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Medical Billing

Location:
Norman, OK, 73069
Posted:
November 15, 2010

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Resume:

Tracey D. Prince, CPC-H

**** ********* ******

Norman, OK 73069

405-***-**** Home

405-***-**** Cell

abh4sn@r.postjobfree.com

Experience

Comprehensive Medical Billing Solutions (06/04-03/06[FT]; 05/07-12/07[PT];

04/10-present[PT])

Coding Specialist

Coding of emergency room physician's documentation utilizing ICD-9, CPT

codes while maintaining company determined quota. During 1st tenure,

assisted coding director as needed with audits of ER and Radiology charts,

training presentations, training of new coders, and ongoing changes in

coding guidelines.

Trinity/Cornerstone (12/2009-present, per diem)

Coding Specialist/Auditor

Auditing of Urgent Care encounters; radiology coding as needed.

Michael J. Camlinde and Associates, Inc. (08/07-4/2010)

Coding Specialist

Coding of emergency room physician's documentation utilizing ICD-9, CPT

codes while maintaining company determined quota. Assisted as needed with

audits, training presentations, training of new coders, and ongoing

department updates in coding guidelines per industry standard.

Innovative Health Services, Inc. (03/06-05/07)

Coding Specialist

Coding of facility charges and emergency room encounters for physicians

utilizing current ICD-9 Volumes 1-3 and CPT guidelines. Cross-trained as

facility coder per ACEP guidelines.

By The Numbers Coding Consultants (06/99-present, per diem)

Contract Coder

On site contract coding and abstracting of hospital in / outpatient

surgeries, emergency room encounters, and various clinic visits (medicine,

ob/gyn, radiology) utilizing ICD-9, CPT, HCPCS, and Encoder software

(QuadriMed/3M). On site audits of radiology and emergency room

documentation per contract.

EmPhysis Medical Management (09/01-06/04)

Coding Specialist

ICD-9, CPT, HCPCS coding of Radiology reports (including interventional

surgery), research of denied claims in order to expedite appeal process,

provided continuing education to co-workers regarding updates. Assisted

compliance officer as needed with audits of in-patient hospital, surgical,

and anesthesiology documentation.

OU Physicians / OU Medical Center (08/00-9/01)

Coding Specialist II

ICD-9, CPT, HCPCS coding of in /out patient encounters for the divisions of

General Surgery, Thoracic Surgery, and Level I Trauma Center. Responsible

for departmental compliance issues, random audits, provision of continuing

education regarding coding issues to co-workers, research of denied claims

in order to expedite appeal process, and direct advisement of physicians

regarding documentation requirements and coding issues.

Oklahoma Cardiovascular Associates (04/00-07/00)

Hospital Coding and Billing Specialist

ICD-9, CPT, HCPCS coding of all in/out patient cardiovascular surgeries and

inpatient hospital encounters, researched coding and reimbursement issues

regarding denials in order to expedite appeals, and directly advised

physicians regarding documentation requirements and coding issues.

UroCor, Inc. ([07/99] 09/99-04/00)

Coding Specialist

ICD-9, CPT, HCPCS coding of path/lab documentation, charge entry of

completed coding, guided training of newly hired coders, performed quality

control audits of coders and accessioning/data entry, maintained continuing

education requirements for coding team, composed coding protocol, research

of denied claims and correspondence to insurance companies including

appeals, charge adjustment, networked with physician offices and advised on

proper use of ICD-9 codes. Guest speaker representative to graduating

coding class at City College, trained as back-up for electronic claims

generation process, and appointed safety officer.

Emergency Physicians Billing Service (04/94-09/98)

Medical Records Coder

Responsible for accurate use of ICD-9, CPT coding of emergency room

documentation while maintaining company determined quota.

EMSA/AmCare (08/89-01/94)

NREMT-IP/Special Care Team

Provided emergency medical care to patients, transferred patients to area

hospitals and clinics, provided marketing for non-emergency transport

services to increase sales.

Special Events Emergency Medical Services (05/86-01/94)

NREMT-IP (per diem)

Provided emergency medical care as needed at special events such as the

Myriad Convention Center, Lazy E Arena, and Thunder valley Raceway.

Med-Plus (05/92-01/94)

Lab/X-Ray Technician

Performed lab and x-rays as ordered by the physician on duty, maintained

charts and dictation, provided emergency medical services to Remington

Park.

Chickasha Fire Department (06/88-07/89)

Firefighter/NREMT-IP

Primary assignment to provide emergency ambulance services to call area.

Cross-trained as firefighter, protocol demanding EMS personnel as 1st

entrance to structure fires to search and rescue patients for immediate

transport. Cross-trained as dispatcher, and medical billing for EMS

services.

Skills

ICD-9, CPT, and HCPCS coding. Facility coding per ACEP guidelines. Chart

Auditing of emergency room, radiology, laboratory, and anesthesiology

documentation. Software experience: Cortex, Medic, IDX, Encoder

(QuadriMed/3M), Laserfiche, Info-path, Microsoft Document Imaging, ACDSee,

Word, Excell. Emergency and clinic patient care, Level 1 lab/x-ray.

Education and Credential

Certified Professional Coder 10/99

Certified Professional Coder-Hospital 10/00

AAPC Licensed Professional Medical Coding Curriculum Instructor 01/01

Student pass rate for certification exam = 80% first attempt

Scores range from 72-93% with an average certification pass score of

85.5%

Licensed Intermediate Paramedic 05/87

Graduate Paramedic Certification 06/92

ACLS Certification 03/93

ACLS Instructor Certification 08/98

Firefighter I Certification 09/88

CPR Instructor Certification 09/86

PHTLS Certification 02/01



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