1. JENNIFER SOK
7429 Orchardhill Drive | Richmond, Virginia 23234 | 804-287-7269 | Jennifersok89@outlook.com
OBJECTIVE
Over three years of experience and energetic certified professional coder seeking employment with a progressive,
reputable organization that will provide challenges and opportunities for growth and advancement, utilizing my
coding and medical billing experience.
EDUCATION
Mid-Atlantic Coding Richmond, Virginia (10/2015)
• Certified Professional Coding
• Experience in reviewing and assigning accurate medical codes for diagnoses, procedures, and
services performed by physicians and other qualified healthcare providers in the office or facility
setting.
• Proficient across a wide range of services; in addition, a sound knowledge of medical coding
guidelines and regulation including compliance and reimbursement, allowing to better handle
issues such as medical necessity, claims denials, bundling issues, and charge capture.
L.C. Bird High School Chesterfield, Virginia (06/2007)
SKILLS & ABILITIES
Medical Billing
• Knowledge of medical and billing practices.
• Knowledge of computer programs such as Allscripts PM, MedFlow, Cerner and Siemens.
• Knowledge of medical coding and third party operating procedures and practices.
• Knowledge on insurance and reimbursement processes for carriers such as Tricare, Secondary
Commercial Payers, Medicare Advantage Plans, Anthem BCBS and Healthkeepers.
• Familiarity with HIPAA privacy requirements for patient information. Maintains and protects
confidential information.
• More experienced insurance billing specialists work with minimal direction and oversight.
Certified Coding
• Well-versed in code diagnosis (ICD-10) derived from medical record documentation.
• Thorough understanding of appropriate Centers for Medicare & Medicaid Services.
• Familiar with anatomy, physiology and medical terminology.
• Experience in assuring accuracy of medical records in compliance with state and federal
regulations.
• Ability to compile, abstract and assign accepted medical codes and procedures.
• Maintaining continuing education credits by participating in new billing and coding seminars and
webinars.
Soft Skills
• Logical thinker with a keen attention to detail.
• Demonstrated ability to handle multiple concurrent tasks with the ability to analyze and solve
problems using independent judgment by adopting, modifying and prioritizing coding functions.
• Filing and preparing correspondence and formal appeals.
• Providing exceptional customer service to internal and external patients, providers and insurance
payers.
Core Qualifications
• Excellent typing and data entry abilities.
• Excellent communications and basic computer skills. (i.e., intermediate in Microsoft Word, Excel
& Outlook)
• Establishing and maintaining positive working relationships with patients, payers and other
customers; building contact relationships with insurance payers to enable effective and efficient
trouble-shooting of problem claims.
2. EXPERIENCE
CPC, Medical Billing Specialist (07/2014 to Current)
Virginia Eye Institute, Richmond, Virginia
• Researching and resolving outstanding accounts receivable or
entries on daily work queues.
• Accurately processing and billing Anthem Blue Cross Blue
Shield/Healthkeepers and patient claims in accordance with
payer requirements and organization policy. This includes
billing all commercial claims on a daily basis.
• Maintaining and monitoring claims to correct any problem claims
in the work queue and billing clearinghouse on a daily basis to
assure accurate claims billing analysis reports.
• Auditing physician charts to ensure coding accuracy.
• Reviewing variance reports, remittances and payer contracts to
ensure all claims are appropriately compensated in addition to
reviewing daily batch proof listing(s) to reduce error,
correcting any or all discrepancies with a batched preliminary
report.
• Assisting patients, patient registration, clinical staff and insurance
carriers with inquires and claims issues or complaints.
Commercial Billing Specialist (03/2013 to 07/2014)
Universal Health Services, Richmond, Virginia
• Completed all third party electronic and manual billing timely
and accurately in accordance with appropriate rules and
regulations.
• Completed all payer specific edits identified through the billing
system along with resolving issues associated with incomplete
claims, including follow up of non-transmitted claims.
• Attached appropriate documentation when billing manual claims
including ER reports, itemized bills, implant invoices and
other medical records.
• Worked daily reports as assigned and recorded daily productivity
of claims billed assuring proper documentation in the notes of
the patient accounting system.
• Reviewed accounts for possible assignment, making any
recommendations to the billing manager in addition to
preparing information for the collections team.
Professional Teller (03/2011 to 03/2013)
Bank of America, Richmond, Virginia
• Processed financial transactions proficiently and responsibly.
• Responsible for building customer loyalty and establishing
customer relationships by maintaining courtesy and
friendliness.
• Responsible for cross-selling and referring banking products and
services such as checking accounts, savings accounts, credit
cards, online banking and mobile applications.
• Responsible for detecting fraudulent activities and money
laundering.
• Responsible for maintaining current knowledge of federal
banking regulations such as Regulation CC, Service Member
Civil Relief Act, Americans with Disabilities Acts and
Community Reinvestment Act.
