Health Information Medical
Resume:
LaCarrie K. Ojong, RHIT, CCS-P
**** ******** ** ************, ** 37128
Main: 615-***-**** E-mail: ac1bqx@r.postjobfree.com
SKILLS SUMMARY
Proficient in ICD-9-CM, ICD-10-CM/PCS, CPT-4, and HCPCS coding procedures, CMS-1500/UB-04 claim form billing procedures and various EHR/EMR systems, 95/97 E&M service guidelines, familiar with DRG/APC codes for ICD-10 and CPT reporting, HCC coding methodologies, NCCI claim edits, Medicare, Medicaid, Commercial insurances, Data Entry, 40 WPM, and efficient in Microsoft Office Suite.
PROFESSIONAL CERTIFICATION AND AFFILIATION
AHIMA Approved ICD 10 CM/PCS Trainer July 2015
Certified Coding Specialist- Physician (CCS-P) Jan. 2014
Registered Health Information Technician (RHIT) Jun. 2011
American Health Information Management Association (AHIMA) Active Member
HEALTH INFORMATION MANAGEMENT EXPERIENCE
Quorum Health Corporation (QHC)-TN
Physician Documentation Review Specialist-Auditor /Educator April 2016-May 2017
Perform assigned audits per management on various Provider specialties
Utilized ICD-9, ICD-10, CPT, and HCPCS coding methodologies
Worked in Encoder Pro to verify Medicare fees, and appropriate coding processes
Review Physicians’ documentation to ensure compliance of services billed
Check for documentation discrepancies and provide written/verbal education as needed
Researched and applied CMS guidelines to Physicians’ documentation for quality assurance
Provide effective written and verbal communication on audit findings with staff members
Community Health Systems (CHS)-TN
Physician Documentation Review Specialist-Auditor /Educator June 2014-April 2016
Perform assigned audits per management on various Provider specialties
Utilized ICD-9, CPT, and HCPCS coding methodologies
Review Physicians’ documentation to ensure compliance of services billed
Check for documentation discrepancies and provide written education as needed
Assist with organizing and researching information for Power Point monthly webinars
Suggested and help implement ICD-10-CM coding into current CHS’s audit process
Researched and applied CMS guidelines to Physicians’ documentation for quality assurance
Provide effective written and verbal communication on audit findings with staff members
Participate in quarterly seminars and provide one on one education to attending Providers
Addison Group- Ann and Robert H. Lurie Children's Hospital-IL- Contract Onsite
Medical Coding Analyst Aug. 2013-May 2014
Perform audits on coded claims from clinical staff
Review medical records to abstract documentation for reimbursement purposes
Assign ICD-9 diagnostic and CPT-4 procedural codes to claims
Make corrections to ICD-9 and CPT codes on claims based on documentation provided
Resolve EPIC software claim edits for claim submission to third party payors
Submit claims to insurance companies for reimbursement purposes
Promptly and effectively communicate with administrative and clinical staff regarding coding issues
K-Force- Midwest Orthopaedics-IL, Norwegian American Hospital-IL, Swedish Covenant Hospital-IL, Georgia Health Sciences University-GA, Sanford Health-ND- Contract Remote/Onsite
Medical Biller, Coder, Auditor, Physician Educator/Compliance Sept. 2011 - Aug. 2013
Assigned diagnoses and procedural codes for physician/hospital billing purposes from patient’s medical record
Audited pre-coded physician/hospital services and make corrections if applicable
Educated physicians on documentation requirements for coding and compliance
Communicated effectively with other departments and medical staff as needed
Verified medical necessity between diagnoses and procedural coding for billing purposes
Coded for Multi-Specialties including but not limited to Ortho, Oncology, Pain Management, Wound Care, Urology, Rheumatology, Radiology, Cardiology, Internal Medicine, Family Medicine, Gastrointestinal, Ob-Gyn, Anesthesia, General Surgery, SDS, E&M and ER coding, Outpatient Clinic Services
Used Correct Coding Initiative (NCCI) software to verify if codes are mutually exclusive
Maintained compliance of coding guidelines and updates
EDUCATION
DEVRY UNIVERSITY
Associate of Applied Science in Health Information Technology Feb. 2011
PCCTI IT & HEALTHCARE
Certificate in Medical Billing and Coding Dec. 2007
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