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Medical Manager

Location:
NC, 27976
Posted:
March 09, 2010

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Resume:

Karen Snock, CPC, ROCC, CCP

*** ********* **** ***** *****, NC 27976 252-***-****

Qualification Summary:

A Certified Professional Coder in the Medical Industry with over 25 years of experience

working in a fast paced environment demanding strong, organization, technical, and

interpersonal skills. Trustworthy, ethical, and discreet, committed to superior customer

service. Detailed-oriented and resourceful in completing projects, able to multi-task

effectively. Areas of experience:

● Radiation Oncology ● Medical Oncology

● Ophthalmology ● Cardiology

● Emergency ● Radiology

● Urology ●Neurology

● Interventional Radiology ● Family Medicine

● E/M

Professional Experience:

Chesapeake Regional Medical Center, Chesapeake, VA

Compliance Analyst, 2009 to present

Responsible for conducting hospital wide inpatient and outpatient audits

for this 312 bed facility to ensure billing and compliance.

Provide training to department heads, managers, physicians and staff on

errors identified on audits based on CMS guidelines and regulations.

Maintain updates and grid for Leadership section of The Joint

Commission

On Committee to conduct Mock Joint Commission Survey’s for hospital

On Medicare RAC Committee

Responsible to perform at risk audits associated with the RAC.

Responsible for Quarterly Corporate Compliance Meetings

21st Century Oncology, Fort Meyers, FL

Compliance Analyst, 2005 to 2009

Responsible for conducting On-Site Audits at nearly 100 office locations

across the United States to ensure billing and compliance.

Provide training to Office Financial Managers on Policies and Procedures

Assist in the development and maintaining updates to Policies and

Procedures

Performs Focus Review Analysis to capture lost revenue

Maintain site documentation of audits results utilizing excel.

Maricopa Integrated Health Systems, Phoenix, AZ

Outpatient/Inpatient Coder – 2004 – 2005

Abstracted diagnosis and procedures off of physician dictation and

translating them into CPT, HCPC and ICD-9 codes and entered them into

hospital billing system

Performed coding for multi-specialty clinic setting where a rotation of the

clinics occurred on a quarterly base.

Southwestern Eye Center, Mesa, AZ

Coding & Billing Supervisor – 2002 – 2004

Responsible for overseeing the Account Receivables for 18 offices across

the state of Arizona.

Managed over 10 employees in the coding, claims and reimbursement

areas.

Responsible for the hiring and training of all department personnel

Analyzed monthly reports for proper collections

Acted as a Liaison between the departments to achieve department goals

Created and maintained department procedures

Ensured all employees maintained HIPPA Compliance

ICPC, Gilbert, AZ

Business Manager – 1999-2003

Responsible for negotiating, completing and submitting of all contracts

with insurance companies.

Maintain compliance in areas of OSHA, HIPPA and TJC, coding issues

and updating policies and procedures

Posted all charges and payment for insurance companies including

transmission of all electronic claims to the clearinghouses.

Inventory and purchasing of all medical and Office Supplies

Conducting interviews for physician groups and acted as hiring agent on

their behalf.

Provided Consultant services to other physicians as requested.

Coram Healthcare, Tempe, AZ

Coding and Billing Lead – 1996 – 2002

Responsible for overseeing the Account Receivables for 3 states, Arizona,

Utah and New York

Analyzed monthly reports for proper collections

Entered charges and codes into billing system to ensure that it was entered

according guidelines.

Education:

Bergen Community College – Area of Study: Nursing

Currently seeking degree in Health Care Management

Medical Record Policies and Procedures #200.10 & #200.25



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