Medical Records
Resume:
Misty Baker ***********@*****.***
* ********** ***** ******, ** 73075 Cell 405-***-****
Summary
Certified Professional Coder (CPC) with more than thirteen years of experience coding, prepayment and post payment auditing, Mentoring and tutoring development of study plans and resources to help students obtain passing scores on exams and obtain certification through AAPC and providing physician documentation and coding training and education regarding documentation and coding guideline requirements.
- Regulatory Compliance
- Medicare/Medicaid
- DoD Security Clearance
- Military Treatment Facilities
- Indian Health Services
- Electronic Medical Records
- Multiple Medical Specialties
- Provider Education
- Training Program Development
- Pre and Post Payment Audits
- Quality Assurance
Experience Highlights
Standard Technology, Regional Coding Trainer for multiple Military Treatment Facilities (02/20/18 - 4/24/18) analyzed and identified medical coding and documentation performance gaps due to knowledge or skills; researched target audience and topic; designed and developed training plan, content, and presentation; delivered training via chosen method of communication; and evaluated and reported on the effectiveness of the training.
Self Employed Freelance Contract Coding, Physician Documentation Review and Education and Coding Student Tutoring/Mentoring (03/2016-12/01/2017)
Contract coding with third party billing companies, freelance physician documentation analyzation and development of training programs and coding resources for providers to improve documentation and coding, developed and provided tutoring programs and resources for students enrolled in AAPC coding programs.
Coding Compliance Specialist. EquiClaim, Lombard, IL (09/2013 - 03/2016)
Evaluation and Management audits, modifier 25, modifier 59 and CPT procedure recovery audits including spinal surgery, orthopedic surgery, gynecological surgery, osteopathic manipulative treatment, ophthalmology, critical care, injection and infusion, Provider documentation training, Identified Fraud Waste and Abuse patterns
Outpatient Coder. Chickasaw Nation Health Systems, Family Practice Center, Ada (06/03/2008 – 03/07/2013) Abstract ICD-9 and CPT-4 codes from outpatient medical records, Audit Evaluation and Management codes, radiology and clinical laboratory coding, outpatient surgery clinic coding, wound care coding, podiatry coding. Assisted in getting Family Practice Clinic Coding Current, Family Practice Center Nurse and Physician/PA coding and documentation requirements education and updates in-service development.
Medical Records Coordinator. Absentee Shawnee Tribal Clinic, Norman (5/21/06- 12/14/07)
Abstract ICD-9 and CPT-4 codes from outpatient medical records, Audit Evaluation and Management codes, radiology and clinical laboratory coding, assisted in getting billing current for 2 medical clinics, assisted in AAAHC accreditation work over process in the Medical Records Department, Insure HIPPA compliance in the Medical Records Department, organization of medical records, request and release of medical records, appointment scheduling.
Insurance Coding Specialist. CompONE Services, LTD, Tulsa/Oklahoma City, (5/09/05 to 5/09/06) Process 500 to 1000 transactions daily with accountability for abstracting ICD-9 diagnosis codes from medical records, including ER, radiology, superbill, outpatient, and impatient records as well as audit evaluations and management charges, enter charges, research patient activities and charge corrections, and file appeals. Used knowledge of physician office, emergency room, inpatient physician charges and outpatient care to ensure the integrity of medical billing and insurance verifications.
Education
Certified Inpatient Coder 2018 – Currently acquiring
Information Management Major, College of St. Scolastica, Duluth, MN 2010-2011
Health Information Management Major, 2008-2009, East Central University, Ada, OK
Medical Coding Professional Certificate, 2005, City College, Moore, OK (Academic Award)
Nursing Major, 1996, East Central University, Ada, OK
Nursing Major, 1993, Eastern Oklahoma State College, Wilburton, OK
Nursing Major, 1992, Murray State College, Tishomingo, OK
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