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Clinical Educator/Outpatient Medical Coder

Location:
Charlotte, NC
Salary:
$29/hr
Posted:
March 14, 2018

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Resume:

Marla A. Brown, CPC ac4s3s@r.postjobfree.com

***** ********* ***** 678-***-**** (cell)

Charlotte, NC 28213

Summary of Qualifications:

Over 25 years’ experience in the Healthcare field for administrative and clinical duties

Knowledgeable of the uses of ICD-9, ICD-10, CPT & HCPCS coding procedures

Outpatient, Surgical and Evaluation & Management Coding experience

Knowledgeable of Department of Defense Coding procedures and guidelines

Knowledgeable of HIPAA Compliance and Regulatory Requirements

Supervisory & Management skills including training and hiring of personnel

Staff Management & Planning

Medical Billing & Coding Educator

Strong customer service, organizational and interpersonal skills

Medical Billing including Accounts Payable & Receivables, revenue billing cycle

Professional Experience:

05/17-Present: Clinical Outpatient Coder/Educator

Moody Air Force Base, Valdosta, GA

Primary medical outpatient coder for many specialty and primary clinics of the military base, reviewing and evaluating approximately 80-90 medical records daily for the active-duty and retiree recipients with a coding accuracy of 95-98%, Provides medical coding training for all new providers to the military training facility using the AHLTA software documentation system, Querying providers for clarification of medical encounters and providing feedback of coding errors and submitting examples of corrections per the military health system guidelines; while utilizing HIPAA compliance regulations, reviews monthly audits for data quality measures and provide explanation of percentages; Quarterly presentation of analyzing coding trends for all clinics within the military training facility.

02/16-03/2017 Program Director- MBC/MOA/HCR

Virginia College, Richmond, VA

Serves as the academic leader and manages the administrative functions of three medical programs, Medical Billing & Coding, Medical Office Administration and Healthcare Reimbursement of approximately 70 students; Responsibilities generally include course scheduling, faculty development and evaluation, development and implementation of operational procedures, student management and retention, staff management and special projects. Serves as leader to six departmental instructors and sets tone for overall quality, community involvement, and performance results of the program.

04/13-02/2016 Remote Certified Professional Coder

Piedmont Fayette Hospital, Fayetteville, Ga

Evaluate medical record documentation for Evaluation & Management services performed by the Hospitalists physicians at a 221-Bed Community Hospital that ranks as one of America’s 50 Best Hospitals; reviews medical records to optimize reimbursement by ensuring that ICD-9 & ICD-10 and CPT codes accurately reflect and support the Evaluation and Management inpatient and outpatient charges while utilizing HIPAA compliance regulations; reviews claim submission for its entirety and accuracy to minimize claim denial. EPIC software experience.

Unit Secretary/Medical-Surgical

Piedmont Fayette Hospital, Fayetteville, GA

Facilitates patient care by providing support to the physicians and nursing staff of the Medical Surgical Unit via administrative duties and effective communication.

09/09-04/13 Independent Billing Coordinator

Greater Washington Orthopedic Group Silver, Spring, MD

Worked Remotely from home; Responsible for posting 60-70 daily physical therapy charges, adjustments and payments, demonstrates use of ICD-9 & CPT coding procedures, insurance verifications, pre-authorization and therapy referrals, maintains monthly aging reports, which includes resubmission of surgical services and insurance denials for various insurance providers including Medicare, identifies problems on accounts and follow through with conclusion, receives and resolves patient billing complaints and questions, arrange mutually acceptable payment schedules for delinquent accounts.

09/08-08/09 Clinical Assistant II/Lead

Southern Orthopedic Specialist. Atlanta, GA

Assisted physician in a clinical setting, handled request for medication refills, demonstrated use of ICD-9 & CPT coding procedures by verifying codes provided by physician for current treatment and scheduled surgery if recommended; maintained and monitored medical supplies and medications, monitored OSHA regulations for the clinical area, assisted Office Manager with duties and demonstrated use of EMR.

10/06-07/08 Business Office Manager

Resurrection Life Center, Deatsville, AL

Responsible for Medicare and Medicaid billing for skilled nursing and assisted living facility, accounts payable & accounts receivables, administered all functions of the revenue cycle, maintained and monitored residents trust fund account, maintained employee payroll and personnel files, assisted with admissions approval, and provided assistance to the Administrator.

07/06-10/06 Insurance Coordinator

Southern Orthopedic Surgeons, Montgomery, AL

Processed and mailed Workers Compensation claim forms, scheduled worker’s compensation appointments, demonstrated use of ICD-9 & CPT coding procedures by assisting with approval for surgeries and diagnostic tests from insurance carriers, provided excellent customer service to employers and injured employees

01/04-08/05 Clinical Assistant II (Peachtree Orthopedic Clinic, Atlanta, GA)

03/03-11/03 Medical Assistant Instructor/Educator (Remington College, Houston, TX)

08/02-01/03 Clinical Assistant II (Baylor College of Medicine, Houston, TX)

01/96-03/02 Workers Compensation Administrator (Southern Orthopedic Specialists (formerly Hughston Clinic), Atlanta, GA)

Education:

01/09-05/12 South University, Savannah, GA

Associate of Business Administration Degree

08/95-08/96 Georgia Medical Institute, Atlanta, GA

Medical Assistant Certificate

09/85-06/86 Clayton College & State University, Morrow, GA

Nursing and Business Administration

Certifications: Certified Professional Coder, (CPC), Certificate of ICD-10-CM Proficiency, Certified Medical Assistant Certificate (NRCMA), BLS Certified, AAPC member



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