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Credentialed Coder: CPC, COC, CPC-I

Location:
Pagosa Springs, CO, 81147
Posted:
February 26, 2015

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Resume:

Jennifer Blair, CPC, COC, CPC-I

** ***** **., ****** *******, CO 81147 Cell: 907-***-**** Email:

**********@*****.***

Experience:

****-******* ****** ******* ******* Center

Pagosa Springs, CO

Medical Coder Lead/Trainer

. Develop training programs for existing HIM staff to advance from

current positions into coding positions.

. Develop training program to train HIM and other hospital staff in ICD-

10-CM/PCS.

. Responsible for coding/auditing of multiple specialties, assign

appropriate CPT, ICD-9-CM (Vol 1-3), and HCPCS codes.

. Attend Medical Staff meetings and provide education, training

materials, assist in CDI/Compliance Program Implementation

2010-2014 AVTEC Anchorage, AK

Instructor, Medical Billing and Coding

. Instruct students in CPT, ICD-9-CM, HCPCS, Anatomy/Physiology, Medical

Terminology and all aspects of insurance procedures in preparation for

credential exams through AAPC.

. Review existing coursework, develop and implement necessary changes to

curriculum in order to improve program on a continuous basis.

. Cultivate relationships with employers for externships and potential

places of employment for AVTEC students.

. Other duties typical of an Instructor, such as recording grades,

attendance, write training summaries, develop lesson plans, and

additional tutoring for students as needed outside of regular class

schedule.

2009- 2010 Charter College

Anchorage, AK

Department Chair, Medical Coding and Insurance Billing Program

Instructor, Medical Coding and Insurance Billing Program

. Instruct students in CPT, ICD-9-CM, and insurance procedures, both

basic and advanced coursework.

. Provide feedback on coursework and textbooks, recommend changes to

classes.

. Other duties typical of an Instructor, such as recording grades,

attendance, and additional tutoring as needed.

2008-2009 Alaska Native Tribal Health Consortium

Anchorage, AK

Outpatient Coding Supervisor

. Supervise staff of 16 coders.

. Calculate daily production by coding staff to determine encounter

backlog.

. Approve PTO, time cards, staff schedules.

. Provide coder/physician education on coding/documentation standards.

2008. Anchorage Women's Clinic

Anchorage, AK

Coder/Auditor/ Compliance Officer

. Review all insurance contracts for renewal/renegotiation.

. Many of the same duties as listed below.

2005-2007 Alaska Women's Health Services, Inc.

Anchorage, AK

Coder/Auditor/Compliance & Privacy Officer

. Responsible for coding/auditing of all surgeries and hospital charges

for 7 physicians.

. Credentialing of physicians, NPI update, physician, mid-level and staff

education including Medicare/Medicaid updates, coding and HIPAA

changes.

. Responsible for insuring proper documentation and coding guidelines are

met.

. Responsible for setting fees, updating CPT, ICD-(, RVU code databases &

fee slips.

. Responsible for review of coding policy, procedures, updating HIPAA

(Privacy &Security) compliance plans.

. Many other duties to numerous to mention.

2003-2005 Healthcare Resource Group

Dillingham, AK

Coding Technician at Bristol Bay Area Health Corporation

. Audit and extract billable services from inpatient and outpatient

records.

. Answer coding questions and provide feedback to physicians on

documentation and coding questions.

Insurance Follow-up Specialist at Providence Medical Center

Everett, WA

. Review accounts with balances due to determine patient or insurance

responsibility. File claims and communicate with insurance regarding

claim.

. Team reduced accounts receivable by 59% in 3 months collecting over

$1million.

. Assist patients in setting up payment plans and answering questions

regarding when and how their insurance paid their claims.

2001-2003 University of Washington Physicians

Seattle, WA

Supervisor, Coordinator Services

. Supervised staff of 16 coders and 4 support staff.

. Provided coding feedback to physicians and department administrators.

. Organized and managed Saturday work parties to reduce significant chart

backlog in all practice specialties.

. Monitored backlog and assigned additional help as needed for various

service areas.

. Many other common duties typical of supervisor positions.

1998-1999 Interim Personnel

San Diego, CA

Medicare Billing Representative at Pathology Medical Labs

. Proofed HCFA claim forms before sending to Medicare.

. Assisted team members and physicians with diagnosis coding questions.

. Followed-up on diagnosis for limited coverage tests when covered

diagnosis not given by physician.

1996-1998 Denali Doctors/Lemeta Medical Clinic

Fairbanks, AK

Receptionist/CNA/Coder/Biller/Accounts Collector

. Managed operation of Front Desk, and recommend/implement

policy/procedure for office operation.

. Exclusive handling of practice for one physician.

. Insured clean claims were sent to billing service.

Education

Currently re- certifying as Expert Trainer in ICD-10-CM/PCS from AHIMA

2001 Bryman College, Medical Administration Program

Currently attending Ashford University

Pursuing BA in Healthcare Informatics with goal to sit for RHIA

Anticipated Graduation, June 2017



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