Licensed Practical Nurse

Kimberly A. Gaggiano, CPC, CMBS, LPN

**** ******* ******* *******, ** 14219

716-***-**** PHONE/TEXT *********@*****.***

EDUCATION

Erie 2 CC Boces, Buffalo, NY

LICENSED PRACTICAL NURSE

NYS License Number: 333-152-1

Bryant & Stratton College, Amherst, NY

Certified Professional Coder & Medical Billing Specialist Program, 2009-2010

CPC Certification, April 2010

CMBS Certification, August 2010

Marshall University Community & Technical College

Paralegal Associates Degree

QUALIFICATIONS/TRAINING

BLS for Healthcare Providers and Professional Rescuers

American Safety & Health Institute, expires 10/5/19

Opioid Overdose Prevention (Naloxone)

Erie County Department of Health, 5/21/18

ACLS-National Health Care Providers Solutions – currently enrolled

ICD-9/10, CPT, HCPCS, Medical Terminology, and Anatomy

Reimbursement, Electronic Billing, and EHR; Microsoft Office: Word, Excel, PowerPoint, and Outlook

Extensive EMR/EHR Experience with Medent, E Clinical Works, Meditech, Medical Manager, Allscripts, and Practice Manager

CLINICAL ROTATIONS

Erie County Medical Ctr., Level One Trauma Ctr., Floor 8, Zone 1, Buffalo, NY, 4/18-6/18

Medication Distribution, Patient Care, Patient Treatments/Injections, Wound Center, Outpatient Dialysis, Surgery Dept., Ambulatory Surgery Special Clinics, Med/Surg

Garden Gate Long Term Care Facility, Cheektowaga, NY, 2/18-4/18

Medication Distribution, Patient Care, Patient Treatments/Injections

Erie County Medical Ctr., Level One Trauma Ctr. Floor 6, Zone 1, Buffalo, NY, 12/17-2/18

Medication Distribution, Patient Care, Patient Treatments/Injections, Med/Surg & Step Down Unit, Outpatient Dialysis Center

Autumnview Long Term Care Facility, Hamburg, NY, 9/17-11/17

Medication Distribution, Direct Bedside Care & Treatments

PROFESSIONAL EXPERIENCE

Catholic Health System – Sister’s Of Charity Hospital-St. Vincent’s Health Center, 3/19-Current

Primary Care, Internal Medicine, and Addiction Services – triage, injections, treatments, ECG’S, rooming, assessing, prior authorizations, RX management, transition of care, critical care management, all aspects of patient care.

Erie County Medical Ctr, 8th Fl, Zone 1-Acute Med/Surg Telemetry Buffalo, NY 11/18-3/19

Total Bedside Nursing, including Medication Distribution, Injections, Treatments, Blood Draws, ECG’s, Wound Care, Acute Care, Psych, Detox, IV Monitoring, Telemetry Monitoring

Surgical Consulting, PLLC, Buffalo, NY 1/16-6/17

Medical Claims Auditor, Coder, Biller; Practice Administrator

Performed all Aspects of Coding/Billing of a Surgery, Office Visit & Ultrasound Claim Denial, Appeal and Payment Resolution; Responsible for all Office Operations, Employee Benefits Administration, Payroll, and Staff Training.

Healthnow New York Inc. (BlueCross BlueShield of Western New York), Buffalo, NY 10/2015-12/2015 (temp)

Corporate Claims Coder/Keyer

Training to Correct all Invalid Information and Rekey Correct Data on all Rejected Facets Claims

Key Resource Group, LLC, Buffalo, NY 01/2015-08/2015 (This is an employment agency)

COMMUNITY ACTION ORGANIZATION OF ERIE COUNTY-DART PROGRAM (temp)

Medical Biller

Billing of all Charges Relative to a Substance Abuse and Rehabilitation Clinic

Vascular Interventional Associates, Buffalo General Hospital, 4/14-12/14

Coder/Biller/Auditor

Coded and Billed for Vascular Interventional Surgeons for both Inpatient and Outpatient Services

Front Desk Reception; Insurance and Benefits Verification; Denials, Resolution, Appeals, and Payment; Audited Providers' Coding

Medical Care of WNY, Buffalo, NY 02/2013-01/2014

Coder/Biller

Coding and Billing of all Primary, Gyn/Ob, and Physical Therapy Medical Visits in a Multidisciplinary Practice. Appeal of Insurance Company Audits; Responsible for a Large Increase in Revenue by Instructing Providers how to Augment and Capture Additional Billable Codes; Insurance Claim Denial Resolution

Outcomes Health Information Solutions, Atlanta, GA 10/2011-01/2013

Remote Auditor

Travel to Offices and Hospitals within a 50 mile Radius to Audit Medical Charts for various Insurance Company Audits, i.e. HEDIS.

Practice Management, N. Tonawanda, NY 05/2011-07/2011 (temp)

Coder/Auditor

Coding, Recoding and Auditing of Surgical and E&M Charts for many Different Providers

Buffalo Gastroenterology Associates, LLP, West Seneca, NY 10/2010—01/2011

Coding & Billing Department Intern

Assist Department with all Aspects of Coding and Billing Patient Accounts; Patient and Insurance Company Calls, Claim Denial and Appeals, and Payment Resolution

W.J. Cox Associates, Inc. Clarence, NY 9/1994-08/2001

Assistant to CEO & President, Office Administrator, & HR Rep

Planning, Traveling, Assisting on all Statewide Client, Board, Committee, and Special Event Meetings; New Employee Orientation and Training; Employee Meetings; Employee Benefits Administrator; Payroll; Accounts Payable; Employee Handbook Creation and Implementation; Designed and Managed New Office Facility Construction

Mattar & D’Agostino, Buffalo, NY 1993-1994

Paralegal/Legal Secretary

Senior Partner Assistant

Appalachian Forest Products, Inc. Buckhannon, WV 1986-1993

Corporation Treasurer & Office Manager

Developed/Implemented Complete Office Operations; Payroll; A/R & A/P; Banking; Financial Statements; Tax Reports; International Client Relations; Letters of Credit; Managed $1 million dollar credit line

ASSOCIATIONS

Red Cross Volunteer Nurse –Disaster Action Team-currently

American Academy of Professional Coders - Buffalo Chapter, 2011 President

Medical Academy of Billers - Buffalo Chapter, 2011 Assistant to President

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