SUMMARY:

To utilize my coding skills on a daily basis, while learning new skills to further my career

EXPERIENCE:

Professional Coding Services Supervisor

Confidential, Los Angeles, CA

Responsibilities:

• Moved from Confidential Infusion Coder to QA Analyst and Educator, now Professional Coding Supervisor Confidential Project.
• Confidential is one of the largest clients on the Professional Coding Side of Confidential .
• Using my multi - tasking experience to move between several job responsibilities throughout the day.
• I am the work que assignments supervisor for all coders on this project.
• I ensure all coders have work, all charges are moving out of the work ques timely and monitor this very closely on a daily basis.
• Any provider questions about work ques or charges are asked of me and I provide that information to the managers to present to that Provider.
• I am also responsible for answering all questions sent to the Confidential Hotline by all coders on the project.
• The hotline is where every question a coder has routes to.
• Another responsibility is the PTO calendar for all employees on the project.
• This is where all time off requests are put on a calendar to ensure coverage when they are off.
• I check this calendar daily when assigning work que assignments for the day.
• I also keep track of all coder schedules for the project.
• As a supervisor I am required to do one coder audit per month, run bi-weekly coder meetings, provide coder education, Confidential Providers are very particular and tedious.
• This requires me to stay on top of any coder issues, work que issues, work que coverage, etc. on a daily basis.

Skills Used: I now have a good knowledge of both professional and facility coding services. I utilize my E/M and ICD 10 experience on a daily basis as well as coding guidelines. I currently supervise multi-specialty professional services including Orthopedics, Nephrology, Cardiology, ICU services, Hematology, Oncology, Gastroenterology, Hepatology, Infectious Disease, Hospitalists, Endocrinology, Palliative Care, Pulmonology, Rheumatology, Psychology, Psychiatry, NICU, Peds ICU, Endourology, Dermatology, ENT, Internal Medicine, Neurology, Pediatrics, Urgent Care, Physical Medicine and Rehab, Pain Management, and Mental health.

QA Analyst and Educator

Confidential, Los Angeles, CA

Responsibilities:

• Started out with a contract position on the Confidential side doing injection and infusion coding remotely.
• Utilizing documentation in the EMR to properly assign CPT and ICD 9 codes.
• Once the project ended, I then was offered a position as Confidential QA analyst and Educator for several Outpatient multispecialty clients.
• I provide the training for new coders hired to the projects and perform their compliance audits.
• This is to ensure we are following client profile as well as policies and procedures.
• I created the profile and was the lead on the Confidential contract until recently when the project ended.
• I am currently Co-Lead on Searhc project and assist another QA Analyst in creating and maintaining an up to date client profile.
• Coders are to maintain a 95% accuracy rate.
• I provide the feedback to the coders on areas of concern or need for improvement.

Skills Used: I have good knowledge of both professional and facility coding since accepting my position as Confidential QA analyst and educator. I utilized my mastered skills of E/M leveling and ICD/CPT code assignments on a daily basis. I have mastered CPT coding for injections and infusions with 10years experience in oncology professional services as well as injection and infusion services. I currently audit OP Clinic, Urgent Care, Oncology, OB GYN, Physical Therapy, Psychiatry, non-invasive surgeries, Observation stays, ED, and ancillary accounts. I just received my CCS-P certification to further my career opportunities.

Confidential, Spokane, WA

Responsibilities:

• Work independently from a remote home office setting coding all infusion and injection charges.
• Applying the correct CPT codes per coding hierarchy rules for administration.
• Maintain a 95% accuracy rate at all times.
• Using EPIC EMR system.
• Furthering my knowledge on all aspects of injection and infusion coding.

Confidential, Salt Lake City, UT

Responsibilities:

• Work independently on a daily basis using all my coding expertise to code e/m visits for hospital contract accounts.
• Apply appropriate CPT and ICD codes according to clinical documentation in EMR system.
• Also audit office encounters to ensure proper level of service and all procedures were coded correctly by level 1 coder as well as appropriate ICD applied and Confidential 's codes used properly.
• I feel I contribute to my team as I work all work ques and audit all batches on a daily basis to ensure physicians get reimbursed in a timely manner.

Skills Used: Use all parts of my CPC knowledge on a daily basis while learning new rules and regulations for coding and reimbursement on a regular basis.

Certified Professional Coder

Confidential

Responsibilities:

• Performed all coding for medical oncology physicians(13 physicians), verifying documentation in the EMR on a daily basis, posting all hospital charges, posting all lab manifest, working all clinical coding workques to ensure proper coding, modifiers, and errors corrected prior to billing being released.
• Audited and made corrections to Infusion room charges insuring proper administration charges matched documentation on all infusions including chemotherapy, other therapy treatment, hydration, injections, etc before charges were sent out.
• As well as answering any coding and billing questions the physicians, nurses, and office staff had.

Certified Professional Coder

Confidential

Responsibilities:

• Perform all aspects of coding and billing, insurance claims verification, and follow up, reviewing medical records for correct CPT and ICD assignment, posting all physician charges outpatient and hospital, reviewing any unmatched and insurance reports, answering any coding/billing questions.

Coder/Biller/Receptionist

Confidential

Responsibilities:

• Coding and billing, verifying medical record for accurate coding, posting charges, collecting copayments, making bank deposits, verifying patient information, answering phones, routing phone calls, precerts and prior authorizations.

Receptionist

Confidential

Responsibilities:

• Scheduling appointment, scheduling all outpatient testing, collecting copayments, phone triage, precerts and prior authorizations.