Kerry Bryceland, CPC

**** ****** ** ** **** 505-***-****

Albuquerque, NM 87111 Cell 505-***-****

Email: ac0c4t@r.postjobfree.com

SUMMARY

Knowledgeable in healthcare medical coding/audit/compliance with over fifteen years of experience in claims and inpatient/outpatient coding, as well as specialty clinics, enthusiastic team player with sharp business acumen to achieve strategic goals and timely reimbursement. PROFESSIONAL EXPERIENCE

UNM Medical Group 2015- present

Compliance coding auditor

Perform random annual audits for Orthopedics, Ob/Gyn and Gastro. Provide education and feedback where applicable. Provide annual updates and/or OIG target areas. Keep up to date spreadsheets and files. Abq Healthpartners 2014-2015

Review edits in TES system. Audit adult hospitalists and provide education and feedback where applicable. PRESBYTERIAN ADULT/PEDIATRIC INPATIENT SERVICES 2011-2014 Abstractor/Coder

Review/Code and Provide feedback for multispecialty clinics: Neurology, Endocrinology, Pulmonary, Surgery, Inpatient and Critical Care Unit, while maintaining 95% quality or above.

Recently went thru Epic EHR Go Live, Utilize 3M, and HPF Presrecord. PRESBYTERIAN PAIN & SPINE 2010-2011

Abstractor/Coder

Review E&M, CPT and ICD9 for pain management

Monthly denial report

Provide physicians with feedback from the reviews

PRESBYTERIAN HEALTH PLAN, Albuquerque, NM 2008-2010 Coding Auditor

• Liaison to the Manager, Information Services, Finance/Patient Financial Services, all hospitals, all PMG sites, PHP, Home Health, Compliance and all ancillary departments in addressing functional coding, auditing, compliance and training issues and problems.

• Maintains and disseminates up-to-date information including ICD-9, CPT-4, HCPCS and APC updates and changes.

• Conducts training classes in areas of coding and documentation. This includes training materials, educational audits and answering site specific questions.

• Audits urgent care, internal med and family practice. AEROTEK TEMPORARY SERVICES, Patrick AFB, Florida 2007-2008 Coding/auditor

• Abstract information from patient records, assign appropriate ICD-9, CPT, E&M, HCPCS and DoD codes

• Review medical encounter for completeness and accuracy

• Provide, group and individual training on the AHLTA, CHCS systems

• Provide group as well as face to face training on audit findings to staff as well as physician.

• Keep abreast of continually changing information, concepts, improvement and requirements in the fields of medical documentation and coding.

• Work within multi clinics which include family, internal medicine, ortho, PT, peds, GYN, eye, and flight medicine STANDARD TECHNOLOGY, Kirtland AFB, Albuquerque, NM 2006-2007 Coding/auditor

• Interacted closely with healthcare entities to ensure compliance and accuracy with documentation.

• Abstract information from patient encounters to assign appropriate CPT, ICD-9, E&M, HCPCS and DOD codes.

• Ensured all coding edits in 3-M were cleared.

• Ensured all providers were updated on coding changes including HIPAA

• Worked within multi -clinics which included family, internal medicine, ortho, PT, peds, GYN, eye, and flight medicine UNM/UPA, Albuquerque, NM 2004-2006

Coding Specialist

• Ensured all codes were captured within family practice, pediatrics and emergency room.

• Resolved and adjusted TES edits in work file to ensure appropriate billing and reimbursement.

• Allocated work and problem solved within my department

• Learn the ABN and teach staff on changes to this practice

• Audit and analyze UPA physician’s charts annually, utilizing Intellicode and entering final results into Access Database.

• Performed face/face education training sessions with physicians, after sessions; a follow-up audit is performed to ensure understanding. CIMARRON HEALTH PLAN, Albuquerque, NM 2003-2004

Commercial Claims Processor

• Pay, deny and adjust inpatient, outpatient, surgery and durable medical equipment claims that are received electronically.

• Quality and quantity were both necessary to achieve correct and timely reimbursement LOVELACE HOSPITAL, Albuquerque, NM 2001-2003

Clinic Coder

• Responsible for abstracting, coding and sequencing all encounters within the clinic.

• Complete unbilled report worked within the IDX system.

• Experienced coding for ED, Dermatology and Family/Internal practice.

• Supply education to all clinics on documentation and coding edits. PRESBYTERIAN HEALTH PLAN, Albuquerque, NM 1998-2001 Medicaid Claims Specialist

• Quality and quantity were both necessary to achieve correct and timely reimbursement.

• Abstract codes from encounter, apply to Medicaid’s forms.

• Keep abreast of Medicaid requirements inform Physicians of changes.

• Pay, deny and adjust inpatient, outpatient, surgery and durable medical equipment claims that are received electronically. UNITED HEALTH CARE (MetLife), Albuquerque, NM 1990-1998 Claims Service Specialist

• Researched and responded to customer inquiries or problems by telephone written correspondence and in person for a variety of health insurance policies.

• Assisted in training of new representatives

• Processed group health insurance inpatient and outpatient claims including adjustments and coordination of benefits claims according to policy provisions using CPT4 and ICD9 coding.

EDUCATION/TRAINING

Certified Medical Billing Specialist

Certified in Medical Terminology, Anatomy, E&M, CPT, and ICD-9 Certified Chart Auditing

Certified in Secretarial Studies

Computer Management and Business Applications

Professional Memberships

AAPC Affiliated Holding my CPC

ACMCS Affiliated Holding my PCS

Security Clearance

Current ADP ll clearance

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