Sharon Casanova Resume for Medical Coder

1. Sharon Casanova
5195 Fort Laramie, San Antonio,Texas 78239 // 210-609-9967// sharon_casanova2006@yahoo.com // shawie2006@gmail.com
NHA CERTIFIED MEDICAL BILLER AND CODER
OBJECTIVE:
Experienced certified medical billing and coding specialistpassionateabout tacklingtough claims utilizing
research,organization,and problem solvingskills. Motivated to utilizeprofessional skillsacquired
from education and experience to make a positivecontribution to the healthcareindustry.
SKILLS AND KNOWLEDGE:
 Data Entry/Medical Software- Experienced in using Athena,Primesuite, Greenway,
Kareo, Medisoft, Availity, Phreesia, Payeezy.
 NHA Certified Medical Billing& CodingSpecialist
 HIPAA, ICD-9, ICD-10, CPT and HCSPCS codes.
 Coding corrections
 Creating/Submitting claims
 Creating MRAN.
 Medical Insurance –proficient in filing and preparing Managed Careand PrivateInsurance
Claimforms,Medicaid,Medicare, and experienced in collecting agingreports and denied
claims.
 Knowledgeable in medical terminology, hospital,clinicprocedure,and HIPAA laws.
 ICD-10, LCD/NCD Guidelines
 Medical Terminology
EDUCATION:
Southern Careers Institute San Antonio, TX
Medical Billingand CodingSpecialist 10/2014
 President’s List – Graduatingwith a 97.3 GPA
 NHA Certification in Billing and Coding specialist 1/9/2015
EXPERIENCE:
Orthopaedic and Spine Institute of San Antonio San Antonio, TX
Certified Medical Coder August 2016 – Present
 In charge of reviewing and abstractingpatientmedical records,medical notes, charge
entry charts,extracts CPT, HCPCS, and ICD-10 data on a daily basis and enter them on Athena
medical codingand billingsoftwarefor claims submittal.
 Submits claims to the payers on a daily basis
 Correcting rejected claims
 Correcting denied claims and resubmitthem to the payers
ENT Clinics of San Antonio P.A. San Antonio, TX
Certified Medical Biller and Coder 07/08/2015 – 8/19/2016
 In charged of reviewing and abstractingpatientmedical records,medical notes, charge
entry charts,extracts CPT, HCPCS, and ICD-10 data on a daily basis and enter them on
Primesuitemedical codingand billingsoftwarefor claims submittal.
 In charged of verifyingcoverage and eligibility,collectingpayment from payers mainly
from Medicare and Medicare Advantage Plans,in chargeof correspondingwith providers

2. in regards to coding corrections when itcomes to adheringthe LCD/NCD guidelines,
appealingdenied claims,sendingoutcorrected claims,correspondingwith patients for
coordination of benefits, takingpatient payments and postingin to the EHR, creating
MRANs.
Kareo Medical Billing Group San Antonio, TX
Certified Medical Biller and Coder 9/2014-6/2015
 In charged of reviewing and abstractingpatientmedical records,medical notes, charge entry
charts,extracts CPT, HCPCS, and ICD-9 data on a daily basisand enter them on Kareo medical
codingand billingsoftwarefor claims submittal.
 Collected $30,000 payment over a year old from the insurancecompany through research and
usingthe existing documentation
 Skilled atworking challengingclaims usingproblemsolvingskillsto collectfrom insurance
companies
 Verify eligibility,collectold claims, coding,payment posting,filingappeal for denied claims,fix
rejected claims
80/20 Medical Billing Group San Antonio, TX
Student Intern Medical Biller/Collector
 In charged of verifyingcoverage and eligibility,correctand collectaged denied claims,
coding,payment posting.
West Corporation San Antonio, TX
Customer Service Representative 10/2012 – 02/2014
 Resolved customers' serviceor billingcomplaints by refundingmoney and adjustingbills.
 Assisted customers by telephone in order to provide information aboutproducts and
services,to take orders or cancel accounts,or to obtain details of complaints.
 Referred unresolved customer grievances to designated departments for further
investigation.
 Kept detailed records of customer interactions and transactions,details of inquiries,
complaints,and comments, as well as actions taken.