Sandra Cash

*** *. *** ****** ************ FL ***06

904-***-****

acrkwq@r.postjobfree.com

acrkwq@r.postjobfree.com

EMPLOYMENT:

ALTEGRA HEALTH/CONTRACTOR June 2015-Present

HCC Coding/ Hedis

Coding of 360 Annual Assessment, and Hedis, Health Med Records for Medicare Risk Adjustment client

Entering all diagnosis codes, with particular attention to highest specificity of redundant codes noted on 360, and Hedis Medical

Health Records, entered into APPx, OSCR, and HMR. Updating and coding of records that originally were rejected for missing or incorrect information and shelling records prior to coding, all while following client specific guidelines as well as CMS guidelines.

Total Med Staffing/ Optum Contractor August 2014-May 27,2015

HCC Coding/ ACA Coding/ Auditing

Hired as Auditor, but also coded MRA (HCC) charts for up to two years per patient to ensure capture of all HCC codes

from each chart. This included the total medical record for each patient for all eligible dates of service submitted, which

included physician, consult, and hospital outpatient records, as well as surgical notes.

Programs used: Emerald, CodeZilla, ENCODER PRO

Gottlieb and Associates January 2014- August 2014

Emergency Department Physician Coder

Execute evaluation and management coding on the physician and outpatient setting

Accurately code ICD-9 for physician, and facility coding

Follow Medical Coding guidelines and coding techniques(ICD-9, CPT-4)

Used McKesson program

Insight Global (Temporary) November 2013 – January 2014

HCC Coding

Performed HCC risk assessment ICD-9 coding per CMS and client specific guidelines

Audited charts for correct admit/discharges dates verifying signatures

Reviewed medical records for HCC coding guidelines

This was a 3 month contract position which I completed. I was being referred for a permanent position by my Auditor, but had already accepted the position at Gottlieb before I knew about this.

Medical Management Resources August 2010 – September 2013

Emergency Department Facility Coder/ with Professional coding experience

Abstracted medical information, diagnosis, and procedures from electronic or paper charts, primarily worked electronically imported charts.

Performed ongoing analysis of medical record charts for appropriate coding compliance

Knowledgeable of regulatory coding changes in compliance of coding rules and regulations according to Regulatory Agencies (Medicare, HCFA, and OIG)

Supported Coding Supervisors auditing, reporting, and educational functions as appropriate, including correcting denials for other coders

Coded both professional and facility charts, with most of my tenure spent with facility charts for multiple hospitals ( large to small) and clients, following all guidelines specific to client, Medical Management Resources, CMS, and commercial payers.

Coded infusions/injections, critical care, fracture care, conscious sedation, wound repair, burn coding, anything that would occur in an emergency dept. setting utilizing all ICD 9 diagnosis and procedure codes as well as CPT codes with correct modifiers.

Programs were varied at this position, as we used each hospital’s program; all were different, and at the time never noted them. Meditech for code entry, utilized NCCI edits for coding compliance. We used client specific grids for E/M code selection.

Attended and passed 2 week facility coding training course required at MMR, for hand- picked coders immediately following 4 week physician coding training with a 98% final score.

National Sourcing Inc. August 2008 – August 2010

Emergency Room Acute Care Clerk

Completed all required forms and providing patient information as required by state and federal regulations

Registered and pre-registered patients

Informed patients of Rights and Responsibilities

Knowledge of Advance Directives

Verified medical coverage and obtained appropriate approvals for ER treatments, and out-patient procedures

Provided exceptional customer service and interacted effectively with physicians, patients, residents, visitors, staff, and the health care community

Worked as ward clerk for ED, in which I facilitated transfers, obtained records for transfer, input physician’s orders, contacted ambulance services, Air transport services, and other communications

as needed. Worked closely with physicians, nurses, corpsmen to ensure optimal patient care.

Programs used were Ahlta for closing out Acute Care Charts once seen, and Meditech for Registering patients and entering physician orders.

EDUCATION:

Sanford Brown Institute, Medical Billing and Coding Specialist Diploma

Veteran United States Marine Corps 1976-1980

Certified Professional Coder (CPC) 2009- PRESENT (AAPC) American Academy of Professional Coder / ICD-10 CREDENTIALED THROUGH AAP

Experience: Other Employment - Accounts Payable Clerk while in the Marine Corps, 1977-1980/

1995Bookkeeper for Big Lots, Beaufort SC/ 1992-1994,Night Auditor; Econo Lodge, Beaufort SC/1984-1985 Accounts Payable Clerk; 84 Lumber Jacksonville FL/ 1983-1984-Accounts Payable/Receivables; Aqua Builders Jacksonville FL/ Accounts Payable Clerk Tempo Personnel Beaufort SC, 2007-2008 Data Entry Clerk for Accounts Payable, The Parts House Jacksonville FL/

Account Management; 1997-1998-AT&T Direct Billed Cards, Citibank Jacksonville FL,1998-2000 /Data Entry Clerk Blue Cross Blue Shield of FL Medical Claims/ File Room Clerk Radiology Dept. 2001-2005/

Watson Realty, Business office Mgr. Jacksonville FL- Processed commissions for realtors as well as many other office duties. 2009-2010, Emergency Dept. Registrar/ Ward Clerk for Staffing company @ Nas Jax Naval Hospital, then obtained Coding Certification.

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