Medical Management

lakasha coateS, CPC

770-***-****- ********@*****.***

Coding & Compliance Guru

Certified Professional Coder with a versatile skill set developed

through experience as a leader in surgery coding, accounts

receivable specialist and medical coder/biller.

Excels in resolving efficiency challenges with innovative solutions

and process improvements proven to recover lost revenue, increase

patient satisfaction and the bottom line

Extensive coding and collection knowledge in the fields of

orthopedic, radiology, rheumatology, durable medical equipment,

infusion, pharmacy, home health, pain management, general practice,

internal medicine and surgery

Key Skills

Revenue Management Physician Liaison Pre-certification

Medical Policy Researcher Compliance Auditor Management

Patient Consultant Multi-Specialty Anatomy

Claims Investigator Surgery Coding Specialist EMR Software Expert

Outpatient/ASC Coder Medical Terminology

Certifications

Certified Professional Coder (CPC)

2010

Active Membership with American Academy of Professional Coders (AAPC)

Experience

Consulting Experience- Atlanta, Ga

Surgery Coder 2010-present

Obtain listing of monthly procedures (i.e.surgeries,

injections) from physician or outpatient center;

abstract and code post-operative and procedure codes

Educate physicians, physician assistants and medical

assistants using CCI edits, LCDs and commercial

insurance medical policies

Post charges for radiology, Independent Medical

Examinations, Deposition, and disability forms

Coordinate compliant billing with satellite offices

through conference calls and weekly meetings;

highlighting the necessity to follow HIPPA guidelines

Continue coding knowledge by attending workshops and

webinars pertaining to practice specialty and E/M

coding

*Awarded monthly and quarterly cash bonuses for

exceeding coding production rates and aging goals

lakasha coateS, CPC

Gentiva Health Services- Revenue Management

Revenue Management Specialist 2008-2010

Atlanta,Ga

Repeatedly earned monthly bonus, culminating in

responsibility for coordinating all reimbursement functions for

Southeast territory; providing guidance and support of over 30 branch

associates. Results:

Developed process improvements for branch representatives to assist

with commercial insurance chart auditing, provider certification,

prior authorizations and patient care procedures

Audited fee schedules and contracts to make certain proper payments

have been received

Consulted with Provider Relations and in house billers to ensure up to

date ICD-9, CPT and HCPCS codes were being utilized

Reviewed and implemented coding policies that will adhere to state and

federal compliance laws

Submit appeals and reconsiderations to resolve medical necessity

denials

*Recognized for researching and implementing numerous processes to

protect Gentiva, our patients and payers against abusive coding

practices

Air Products Seating & Mobility - Revenue Management Atlanta, Ga

Lead Coding Specialist 2005-2008

Point person within division with responsibility to address key coding

issues and formulate plan for implementation

Results:

Quickly became a trusted specialist reporting directly to Director of

Reimbursement, and earned a reputation for maintaining a positive

attitude and producing high-quality work

Reviewed medical charts, assign ICD-9, CPT and HCPCS coding sets and

input into EMR software

Increased reimbursement rates by prioritizing and completing quality

assurance edits for Medicare and Medicaid

Audited patient data and clinical documentation to ensure compliance

for medical necessity and usage of current coding

Prepared briefing materials for reimbursement staff to review (CMS

coding updates, HIPPA, Business Ethics, etc.)

Assisted Director of Reimbursement with recruiting and training

Generate aging report for all outstanding accounts 90-180 days aged

and report resolution

Consulted with patients daily to ensure understanding of their bill

and plan of care

Managed cross functional teams (insurance verification, quality

assurance, cash posting) to streamline total division productivity

*Awarded for excellence due to preparing and training entire division

for JCAHO visit which resulted in division certification

SYSTEM EXPERIENCE

Codex, SRS Hybrid, Centricity, Medisoft, eClinical, Zirmed, NEXTGEN,

Mesta Med, ARTSCO, American Medical Software, Pulse (Citrix Server),

Medical Manager, PC-ACE Pro 32, Vital Works, Intact

Contact this candidate