1. STACEY D. GORDON, CPC
908 Cedartree Lane Apt 12, Claymont,DE 19703 484-574-4831 Email:greeneyes12242003@yahoo.com
SUMMARY:
 Dependable and enthusiastic HIM professional with almost 3 years’ experience in the Health
Information Management profession.
 Same-Day-Surgery facility coder for orthopedic trauma, sports and oncology.
 Extensive experience with Medicare billing.
 Self-motivated, organized, works well independently.
EDUCATION AND CERTIFICA TIONS:
 Associate’s Degree– Community College of Philadelphia, 2002
 CPC (Certified Professional Coder)
 ICD-10 Proficient, American Academy of Professional Coders
EXPERIENCE:
5/13 - Present
University of Pennsylvania – Philadelphia, PA
HIM Coding Specialist
789 bed, Level I Trauma and Academic Facility
 Code same day surgeries in the Orthopedic Surgery Department for Trauma, Sports, and Oncology in
the Epic System.
 Verify all surgeries are billed in Epic
 Verify Insurance information, and obtain Referrals and Authorizations
 Review and correct warnings and errors, authorization and referral denials, procedure and diagnosis
denials, transfers, and Refund patients.
 Manually Write Off denied charges.
 Extensive Accounts Receivable Management of outstanding insurance claims involving detailed coding
review and follow-up of CPT 4 and ICD9-CM codes assigned to surgical procedures.
 Review of operative reports and assign ICD9/CPT codes for accurate coding reimbursement utilizing
“Med Assets” for compliance/bundling issues
 Electronic Medical Record via EPIC to determine and assign appropriate CPT 4/ICD-9/HCPC’s codes.
Abstract and charge information into Epic. Resolve all billing edits.
6/10 – 5/13
SpecialtyCare – Springfield, PA
Accounts Receivable Representative
 Code surgical codes and ICD-9 codes, and Daily Balancing of each Charge Entry Batch
 Reconcile Aging Reports for Blue Cross Blue Shield, Workman Compensation Claims, and Auto Claims
 Prepare claim appeals, adjustments, and reconciliations
 Verify CPT & ICD-9 Codes and Insurance payments, and prepare Refund Requests
 Help Management with questions regarding Procedure Codes and help with Special Projects
 Correct Claim errors and resubmit to Insurance Company
 Verify patients’ demographics and secondary insurance
 Contact Insurance companies to resolve discrepancies
 Negotiate Payment Proposals with Insurance Company
 Assist co-worker with helping to resolve Insurance issues
 Attain payments for procedure codes formerly being denied

2. STACEY D. GORDON, CPC
11/09 – 2/12
Bath&Body Works – Springfield, PA
Sales Associate (Part-Time)
8/09 – 6/10
Genesis Healthcare – Kennett Square, PA
Medicare Billing Specialist
 Code & Review Medicare Claims in the FISS System and billed appropriate party
 Contacted Medicare Provider Services to resolve discrepancies
 Reconciled the Aging Report
 Prepared claim appeal spreadsheet made adjustments and reconciliations
 Contacted Hospice and Skilled Nursing facilities to reconcile billing overlaps
 Corrected CPT & ICD-9 and Claim Errors, and validated for Medicare billing
 Verified patients demographics and secondary insurance
 Reviewed patients ADR file
11/07 – 7/09
HCR Manorcare Fitzgerald Mercy – Yeadon, PA
Medicare Billing Manager
 Code and Billed Medicare and performed collections duties
 Reviewed Census Report to bill inpatient, outpatient, and discharged patients
 Billed claims in the PCC system (HCR Manor Care Specific)
 Reviewed Medicare Claims in the FISS System and billed as necessary
 Verified Commercial claims and verified insurance payments
 Reviewed Bad Debt and Cash Logs and escalated to management
 Reviewed Aging Report to determine collection priorities
 Contacted Medicare Provider Services to resolve discrepancies, and Corrected CPT & ICD-9 Errors
 Posted Medicare, Private, and Commercial Insurance payments into PCC system
 Reconciled the Aging Report
 Submitted monthly spreadsheet to report cash payments and adjustments
 Managed six people
9/04 – 11/07
Dr. Gary V. Gordon, MD FACP – Wynnewood, PA
Bookkeeper
 Posted private and insurance payments
 Made referral verifications, Insurance verifications, and co-pays
 Processed bills daily, and Corrected CPT & ICD-9 Errors
 Third party billing and MRI authorizations
 Remicade, Orencia, and Rituxin Reports
 Approved and tallied monies each day
 C&S System and Navinet System knowledge
OTHER PROFESSIONAL EXPERIENCE:
Working knowledge of the following technologies:
 EPIC, Gift Rap, Rehab Optima, PCC System, Navinet, FISS, C&S, SoftDent, NextGen, HealthTec
 Microsoft Office Word, Excel and Outlook
PROFESSIONAL ASSOCIATIONS:
 American Academy of Professional Coders
 Upland Pennsylvania Chapter

3. STACEY D. GORDON, CPC