DONNA M. bequeaith, cpc, Pcs
objective
Obtain a position in my field with opportunity for personal and
professional growth and development
Experience
**/****-******* ****** ****** Care Sheboygan, WI
Regional Provider Educator/Auditor 01/06-current
Review services billed by a clinicians, non-physician providers, and
doctors to assure accuracy in billing according to CPT, ICD-9, HCPCS, as
well as the federal and Medicare 1995 and 1997 documentation guidelines
Review results with each provider providing education where needed.
Orientate all new providers and educate 1997 vs. 1995 documentation
guidelines and policies, focusing on services that pertain to each
specialty
Review random charges based on the annual OIG Target list
Prepare various reports and spreadsheets indicating accuracy rating,
compliance, OIG results, and/or other requested provider information
Verify that all mid-level provider collaborative agreements and
prescriptive protocols are signed and up to date
Verify that all documentation for billed services are dictated, signed,
and up to date
Regional Coding Float 8/03-01/06
Travel to regional clinics as needed to assist in medical coding
Proficiently translate medical diagnoses and procedures into codes using
ICD-9, HCPCS, and CPT
Work with doctors, clinicians, and coding staff to stay compliant with
billing guidelines according to government and Aurora's policy
Multi-specialty Clinical Coding Specialist 08/01-8/03
Proficiently translate medical diagnoses and procedures into codes using
ICD-9, HCPCS, and CPT
Work with doctors and staff to stay compliant with billing guidelines
associated with Medicare, American Medical Association, Wisconsin and
Michigan Medical Assistance, and commercial insurance companies
Patient Accounts Specialist 11/98-08/01
Billing for Medicare, WI/MI Medical Assistance, Workman's Comp,
Commercial Insurances
Work with patients and insurance companies to keep accounts current
Correct claims that are denied due to billing errors
fax 414-***-**** . e-mail abhg0y@r.postjobfree.com
2777 st ann drive . green bay, wi 54311 . Phone 715-***-****
DONNA M. bequeaith, cpc, Pcs
Education
American College of Medical Coding Specialists (ACMCS) 01/08
PCS (Physician Coding Specialist) credentials
American Academy of Professional Coders (AAPC) 04/03
CPC (certified professional coder) credentials
Northeast Wisconsin Technical College Green Bay, WI
Medical Terminology, Anatomy, Basic Coding Concepts 05/01-12/01
Administrative Assistant Program 01/95-01/97
technical skills
Microsoft Office, Ten-key, Windows, Records Management, Accounting,
Various medical field specific computer programs, Other misc. computer
programs
professional references
Cathy Olesewski, CPC 920-***-****
Bridget O'brien, CPC 906-***-****
Terri Laatsch, CPC 715-***-****
PERSONAL references
Stephen Metzler 920-***-****
Paula Sue Gulmire 920-***-****
Dawn Dollhopf 989-***-****
fax 414-***-**** . e-mail abhg0y@r.postjobfree.com
2777 st ann drive . green bay, wi 54311 . Phone 715-***-****