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Click here or scroll down to respond to this candidate203, Arlington, PHONE NUMBER AVAILABLE EMAIL AVAILABLECandidate's Name
ExperienceVarious contract positions with various companies that were temporary, lasting 3-6months, from 2017-April 2018.April 16,2018 present :Methodist Health Systems,Outpatient Coder 3Outpatient coder for Endocrinology, neurology, Infectious Disease50% of the time. Work with the business office follow up team with appeals and denials, and correcting diagnosis per the medical records and assist the follow up team with appeal letters to various Health plans.May 2013 June 2017 Parkland Hospital Dallas, TXOutpatient Coder IIOutpatient Coding for Dermatology, Ophthalmology and Neurology with ICD-9 and ICD-9CMICD10 training completed and certificate awarded.Certified Coder.Productivity is 8 charts per hour with 95-98% accuracy.Assist all team members as needed.Sept. 2011 Jan. 2012 North Texas Specialty Practice Fort Worth, TXPhysician EducatorReview patients' records for coding and documentation of Chronic conditionsEducating physicians on the proper coding and documentation according to coding to ICD-9-CM Guidelines, and HCC documentation coding.Jan.2011-Oct. 2012Ultimate Medical AcademyOnline, FloridaMedical Billing, Coding and Insurance InstructorEducated students in the disciplines of Medical Coding (ICD-9, CPT-4, HCPCS, DRG's and coding guidelines).Provided students with coursework that would help them handle a wide variety of medical claims including physical therapies, ENT, primary care and, dental, eye/vision, surgeries, diagnostic testing, ER, and E&M.Aug 2009 May 2011Medifacts, Surgical & Diagnostic CenterEuless, TXMedical Coder/ AuditorAbstract CPT, ICD-9 codes from pain, and orthopedic operative reports for Surgical and Diagnostic Center.E&M chart auditing for Total Pain Physicians.Review appeal and denials correspondence from the various insurance companies.Oversee that the accounts receivables, billing, and correspondence is within coding compliance.Feb.2008 June 2009Pinnacle Partners Consultants Anesthesiology GroupDallas, TXInsurance CoderAbstract CPT and ICD-9, from operative reports for the Pain Physicians, insure the pain coding guidelines, and Guidelines for the anesthesia code were followed as well as billing.Aug.2007 Feb.2008 Everest College Arlington, TXMedical, Billing, Coding and Insurance InstructorEducated students in the disciplines of Medical Coding (ICD-9, CPT-4, HCPCS, DRG's and coding guidelines). Provided students with coursework that would help them handle a wide variety of medical claims including physical therapies, ENT, primary care and, eye/vision, surgeries, diagnostic testing, ER, and E&M.Jun. 2001 Aug. 2007 Harriman Jones/ Healthcare Partners Long Beach,CAInsurance CoderServe as a liaison between the doctors and insurance companies.Duties consist of tracking and coding diagnoses for inpatient and custodial charges by processing minus debits (retraction).Additional duties consist of auditing claims, generating spreadsheet and maintaining client satisfaction.Provide training to other employees in the Corporate Office.HCC Coding from the beginning with Blue Shield HMO, Medicare, and Senior HMO (2004-2007)Education2010University of PhoenixPhoenix, AZBachelors of Healthcare AdministrationProfessional Affiliations .2001 - Present American Academy of Professional CodersCertified Professional CoderReferencesReferences are available on request. |
