsiderations
Patient Billing and Collections
Maintaining Physician Contracts and Fee Schedules
Office Administrator
Knoxville Accident and Injury Treatment Center - Knoxville, TN - July 1998 to September 2006
All Aspects of Human Resources Including Interviews, Terminations, and Payroll
CTA (Certified Therapy Assistant- State of TN)
Maintaining Provider Relations With Local Insurance Agencies As Well As Legal Firms
Personal Injury and Workman's Compensation
All Aspect of AR
Business Closed in 2005
SKILLS
Microsoft Office, Quickbooks, Medical Manager, Greenway, Chiro 7000
CERTIFICATIONS
Certified Professional Coder with Proven Proficiency in ICD-10-CM
December 2009 to Present
I am certified through the American Academy of Professional Coders and Have Passed My Proficiency Exam
for ICD-10-CM as of 2014.
Certified Therapy Assistant
2001 to 2006
ADDITIONAL INFORMATION
References Available Upon Request.