Certified Professional Coder

TAMIKA L. THOMPSON, CPC

**** ******** ***. *********, ** 21234

Home 410-***-****; Cell 443-***-****

Email: ********@*******.***/***************@*****.***

OBJECTIVE

To obtain a full time medical coding, medical compliance or medical consulting position where I can

utilize my extensive coding, auditing and leadership abilities with a company where there is room for

growth.

W ORK E XPERIENCE

07/2011- 11/2012 Bravo Health/Healthsprings Baltimore, MD

Sr. Certified Coder

Ensure that all coding and data entry for each BPHP (Bravo Personal Health Profile) form are

completely and accurately entered into the application.

Verify that all conditions that were noted on the BPHP form have been coded to the highest

level of specificity.

Identify coding errors or omissions on the BPHP form.

Ensure that supporting documentation for all ICD-9-CM codes has been provided.

Verify accurate coding of translated illegible handwriting.

Document peer review and provide feedback to the Certified Medical Coders and the Data Entry

Analysts.

05/10- 7/2011 MedAssurant, Inc. Columbia, MD

Coding Review Consultant

Perform quality control over-read and initial reviews of medical charts to ensure accuracy, and

comprehensiveness.

Conduct chart reviews for purposes of identifying, confirming, and/or documenting appropriate

medical diagnosis and HCC, CRG, CDPS, and HEDIS coding.

Assist in training processes associated with medical chart code review staff.

06/07- 04/10 Erickson Retirement Communities Baltimore, MD

Coding and Compliance Specialist

As a management team member of Erickson Health Medical Group, performed Evaluation and

Management (E/M) compliance audits for appropriate documentation and accuracy of over 35

Internal medicine physicians. In addition to E/M auditing, performed Risk Adjustment HCC,

and EMR documentation audits. Tracked/recorded audits results with Microsoft Excel

spreadsheets.

Trained newly hired Physicians and NPP (Non physician Practitioner) to successfully document

and code Evaluation and Management visits as well as appropriately identify Medicare HCC’s.

Created, modified and presented Microsoft PowerPoint training presentations for Risk

Adjustment HCC guidelines, Erickson Advantage (Erickson’s Medicare Advantage plan) and

Evaluation and Management.

Created and maintained policies and procedures for physician billing processes and assist ed in

developing overall Erickson Retirement Communities, LLC policies and procedures pertaining

to coding and compliance.

Supported and managed the billing staff with Medicare and third party insurance coding denials

with reviews of medical documentation for appropriate codes, modifiers and billing guidelines.

10/06- 06/07 Johns Hopkins Community Physicians Baltimore, MD

Business Operations Coordinator

Educated and trained site providers and/or staff members to improve efficiencies and quality

of business operations.

Performed timely and accurate coding and entry of daily patient charge activity for multiple

specialties including OB/GYN, Internal medicine, pediatrics, radiology, and podiatry input into

IDX billing system.

11/04-10/06 Medical Management Professionals Glen Burnie, MD

Coder /Accounts Receivable Representative-Radiology

Reviewed radiology reports to assign ICD 9 and CPT codes.

Reviewed coding errors to ensure correct ICD 9, CPT codes, and modifiers were used to

ensure clean claims were billed.

Significantly contributed to the reduction of Accounts Receivable by assigning cor rect primary

and secondary ICD 9 and CPT codes according to coding guidelines.

Blue Cross and Blue Shield accounts receivable representative, responsible for A/R follow up

on denied claims. Appealed claims, charge corrected invoices, and insurance billing

discrepancies.

03/04-07/04 Mercy @ Tide Point/Kfocrce Staffing Baltimore, MD

Accounts Receivable Representative-Pathology

Medicare, Medicaid, Blue Cross Blue Shield, and commercial insurance A/R and insurance

follow up. Patient billing inquiries regarding pathology statements. Correcting and resolving

patient insurance information, verification, billing, correspondences from patients, and

insurance companies.

07/01-08/03 Medical Claims Consultants Atlanta, GA

Medical Billing Specialist-Multi Specialty

Claim submission, paper and electronic claims to Medicaid, Medicare, and commercial

insurance companies. Payment posting, A/R follow up, and collections. ICD 9 and CPT

coding off an encounter form.

EDUCATION

04/03-09/03 Georgia Medical Institute Atlanta, GA

Medical Insurance Billing and Coding Specialist

Reading and understanding EOB’s, Medicare, Medicaid and other insurances. Insurance

verification, A/R, follow up.

ICD-9, CPT, HCPCS, coding, medical terminology, anatomy and physiology.

Diploma in Medical Insurance Billing and Coding. President’s List; 95% GPA

1995- 1999 Sparrows Point High School Baltimore, MD

High School Diploma obtained; Graduated in the top 10% of graduating class.

CERTIFICATION

Certified Professional Coder- American Academy of Professional Coders Obtained October

2006 Currently certified- ID # 01054823

COMPUTER EXPERIENCE

Microsoft Office, including Word, Excel, Access, Power Point, Outlook, Access and Publisher.

Billing/Coding Applications: Centricity EMR, IDX, Encoder Pro, Medical Manager, SRSA,

DCT

REFERENCES

Available upon requests

Contact this candidate