Post Job Free

Resume

Sign in

Data Entry Medical Records

Location:
San Antonio, FL
Posted:
September 29, 2023

Contact this candidate

Resume:

Amy Christopher, CPC

San Antonio, FL *****

813-***-****

adz1j2@r.postjobfree.com

Summary

Dedicated, hardworking self-starter looking for a rewarding position where I can utilize my advanced outpatient coding and leadership skills. Experienced in Surgery, Observation, ER, Anesthesiology, use of CPT-4 and ICD-9 coding systems, E/M related modifiers with specific knowledge of Critical Care and Pain Management coding. Proficient in Optum Encoder software

Employment History

The CSI companies, Brentwood, TN

HCC/MRA coder

April 2017 - Present

●Coding and abstracting of medical records for risk adjustment purposes utilizing full code capture at a date of service level.

●Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.

●Assigned appropriate medical codes with a 96% accuracy rate.

●Maintained strict patient and physician confidentiality.

●Resourcefully used various coding books, procedure manuals and on-line encounters.

●Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.

Florida Hospital Tampa, Tampa, FL

Coder Analyst

December 2012 – April 2017

●Assigns codes to Surgery, Observation, ER and Outpatient medical records, using ICD-9-CM and CPT-4 codes via the Optum Encoder

●Verifies codes selected by Dolbey CAC (Computer assisted Coding)

●Screens scripts for meeting Medical Necessity in the Outpatient Registration area

●Maintains updated listing and Local Medical Review Policies for use with Medical Necessity process for outpatient and ER coding

●Adheres to the Florida Hospital Corporate Compliance Plan, to the rules and regulations of all applicable local, state and federal agencies and to the standards of all accrediting bodies

Care Plus, Tampa, FL

Medicare Risk Adjustment Educator

November 2010 – November 2012

●On-site review and analysis of provider documentation with an eye toward compliance with CMS rules and regulations to capture risk adjusting (HCC) diagnoses

●Developed a customized education plan for each provider to address opportunities for clinical document improvements identified during the review

●Provided one-on-one instruction with providers to address concepts identified by the Educator

●Integrate with the provider and their staff to identify process improvement opportunities Skills and Competencies

●Verified and ensured the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered

●Coding and abstracting of medical records for risk adjustment purposes utilizing complete code capture each date of service level

●Supported and participated in process and quality improvement initiatives

University Community Hospital, Tampa, FL

Unit Secretary, PRN

May 2010 – May 2012

●Performed clerical and receptionist duties

●Computer order data entry, release and retrieval

●Responsible for the inventory and ordering of supplies, equipment and services needed to support the efficient operation of the assigned nursing unit and patient care delivery

●Checked with Nursing staff to ensure patients quality of stay was at its’ best

Digestive Disease Center, Las Vegas, NV

Endoscopy Technician

April 2006 – June 2009

●Assisted Doctor during Endoscopy procedures

●Obtained biopsies when indicated, along with polypectomies

●Obtained bile when necessary

●Assisted in a placement of Percutaneous Endoscopic Gastrostomy tube

Application of Pill cam for patient

●Ordered all supplies

●Filled prescriptions when necessary

●Updated patient charts, and procedure reports

●Assisted billing office with Hospital Charges, and payment posting

Digestive Disease Specialists, Las Vegas, NV

Medical Coder

April 2005 - April 2006

●Coded Hospital Charges for 3 Doctors using ICD 9 and CPT 4 codes along with varies modifiers when needed

●Daily entry of all charges in the Computer for daily claims to be printed

CMCS, Inc., Tampa, FL

Contract Coder

May 2003 - March 2005

●Coded Veterans Administration records using E&M codes and variety of modifiers when needed

●Entered all charges in the VA system for daily claims to be printed

University Medical Services Association, Tampa, FL

Medical Coder

November 1989 - January 2003

●Coded all anesthesia services and surgical procedures to maximize reimbursement and comply with all payor regulations and requirements using 7 Medicare anesthesia-specific modifiers, 13 CPT anesthesia-specific modifiers, 14 Medicare surgical-specific modifiers, and 15 CPT surgical-specific modifiers.

●Used CPT-4 and ICD-9 coding systems along with the surgical to anesthesia crosswalk system to code from various multiple page documents including the preoperative evaluation form, operating room record, anesthesia record, operative report, and any other pertinent hospital patient record

●Abstracted, interpreted, and analyzed documentation

●Maintained knowledge and use of payor-specific coding combinations for codes, time units, base units, and fees for the multitude of payors served by the practice

●Coded for E/M services performed by the Department of Anesthesiology faculty

●Used CPT-4 and ICD-9 coding systems, E/M related modifiers, and maintained specific knowledge of Critical Care and Pain Management coding

●Ensured all charges are entered into the IDX billing system

●Interacted with physicians regarding documentation standards

●Assisted with compliance related chart reviews

Education

●Land O' Lakes High School June 1986, Land O' Lakes, FL

●St. Pete Junior College, Medical Terminology, St. Petersburg, FL

●Hillsborough Community College, CPT-4 and ICD-9 Coding, Tampa, FL

Professional Membership and Credentials

●Certified Professional Coder (00049458)

●Member of American Academy of Professional Coders since 1993



Contact this candidate