Certified Professional Coder (CPC) with 2 years of experience in multi-specialty medical billing and coding
Proficient in ICD-10-CM/PCS, CPT, and HCPCS Level II coding systems with 98% accuracy rate
Experienced in Epic and Cerner EHR systems, processing 200+ claims daily with 96% first-pass acceptance rate
Strong knowledge of Medicare, Medicaid, and commercial insurance requirements and regulations
Committed to maintaining HIPAA compliance and staying current with coding updates through continuing education
Work Experience
Desert Valley Medical Group, Phoenix, AZ
Medical Billing and Coding Specialist
June 2022 - Present
Process 200+ insurance claims daily across family medicine, cardiology, and orthopedic specialties with 96% first-pass acceptance rate
Reduced claim denials by 28% through accurate ICD-10 and CPT coding and thorough documentation review
Maintained HIPAA compliance while managing 800+ patient accounts monthly in Epic EHR system
Collaborated with physicians to ensure proper documentation for complex procedures, increasing reimbursement by 15%
Investigated and resolved 150+ denied claims monthly, reducing average days in A/R from 42 to 31 days
Trained 3 new billing staff members on coding procedures and insurance verification processes
Sunrise Family Practice, Tempe, AZ
Medical Billing Intern
January 2022 - May 2022
Completed 160-hour externship processing claims for family medicine practice using NextGen Healthcare
Achieved 94% coding accuracy rate while learning to navigate complex E/M coding scenarios
Assisted with insurance verification and prior authorization requests for 50+ patients weekly
Supported month-end closing procedures and accounts receivable follow-up activities
Phoenix Urgent Care Center, Phoenix, AZ
Medical Receptionist
March 2020 - December 2021
Managed patient registration and insurance verification for 100+ patients daily
Maintained 99.5% accuracy in demographic data entry and insurance information collection
Handled patient billing inquiries and payment processing with exceptional customer service
Assisted billing department with claim follow-up and patient account reconciliation
Education and Certifications
American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC)
May 2022
Obtained: May 2022 | Active through: May 2025 Continuing Education: 40 CEUs completed
Phoenix College, Phoenix, AZ
Medical Billing and Coding Certificate
August 2021 - April 2022
Relevant Coursework: Medical Terminology, Anatomy & Physiology, ICD-10-CM/PCS Coding, CPT Coding, Healthcare Reimbursement, HIPAA Compliance, Electronic Health Records
Glendale Community College, Glendale, AZ
Associate of Applied Science in Health Information Technology
May 2020
Relevant Skills: Healthcare data management, medical record systems, analytical thinking
Technical Skills
Electronic Health Record Systems
Epic, Cerner, NextGen Healthcare, Athenahealth
Practice management software: Kareo, AdvancedMD
Microsoft Excel (VLOOKUP, pivot tables for reporting)
Coding Systems and Regulatory Knowledge
ICD-10-CM/PCS (inpatient and outpatient coding)
CPT coding including E/M levels and surgical procedures
HCPCS Level II for DME and injections
Modifier usage and medical necessity determination
Medicare and Medicaid guidelines
Professional Competencies
Analytical problem-solving: Investigated and resolved 150+ denied claims monthly
HIPAA-compliant communication with patients regarding billing inquiries
Cross-functional collaboration with clinical staff to improve documentation accuracy
Revenue cycle management and accounts receivable optimization
Awards and Professional Development
Dean's List Recognition
Medical Billing and Coding Program, Phoenix College
Fall 2021, Spring 2022
Maintained 3.9 GPA while mastering complex coding systems
Achieved 99% accuracy rate in practice coding assessments
Certified Professional Coder (CPC) Certification Achievement
American Academy of Professional Coders
May 2022
Passed comprehensive exam on first attempt (May 2022)
Scored in 85th percentile nationally
Completed 150-question exam in under 4 hours (5.5 hours allotted)
Professional Development
Various Organizations
2023
Completed 40 CEUs in 2023 including "2024 CPT Updates" and "Medicare Advantage Risk Adjustment"
Active member of Arizona AAPC chapter, attending monthly meetings
Subscribed to AHA Coding Clinic for ongoing ICD-10 guidance
Professional References
Maria Rodriguez, CPC, CPMA
Medical Coding Instructor - Phoenix College
Phone: (602) 555-0123 | Email: [email protected] Relationship: Instructor for Medical Coding Certification Program (Aug 2021 - Apr 2022) Can speak to: Coding accuracy, ability to learn complex systems, professional ethics
David Thompson
Practice Manager - Desert Valley Medical Group
Phone: (602) 555-0456 | Email: [email protected] Relationship: Direct supervisor (June 2022 - Present) Can speak to: Claim processing efficiency, team collaboration, revenue cycle impact
Jennifer Kim, RN
Office Manager - Sunrise Family Practice
Phone: (480) 555-0789 | Email: [email protected] Relationship: Supervised 160-hour externship (Jan - May 2022) Can speak to: Real-world coding experience, EHR proficiency, deadline management
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