Manager Health

Location:

Chicago, IL, 60643

Posted:

March 09, 2010

Contact this candidate

Resume:

Lori Brown-Thompson MBA, CPC

***** * **** ***, **** 1, Chicago, IL 60643 / *******@*****.*** / 773-445-

7408

Career Objective

Seeking a position with a growing organization to make a positive impact on

revenues and experience long term career growth within the Health Care

Industry as an Administrator, Manager of Patient Access/Coding and Billing

department.

Education And Training

MBA in Health Care Management

02/2010

B.S. in Health Care Management

09/2007

Colorado Technical University, Colorado Springs, CO

Employment Summary

Code Base Reimbursement Auditor 11/08 - Present

St James Hospital and Health Centers, Chicago Heights, IL

http://www.stjameshospital.org

. Conduct audits of physician charts to compare with billing.

. Review and audit the APC/LMRP rejection reports to make sure that

correct CPT/HCPCS codes are captured as well as modifier usage and

diagnosis coding.

. Document billing and coding error trends; educate staff and physicians

on how to properly apply CPT/ICD-9 codes to patient accounts.

. Hold bi-weekly meeting with Charge Auditor Nurses to provide coding

resources and updates.

Business Associate (Contract) 02/08 - 08/08

On Target Staffing/John Stroger Hospital, Chicago, IL

. http://www.ontargetstaffing.com

. Audited charts in Radiation Oncology to make sure charges were

captured.

. Entered in missing CPT/ICD-9 codes after audit review.

. Informed Finance of any major discrepancies during charge capture in

billing.

. Assisted in the validation process of patient's accounts, performed

Insurance verification and performed other duties as required or

assigned.

Coder II (Contract) 02/07 - 12/07

Springfield Service Corporation, Tinley Park, IL

. http://www.s-s-c.com

. Assigned CPT and ICD-9 codes to Radiology Reports.

. Corrected CPT codes that have not been documented properly documented

during the billing process.

. Compared charges on accounts with the procedures coded and identify

any discrepancies.

. Reviewed all accounts returned for medical necessity diagnoses issues

and multiple procedures to validate the clinical significance for

modifier application.

Coder II 03/06 - 01/07

Watermark Physician Services, North Riverside, IL

. http://vanguardhealthservice.com

. Assigned ICD-9 code numbers to each diagnosis and procedure documented

in the patient's medical record.

. Compared charges on accounts with the procedures coded and identified

any discrepancies.

. Reviewed and identified any Local Medicare Review Policy (LMRP) issues

with outpatient accounts and rectified these issues.

. Reviewed all accounts returned for medical necessity diagnoses issues

and multiple procedures to validate the clinical significance for

modifier application and aided physicians in the completion of their

records.

Lori Brown-Thompson MBA, CPC

10637 S Hale Ave, Unit 1, Chicago, IL 60643 / *******@*****.*** / 773-445-

7408

Revenue Analyst 02/04 - 10/05

North Western Memorial Hospital, Chicago, IL

. http://www.nmh.org

. Reviewed system generated CCI Edits, APC and LMRP reports to correct

and/or complete inaccurate or missing data on a timely basis. This

included obtaining documentation, reviewing and coding the service,

assigning accurate and appropriate ICD-9 codes, CPT and Modifiers.

. Produced informational reports for management identifying corrections

to any area within the department for the specific clinic area and

identified areas of concern with suggested workflow changes.

. Assisted in developing training for clinic coordinators, faculty and

clinic staff on billing regulations such as LMRP's and APC

requirements, managed care payer requirements.

. Reviewed and corrected errors that prohibit clinical charges from

billing (i.e. LMRP's, APC errors, diagnosis coding, standard bill

holds, etc).

Revenue Analyst 05/01 - 01/04

University of Chicago Hospital, Chicago, IL

. http://www.universityofchicago.com