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Certified Coding and Billing Specialist

Location:
Stafford, TX
Salary:
Negotiable
Posted:
June 04, 2015

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Resume:

ANGELA P. MORGAN, CPC

PROFESSIONAL EXPERIENCE

K&S Consulting

Coder/Biller 08/12 - Present

Code for Multi-specialty ASC, Outpatient Surgery, and Inpatient (Time and Material)and ED from operative reports and electronic medical records with appropriate ICD-9, CPT-4, HCPCS, and Modifiers for the Ambulatory Surgery Center, and Outpatient Surgery, and Inpatient, ED

Impute daily charges in the Advantix system

Upload all claims and correct errors in ClaimMD

Assist Collectors with denials

Trinity Care, Inc 08/12 – 12/14

VA Contract Coder/Auditor

Audit coders within the VA guidelines

Review E/M, CPT, HCPCS, Modifiers

Use of E/M Calculator

Remote Coding / Auditing

Kelsey-Seybold Clinic

HCC Coding Compliance Specialist 01/12 – 08/12

Reviews chart notes and audits clinical documentation for HCC coding compliance. Audits charts for correct coding by all providers.

Reviews reports, including denials, identifies areas of deficiency and makes recommendations. Meets with physicians for feedback and education.

Reviews and prioritizes work on coding reports generated by PDM software prioritizes needed HCC audits.

Contacts providers to set up needed audits and request clinical charts as needed.

Responds to other areas and departments seeking coding compliance standards and accuracy in a timely manner.

Prepares and attends/facilitates coding education sessions to physicians, providers and other staff members.

Prepares informational materials, researches various topics, reads newsletters and writes related articles for Kelsey-Seybold Clinic internal newsletters.

HEDIS, Mock RADV

Attends seminars.

UT Physicians 10/10 – 01/12

Medical Coder/Biller

Experience with inpatient / outpatient coding and billing for NICU and Pediatrics Dept

Processed super bills, PT Forms, ICD-9, CPT, HCPCS, Modifiers

Maintained knowledge of commercial, Medicare, Medicaid, HMO/PPO insurance industry operating procedures

Handled daily charges and insurance filing

Coded and abstracted diagnosis/procedures from EMR

HealthSpring 08/10 - 09/10

HCC Coder/Chart Auditor

HCC coding

Traveled to different Physicians offices

Coded and abstract diagnosis from medical record

Reviewed charts for correct coding

Remote Coding

HCA Gramercy Outpatient Surgery Center 08/06 - 05/10

Assistant Office Manager/Medical Coder/Biller

Abstracts coding, professional charges from operative reports and medical records with appropriate ICD-9, CPT-4, and Modifiers for the Ambulatory Surgery Center

Coded and Billed for Plastic Surgery, Ophthalmology, Pediatric Surgery, Orthopedic Surgery, General Surgery, OB/GYN Surgery.

Experience with utilizing an encoder (3M-HIM Encoder)

Contributed in developing and implementing departmental policies and procedures

Supported implementation of credit and collection policies

Reviewed and updated CPT and ICD-9 codes, documentation templates, assessing for compliance and completeness

Assisted in all facets of the Center’s accounts receivables, compiles data and prepares reports for the month-end packet

Advised Manager of problems and concerns in the department

Maintained Knowledge of commercial, Medicare, Medicaid, HMO/PPO/TWCC insurance industry operating procedures

Imputed daily charges in the Advantix system and insurance filing to GHN the clearinghouse

Tulane Hospital and Clinic 3/96 - 12/05

Patient Accounts Coordinator/Office Specialist

Outpatient and E&M Coding and Billing of super bills for Pediatrics, General Surgery, Plastic surgery, Dermatology, Obstetrics and Gynecology, Otolaryngology clinics

Team Lead

Review and update charge encounter forms, documentation templates, assessing for compliance and completeness

Processed patient and agency inquiries

Recognized, evaluated, solved problems and corrected errors

Maintained confidentiality of sensitive information

Performed collections

Performed Insurance Verification

EDUCATION

Certified Medical Billing and Coding (AAPC)

Certified Medical Office Assistant (Bryman Campus)

Louisiana Professional Medical Coder’s Association



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