Medical Billing

Attn: FTE Physician E &M Compliance

Melody Wright, CPC

*** ***** ****** ***** *********, GA 30252

678-***-**** *******************@*****.***

Summary

Accomplished professional with over five years of experience as

coding auditor and ten years as a coding specialist, proficient

in diagnosis, procedures coding, outpatient hospital coding, and

physician coding, eager to contribute my expertise towards

supporting the organization in driving business growth.

Specializing in E&M leveling, Pediatrics, OB/Gyn, and Emergency

Room coding. Extremely knowledgeable with regard to Medical

Coding guidelines, Evaluation and Management, teaching physician

guidelines, CPT, ICD-9, HCSPCS, billing and coding techniques.

Innovative and reliable individual with proven ability to achieve

organizational goals while displaying effective multi-tasking and

time management skills. A team player with effective

interpersonal and communication skills, adept at building

productive relationships and building rapport with a diverse set

of individuals. Excellent oral and written skills, knowledgeable

in anatomy and physiology, and medical terminology.

Computer Skills

Software

EPIC EMR

3M Coding software

Chartmax

Softmed

IDX

Intellicode Auditing software

Experience

05/2007-pres Physician Coding Auditor, Children's Healthcare of

ent Atlanta

Develops a detailed audit plan, prepare a report and

action plan for correction and/or improvement for area

being reviewed to meet established goals and

responsibilities of maintaining consistent quality

monitoring processes to validate E&M, procedure and

diagnosis coding and billing accuracy that minimize

denials.

Conducts the coding and billing compliance audit process

within established timeframe and in accordance with the

standards defined by Children's Healthcare of Atlanta.

Monitors the progress of developed action plans by

developing and administering coding education program(s)

that ensure providers and staff maintain coding and

billing competencies and are current with coding

requirements and regulations, ensuring that current

coding manuals and super bills are provided for each

practice office, and acting as coding and billing

compliance resource for the employed physicians at

Children's Healthcare of Atlanta.

Assists coding team with outpatient hospital coding, same

day surgery, ER coding, radiology, and coding rejections.

1/2006-4/200 Medical Coding and Billing Instructor, Georgia Medical

7 Institute and CEI

Developed education plan and instruction for students in

CPT, ICD-9, and HCPSC coding and medical billing.

5/2003-12/20 Medical Coder, Grady Memorial Hospital

05 Handle coding of all diagnosis, procedures, and supplies

for several departments within Grady by applying accurate

and descriptive ICD9-CM, CPT, modifiers, and HCPCS code

for reimbursement purposes. Conduct accuracy reviews

prior to billing, concurrent reviews, and/or

retrospective of coded and abstracted patient data under

data quality and compliance guidelines.

9/1997-4/200 Medical Coder, Emory Medical Care Foundation

3 Provided coding of all diagnosis, procedures, and

professional services for the departments of Medicine,

OB/GYN, Emergency, Cardiology and Orthopedic Surgery

departments by applying accurate and descriptive ICD9-CM,

CPT, modifiers, and E/M codes for reimbursement purposes.

Maintained consistent quality by staying abreast of

coding guidelines and utilizing periodicals, such as, CPT

Assistant and several other coding books.

Corrected rejections from carriers related to coding

discrepancies.

Education

1999 AAPC CPC Class

1993-1996 Howard University

1992 Diploma and CNA license, McNair Senior High School

References furnished upon request

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