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Senior Charge Accuracy Analyst

Location:
Nashville, TN
Posted:
October 27, 2018

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Resume:

Tracy C. Holcomb, CPC

*** ****** *****, #****, *********, TN 37211

Mobile # 773-***-****

E-mail: ac7is4@r.postjobfree.com

OBJECTIVE:

Highly skilled career professional looking for a challenging role to apply my billing and coding skills in a hospital or clinical setting where my experience and knowledge can be fully utilized. Extensive computer and medical apparel knowledge, strong organizational abilities, demonstrating quality communication skills and patient service. Honest, responsible, reliable, dependable, creative, team player. Always on time with a quick ability to adapt to changing needs of the department and committed to excellence in the workplace.

SKILLS:

Well-rounded background in general coordination of clinic activity and information.

Excellent communications skills, written and oral.

Exemplifies professionalism by maintaining a courteous demeanor in all communications with departmental staff, clinical staff, physicians and outside vendors.

Experience using OnCore for clinical trials research and billing compliance.

Knowledge of Epic, 3M Encoder, and Cerner. Microsoft Office Suite advanced skills in Outlook, Word, Excel and PowerPoint.

WORK EXPERIENCE:

Senior Charge Accuracy Analyst

Vanderbilt University Medical Center, Nashville, TN

December 2016- Present

Perform line item charge review of research patient encounters in VUMC charge systems for accuracy and completeness.

Ensure charges are captured and billed for insurance and patient billing of inpatient outpatient hospital services for research participants.

Work with as a team to remediate charge errors discovered in Epic.

Correlate with documented medical nursing interventions from the research billing plan from eSmart and Oncore.

Identify appropriate use of billing modifiers and CMS requirements for billing research related charges to federal payers.

Verify and resolve discrepancies by utilizing the tools and resources from the medical record documentation and Charge Master Data.

Certified Coder

Rush University Medical Center, Chicago, IL

April 2012- November 2016

Makes determination of appropriate diagnosis codes to claims, by using ICD-9/ ICD-10.

Assigns appropriate procedure codes using CPT and HCPCS.

Reconciles proper diagnosis codes with appropriate CPT codes, for claims purposes.

Consults and assists physicians with the identification of necessary documentation for proper sequencing of diagnosis and procedure codes.

Queries provider(s) for additional information as needed to complete accurate coding tasks.

Collaborates with patient accounts, and other clinical areas to provide coding reimbursements expertise.

Work all hospital and physician based work queues to ensure accuracy for claim submission.

Complete coding projects that are given by management and follow-up.

Enters data into the systems as needed.

Billing Coordinator (Dermatology)

Northwestern Medical Faculty Foundation, Chicago, IL

December 2009 – March 2012

Coding General Dermatology, Surgery (MOH’s), Cosmetic, Pathology and Laboratory

Review physician reports and append appropriate CPT, HCPCS, ICD-9 codes and modifiers

Works the TES EDIT work files to resolve coding edits

Responsible for accurate and timely review and coding of procedures and surgeries

Review and give feedback to the physicians regarding their billing and documentation

Processing patient financial and billing information

Responsible for assuming all practice duties related to billing

Work with patient account department to ensure accurate billing and resolve claim denials and medical necessity issues

Administrative Coordinator

Rehabilitation Institute of Chicago, Chicago, IL

April 2007 – December 2009

Schedule and register outpatients using automated scheduling system.

Create and maintain master schedules for clinicians and staff.

Enter data accurately for purposes of proper record keeping and referral management and correct errors before final reports are generated.

Bookkeeping functions such as entering charges for ICD-9 and CPT codes into a computerized billing system.

Perform a variety of word processing tasks such as forms, correspondence, complete presentations, and utilizing the standard software of the Institute.

Schedule meetings, appointments, interpreters, and vendor conferences for the clinicians.

EDUCATION:

B.S. Business Administration

Lewis University, Romeoville, IL

May 2018

AAPC Certified Professional Coder, CPC

ICD-10CM/PCS Certificate



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