Highly Motivated Medical coder/ Auditor Medical coding with 4 years of experience & high defined professional skills. Constantly looking for the opportunity to learn and grow with my organization. I am flexible to the any work environment & possess strong interpersonal skills with my colleague's.
Highly Motivated Medical coder/ Auditor Medical coding with 4 years of experience & high defined professional skills. Constantly looking for the opportunity to learn and grow with my organization. I am flexible to the any work environment & possess strong interpersonal skills with my colleague's.
Our dedicated correctional team can find ways to reduce costs, while consistently working with the facility's nursing needs, which is increasingly important as budget constraints remain a key concern across the correctional landscape.
Our dedicated correctional team can find ways to reduce costs, while consistently working with the facility's nursing needs, which is increasingly important as budget constraints remain a key concern across the correctional landscape.
A result oriented Medical Coding Quality controller with 5+ years of exposure in Multinational Companies (MNC). Expertise in handling a diverse range of Basic and Detailed process in Medical Coding .
Certified Professional Coder (CPC) from AAPC. Work fields Outpatient, Emergency Department, E/M, Facility Coding, Insurance policies, Deniels, Rejections & Resubmissions.
Excellent communication, interpersonal, problem solving skills with the ability to work in multicultural environment.
Responsible for auditing all episodes of care according to established coding guidelines and DHA adjudication to ensure accuracy of coded data ,medical information and appropriate reimbursement for service rendered.
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MARIE KRISTINE ANTOLIN-LEE
Address: Hamdan Street, Abu Dhabi, UAE
Mobile: +971 506225920
E-mail: krian14@yahoo.com
PROFILE SUMMARY &
STRENGTH
Has more than 9 years professional experience in Handling Claims as Senior Insurance Coordinator
(Medical Billing, Submissions , Resubmissions)
ICD-9/10 CM Training Certificate
Has strong skills and Patient oriented and have good teamwork
Has able to handle Multi-tasking job
Creative thinker and has good stewardship
Knowledgeable in Microsoft and Internet Applications
QUALIFICATIONS
Bachelor of Science in Nursing
St. Jude College, Manila, Philippines
October 2007
ACHIEVEMENTS
Performed Job Responsibilities to the entire satisfaction of the Company and Patient
Outgrow business of the company by giving good services to the patient and having good teamwork.
EMPLOYMENT SUMMARY
Revenue Cycle Department Manager Dr. Firas Dental & Orthodontic Center (Abu Dhabi, UAE)
August 2010 – Up to Present
Secretary Pro Serve Manworks, Inc. Philippines
June 2007 – May 2010
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EMPLOYMENT DETAILS
Dr. Firas Dental & Orthodontic Center Abu Dhabi
Manager, Revenue Cycle Department (R.C.M)
August2010- Present
Head of Committee for the Reconciliation.
Negotiation for Highest Price List for both of Medical and Dental.
In charge for all of the Submissions, resubmissions and rejections to reduce the percentage of rejections up
to the lowest.
In charge for both coding and Medical records Departments and their relation with Insurance Department.
Auditing Claims to check the correctness of ICD9 , CPT and E&M.
Being updated for all of the updates from both of HAAD and Insurance Companies and update the System
through IT Department.
Handling the Medical records.
Statistics for benefits, with full reports per Department.
Follow-up all Requests & Approvals with the Insurance Companies
Supervision role in the department, as well as leading the dept.’s staff
Follow-up all memos and polices received from Insurance companies
Train the Medical and Nonmedical staff about the Health & Medical Insurance, and how to handle any
medical insurance coverage request before sending them to the Insurance dept. of the hospital
Train the new employees in the dept., as well as the receptionists, about how to handle with all kinds of
Insurance cards
Follow-up the rejected requests, review them, try to know the reason of rejection as well as trying to solve
the case, as far as possible
Enrich the teamwork, and link the Medical Insurance dept. with the rest of Center’s departments
Arrange periodical meetings that would strengthen the teamwork, and would consolidate the employees
loyalty to the hospital
Work in-line with the Accounts department, hand in hand, in order to prevent having any Insurance
Accounting Mistakes
Keep communicating with Insurance companies, to keep updated with their new regulations
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Train the Medical Insurance dept. team about our Center’s Insurance system, to avoid any errors
Taking Charge for the resubmission Bills after solve the rejection reasons for rejection Bills.
PROSERVE MANWORKS, INC.
SECRETARY cum RECEPTIONIST
June 2007 – May 2010
Handles day to day clerical activities such as typing, filing of documents like curriculum vitae, applicant’s
requirements, unclaimed pay slips, vouchers and official receipts, records, memorandum, prepa ring
correspondence.
Responsible for the encoding of data records and maintenance of files.
Ensures good housekeeping and maintenance standard is observed within the work station before, during
and after work.
Assists in preparing and scheduling meetings / appointments of the committees and executive boards.
Organize and maintain paper and electronic files.
Attends and entertains telephone calls and transfer the calls to the requested person.
Meet and greet guests and direct them to appropriate personnel.
TRAINING AND CERTIFCATES
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Medical Coding Training ICD-9/10 CM CERTICATE
July 15, 2016 Zeens Business Center (40 HRS.)
TransformED Training Institute
Thiqa Top Up Providers Training
February 26, 2013 Rocco Forte Hotel
National Health Insurance Company – Daman
“ NEW CODES FOR 2011”
Clinical Coding Workshop: HAAD 22 MARCH 2012, hours: 5.0
Michelea Peech, CCS, CCS-P
Chair, Clinical Coding Steering Committee
Health Authority of Abu Dhabi, UAE
“ DENTAL DIAGNOSIS & CODING
Clinical Coding Workshop: HAAD 26 January 2012, hours: 5.0
Michelea Peech, CCS, CCS-P
Chair, Clinical Coding Steering Committee
Health Authority of Abu Dhabi, UAE
“ COMPREHENSIVE GUIDE TO ECLAIMEXPRESS
Dimensions Healthcare Dr. Ahmed Seif
PERSONAL DETAILS
Nationality : Filipino
Date of Birth : 14th
March 1983
Sex : Female
Visa Status : Employment Visa
Languages : English & Tagalog
Marketing Manager 9th
Floor, Millennium Tower
Hamdan St. P.O. Box 114521 Abu Dhabi, UAE
REFERENCES
Available upon request