Medical Insurance
Resume:
**** ******* ***, *** *****, Ca 92139619-***-****(HM), 619-241-
9508(Cell)(******@***.***
Denia E. Morris
Objective
Seeking a Medical Coder or Auditor position where I can use my
expertise knowledge in medical coding. Specializing in Evaluation and
Management, Dermatology.
Experience
10/10 to 4/11
Kaiser
Portland, Or
Coding/Consultant
Abstract CPT,HCPC and ICD-9 from documentation & coding in EpicCare.
Perform periodic audits and analyze results & provide summary feedback
to the clinicians.
Provide expert consultation and educational support to the Clinicians
and the Department.
Provide training to individual clinicians and or department.
08/06 to 7/10 Scripps Clinic La Jolla, Ca
Coder/Auditor
Abstract CPT,HCPC and ICD-9 from Medical Documentation. Perform audits
on billings versus documentation.
Provide coding and educational support to the Manager of
Reimbursement.
Provide reimbursement analysis that relates to physician compensation,
insurance denials.
11/03 to 08/06 Scripps Clinic La Jolla, Ca
Biller/ Coder II
Code and submit claims for accuracy and optimal reimbursement for
Government, Managed Care and commercial Insurance plans.
Review billing edits and resolves problem trends.
Provider physician coding education.
7/00 to 11/03 Scripps Health Plans Services La Jolla, Ca
Member Relations Specialist
Provide Internal and External customer services relating to medical
billing, authorization and member complaints. Work as liaison between
Physician, Patient, Insurance companies and Contract Vendors.
Run daily authorizations and review for accuracy and timeliness.
Completed specified analysis and focused audits.
1/92 to 7/00 Scripps Clinic La Jolla, Ca
Insurance Processor / Managed Care Coordinator
Review and process claim for submission.
Post insurance payments & denial to patient accounts. Responsible for
follow-up with payors related to appeals, collection of monies.
Pre-pare authorizations for Medical review.
Provide Internal and External customer services relating to medical
billing, authorization and member complaints. Work as liaison between
Physician, Patient, Insurance companies and Contract Vendors.
Education
08/88 San Diego Community College San Diego, Ca
A.S. Accounting
Certification :
CPC/AAPC - ID #00090575
Effective since 2006
Skills:
Microsoft: Excel, Word, Access & Excel.
IDX and EpicCare computer software.
References
Sheila Conway + 5464 Northwich Street, San Diego, California 92117 +
Eventa Brown + 1079 Harlan Circle, San Diego, California 92114 + (619)
757-7247
Sha'ron Wiley + 317 Via Del Norte, Oceanside, California 92058 + (760)
967-0982
Contact this candidate