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Click here or scroll down to respond to this candidateCandidate's Name
Street Address S Al Gossett RdLone Jack, MO Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEEXPERIENCEGHR HealthcareContract Coder for Christus Health HospitalsCPC Coder (Remote)August 2023- Present Interpret and analyze professional/Physiciandocumentation for assignment ofdiagnoses/procedures and Evaluation andManagement (E/M) codes, mainly working withGeneral Surgery and Pulmonology Inpatient & Outpatient Coding: Reviews Physician documentation (handwritten/dictation) to assignappropriate diagnoses, CPT and E/M codes for allencounters by date of service. Queries Physicians or involves Coding Management when code assignments are not straightforward ordocumentation is inadequate, ambiguous, or unclear for coding purposes.University Pediatricians Hospital, Detroit,Michigan Coding and Compliance Auditor(REMOTE)August 2020 - July 2023 NICU.PICU Specialty-Interpret and analyzeprofessional/Physician documentation for assignment of diagnoses/procedures and Evaluation andManagement (E/M) codes. The assignments of codesare based on CMS, CPT/AMA coding guidelines. Inpatient & Outpatient Coding: Reviews Physician documentation (handwritten/dictation) to assignSKILLSOver 10 years experience as a professionalMedical Coder.Currently over 12 months Coding QualityMonthly Audit average is 98.9-99.7 %accuracy & meeting quota..Attention to detail, analytical and problemsolving skills.Experienced in Coding for Inpatient(including Teaching Hospitals) & OutpatientE&M and Surgery care, including coding forover 20 different Specialists:Allergy/Immunology, Autism, Cardiology,Critical Care Medicine (NICU & PICU),Endocrinology, Gastroenterology, Geneticsand Metabolic Disorders, Immunology,Infectious Disease, Neonatal and PrenatalMedicine, Ophthalmology, Orthopedics,Physician Medicine and Rehabilitation,Pulmonology, Rheumatology and Trauma.Experienced with: EPIC, Citrix, Cerner,Greenway, Powerchart, 3M, Waystar, PrimeSuite, MediSys & more.CERTIFICATIONS:CPC (Certified Professional Coder) #01813688appropriate diagnoses, CPT and E/M codes for allencounters by date of service. Queries Physicians or involves Coding Management when code assignments are not straightforward ordocumentation is inadequate, ambiguous, or unclear for coding purposes. Maintains records of work completed to ensure all work processed is timely and maintains a qualitystandard of no less than 95% accuracy.Southlake Orthopedics, Birmingham, ALMedical Coding & Billing SpecialistJanuary 2018 - April 2020 Coding and charges for assigned (15) Drs.(Orthopedics, Sports Medicine, Radiologist & Physical Therapist), including E/M Inpatient & Outpatient,Surgeries, MRIs, CTs & EMGs Assist when needed with Insurance denials.UAB Callahan Eye Hospital, Birmingham, ALMedical Coding/Billing Analyst IIMarch 2015 - November 2017 Coding/ Charges/ Payments for assigned (5-7) Drs.(Ophthalmologist, Opticians, Radiologists) including Urgent care, E/M Inpatient and Outpatient &Surgeries. Work Insurance denials, check claim status,including calling Insurance companies, and appealdenials when necessary. Work and monitor A/R, and reports for credits and balances for Patients andInsurance Help minimize inefficiencies andinaccuracies in billing Insurance Co. and patients. Alabama Vision Center, Birmingham, ALMedical Coding SpecialistJanuary 2010 - February 2015 Coding/ Charges for assigned Drs.(Ophthalmologist) including E/M, Surgeries, Lasix, ICD-9, Medisys Accounts Receivable (A/R), Billing, Statements, Collection Notices Posting payments: Electronic Medical Records, mail payments, EFT, etc. Electronic Medical Records (EMR), Insurance,Medicaid & Medicare Billing Excel spreadsheet. EDUCATIONAAPC Course CertificationJune 2020High Tech Institute, Kansas City, MOAssociates in Health Administration &Medical Billing and Coding Certification(NCBCS)January 2008 - January 2010Brownsville School of Ministry, Pensacola,FL Associates of ArtsSeptember 1997 - June 2000 Resident Advisor for 50 girls on campus dorm for three years. Minored in Childrens Ministry, with two years hands on volunteer training and living on missions field for 6 months. |
