Services Manager Resume Profile

Profile

Accomplished coding professional with extensive experience in compliance, abstracting provider notes, providing feedback, and accurate billing practices. Highly motivated and able to balance multiple tasks in a fast-paced environment while maintaining positive attitude, quality of work, and ethical integrity.

Administrative/Technical

Reviewed provider documentation to determine if charges are supported

Corrected diagnosis codes to more accurately describe condition based on documentation and resequenced when necessary
Coached providers on documentation deficiencies for CPT code submission
Assisted providers in the proper use of modifiers, i.e. modifier 25, 59
Served as a resource for new coding initiatives, i.e. 2013 TCM codes, Annual Wellness, and IBT documentation requirements
Monitored and communicated coding changes received from the AAPC, Palmetto, and MLN networks
Audited provider notes for evidence of upcoding or undercoding and offered education
Worked claim denials specific to coding issues, contacted appropriate resources, and corrected for resubmission when necessary

Leadership

Routinely identified deficiencies in workflows and provided solutions
Assisted in correcting of mis-mapped CPT codes in the EMR software
Evaluated current deficiencies in templated documentation and initiated new processes to address those deficiencies
Maintained ownership of tasks or issues until resolved
Continually modeled example of attitude, service, and integrity
Offered properly formatted positive feedback to management and team members
Consistently met or exceeded established performance standards

Work History

Coder I Confidential
Practice Specialist III Confidential
Practice Specialist II Confidential
Service Manager II Confidential

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