Dear Sirs,

Please review the enclosed resume' as there are many years of dedicated

services to the profession of medical billing, coding, collections and

office operations within. Surly you will find that most, if not all, of my

experiences are essentials in the operation of a successful medical

practice. I am an efficient manger with exceptional knowledge of the

medical office practices.

As a certified professional coder, I have managed to maximize reimbursement

through training billers to code to the greatest specification in a solo

practice and multi- specialty clinics.

With approximately twenty years of service in the medical office, multi-

specialty practices, surgery centers and hospital, I have seen many changes

in healthcare and its services. However, I have managed to stay on the

cutting edge of growth and success in the areas of reimbursement, training

and staff education.

Thank you in advance for your consideration. I look forward to meeting with

you to further discuss the extraordinary possibilities.

Respectfully,

Malissa Cooper

Employment

Cigna HealthSpring 11/2013-Present

Physician Educator

Duties: Complete audits to physician records top establish the errors or

additional opportunities possible for the practice. Complete medical review

that will of the chart and the submitted claims to validate accuracy.

Completed Assigned Reports

Endeavor Medial Group

Medical Coder/ Auditor 06/13- Present

Duties: Complete all coding for 5 free standing Emergency facilities.

Complete the physician coding to include all services and procedures

provided by the physician during the emergency medical care. Complete all

of the facility coding to include the supplies, equipment, services and

utilization. Audit physician charts, notify physicians of delinquent

accounts. Explore and identify trend in coding/denials and proper

documentation. Review amended information from Physicians and complete

corrected coding to address the updates.

Medical Center Associates

Billing/Collection Manager-Trainer 03/09-Present

Duties: Coordinate the financial aspect of a 10 physician practice.

Maintain accurate financial records and documentation needed to maximize

reimbursement. Complete appeals, audit coding, and refund request. Complete

required actions as prescribe by the payers. Identify errors prior to claim

submission through electronic billing process. Follow up on claims over 31

days old to maintain timely filing. Collect self- pay payments, completed

verification. Review accounts with outstanding balances through AR reports

and coordinate the resolution with physicians, staff and third party

payers. Complete the Medicaid review and completed the appeals for denied

claims. Complete training manual to address billing, collections, and

appeals processes for the practice. Implement policies and procedures to

better assist billers with coding dilemmas. Train Physicians to code

hospital services. Train new and existing employees on the

proper electronic billing and collections process. Complete the evaluation

of all employees. Complete staff reviews and evaluations.

Professional Careers Institute 04/07-05/09

Medical Billing/Coding Instructor

Duties: Instruct student in the art of medical billing/coding techniques,

proper telephone etiquette, follow up collections dialogue, electronic

claim submission procedures, claim information verification,

authorizations, pre certifications, medical terminology, ICD-9 and CPT4

coding for medical office, log reimbursement, post claim payment and

adjustments, read/understand EOBs, verify payments with contracts. Complete

class coursework and assignments. Proxy medical coding exam thru the AAPC.

Ochsner Clinic Foundation

Emergency Room Tech 04/06-04/07

Duties: Assist nursing staff with patient care, assist with vitals, medical

information retrieval, assist with emergency procedures, clean up and

documentation. Obtain medical information results and information need by

nursing staff as well as physicians, Assist with CPR and EMS as needed.

Urology Associates

Medical Biller- Coder/Collector-Office Manager 5/2003-8/2005

Duties: Complete the office encounter codes as well as all surgical codes

for the 10 physician, 5 physician's assists and 3 anesthesiologist. Obtain

insurance information, verify insurance, enter charges, post payment

schedule surgeries and procedures, code surgeries, obtain authorizations,

pre certification, complete electronic billing process, follow up

collections, complete payroll, maintain employee scheduling, train new

employees. Complete payroll, staffing and employee education. Obtained

needed medical and office supplies, Served as a physician liaison for the

10 physicians and hospital representatives. Completed negotiations with

insurance companies for beneficial contacts and fee schedules. Audit the

patient's accounts, the reimbursements and the charges for errors and/or

over/underpayments. Resolved credit balance accounts and reviewed the

insurance company overpayment refunds request. Audit patient's charts for

charting and documentation errors. Complete budget analysis quarterly.

Provide cost cutting recommendation to physicians to enhance office

operations.

Bryman College

Medical Billing/Coding Instructor 7/2002-6/2004

Duties: Instruct student in the art of medical billing techniques, proper

telephone etiquette, follow up collections dialogue, electronic claim

submission procedures, claim information, verification, authorizations, pre

certifications, medical terminology, ICD-9 and CPT4 coding for medical

office, log reimbursement, post claim payment and adjustments,

read/understand EOBs, verify payments with contracts.

Ochsner Clinic Foundation

Patient Account Coordinator/ ER Coder 3/2001- 9/2003

Duties: Review all coding and billing discrepancies. Assist hospital

representatives coding, billing and collections. Audit accounts to insure

proper coding, modifiers, and billing procedure were identified. Code

emergency physician charges, abstract medical services and procedures

performed during the emergency medical care. Coded emergency facility

charges to include but not limited to the supplies, services, equipment and

utilization. Notified registration and intake of all incomplete charts.

Ochsner Clinic Foundation

ER Registration Coordinator/E/M Coder 8/1999-4/2001

Duties: Obtain patient demographic information, enter information into the

computer system, verify insurance for admissions, collect co-payment,

obtain authorizations, pre certification, obtain outpatient orders for

procedures, and copy/scan insurance information into computer system. Code

emergency physician charges, abstract medical services and procedures

performed during the emergency medical care. Coded emergency facility

charges to include but not limited to the supplies, services, equipment and

utilization. Notified registration and intake of all incomplete charts.

Southeast Medical Alliance

Medical Claims Processor/Claims Coding Auditor 7/1995- 5/1999

Duties: Adjudicate medical claims for payment, verify codes CPT4/ICD-9

codes for procedures, verified modifiers needed for proper reimbursement.

Identified claims with inappropriate coding. Contacted physicians and

surgery centers to provide or obtain information for deniable claims.

Implemented policies and procedures for the claims audit department. Verify

coded services with the physician's offices, patients and hospitals, review

claims for payment errors, review report for system errors, verified

contracts and payments schedules to insure accuracy in processing.

Imani Healthcare

Billing Collection Supervisor/Surgery Coder/Office Manager 11/1992-

06/1996

Duties: Review entered patient data, verified submitted hospital surgery

codes, obtain prior authorizations, electronic claim submission, initiated

payment plans for self pay accounts, reviewed and review managed care

contracts, negotiated new contracts, schedule surgeries and procedures,

Coded procedures for Multi- Practice clinic. Completed specialty coding for

Cardiology, Nephrology, Endocrinology, Urology, Anesthesia and all Same Day

Surgery Center claims. Completed direct hospital admissions. Scheduled in

and out- patient surgeries. Obtain proper documentation needed for billing,

code surgical procedure with proper CPT codes, code office procedure with

the appropriate ICD9 codes and CPT 4 codes, Collect copays and deposits

for procedures for 12 physicians, 10 nurse practitioners, 10

anesthesiologists, schedule staffing for multi practice facility, complete

training and education for staff growth and development, Assist patients

with questions and concerns related to insurance and/or billing matters,

coordinate office flow, completed fully the monthly billing and collection

to address all matter of Revenue Cycle Management.

Hotel Dieu Hospital

Billing Collection Supervisor/Business Office Manager 6/1988-11/1992

Duties: Train E/R registration supervisors to efficiently obtain patient

information and enter into the system. Train billing and collections

supervisors to complete electronic claim submission and follow up on

outstanding claims. Complete policy and procedures. Monitored hospital

reimbursement and reversed the status from "the red" to "the black". Work

closely with medical records to complete all ambulatory surgery center

coding to assure a seamless reimbursement process. Complete the hiring and

termination process for all business office employees. Maintain adequate

staff and approved orders for supplies. Assist the Director with the

Department budget and Policy and Procedure implementation and creation.

Reviewed and reported Medicare, Medicaid, and HMO/PPO reimbursement logs.

Education

McDonogh#35 Senior High School

1981-1985

University Of New Orleans

College Of Business

1985-1989

Dillard University

College Of Nursing

2006- 2007

Skills:

ICD-9/CPT4 Medical Coding Typing 45-50 wpm

Medical Terminology 10Key-Touch

Microsoft Office Data Entry 1400 key stokes

Excel Power point

Medical Manager Software Medi Soft Medical

Software

CMR EMR Next Generations EMR

T Systems EMR

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