Medical Records

April Lott

Certified Professional Coder

Carlisle, PA 17013

*********@*****.*** - 717-***-****

I have Multi-Specialty skills and I am hard working, devoted and get the job accurately done. WORK EXPERIENCE

HIM Coder

Post Acute Medical - Enola, PA - March 2015 to Present

• Performing coding and abstracting of both inpatient and outpatient medical records in accordance with ICD-10-CM coding rules and regulations

• Codes all inpatient records within 5 days of discharge (unless record is not available or critical pieces of documentation are not available) following ICD-10-CM guidelines with 90% accuracy. Will interim code if needed.

• Codes all outpatient records by the third day after discharge according to ICD-10-CM and CPT-4 guidelines with 90% accuracy, to include Ancillary and Wound Care services.

• Reviews H & Ps and other documentation (if needed) to assign admission IGC in eREhabData. Alters Director of any unusual documentation patterns.

• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.

• Performs necessary investigations/actions to assure the account will drop into the billing system without any problems. Informs Director of any unusual circumstances that could delay coding/billing process.

• Uses HMS to assist in accurate coding and clean claims processing. Makes sure that all necessary information is present in the record (documentation to substantiate code assignment) and all data is entered in the computer to ensure bill will drop into billing system.

• Monitors the billing error report to ensure all accounts are dropped timely and accurately. Keeps Director informed of unusual findings.

• Abstracts designated fields for physician information, according to procedure, to assure physician index reports reflect actual activity. Informs Director and Medical Staff Secretary of any new physician activity. Remote Orthopedic Surgery Coder

Methodist Sports Medicine - Indianapolis, IN

Responsibilities

I read the surgery notes and coded the correct Orthopedic surgery that was performed and correct Diagnoses. Accomplishments

Helped the facility get the coding practice back in the door from an outside coding facility. Skills Used

I accurately coded using CPT and ICD- 9 Guidelines. EDUCATION

Certified Professional Coder

YTI - Mechanicsburg, PA

2010 to 2011

ADDITIONAL INFORMATION

APRIL LOTT

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

3090 Spring Road Carlisle PA 17013

717-***-****

OBJECTIVE

I am a very hard working and devoted CPC. I am very accurate when it comes to coding Multi-Specialty Practices.

SUMMARY OF QUALIFICATIONS

• CPC Certified Professional Coder (AAPC). Over 5 years experience as a medical coding professional in a variety of clinical settings.

• Perform audit coding of disease and injury diagnoses, acuity of care, and procedures

• References used for coding include the current International Classification of Diseases (ICD), Clinical Modification; American Medical Association Physicians' Current Procedural Terminology (CPT); Health Care Common Procedure Coding System (HCPCS); Physicians' Desk Reference

• Knowledge of medical terminology, anatomy and physiology

• Broad medical experience also includes billing, reimbursement, HIPPA rules, insurance verification, scheduling, and report creation

• Key strengths: communication, leadership and interpersonal skills; multi-tasking and overall resourcefulness PROFESSIONAL EXPERIANCE

Remote Surgery Coder/Biller

Methodist Sports Medicine

• Assigns codes on all diagnoses, procedures, professional service, and supplies with the most accurate and descriptive ICD-9-CM, CPT-4, Evaluation and Management and HCPCS codes for all patient encounters for reimbursement

• Bill insurance claims automated or manual using HCFA 1500 and UB-92form (UB04)

• Verify insurance eligibility, follow-up on all insurance denials

• Audit claims for accuracy, completeness. Correct CPT and ICD10 coding errors

• Submit reimbursement claims to insurance companies and government entities

• Collect patient payments and maintain billing records Medical Records Auditor

Pennsylvania Psychiatric Institute -Harrisburg, PA -September 2013 to September 2014

• Responsible for compiling data from medical records to document patient condition and treatment according to standardized coding specification

• Reviewed medical records and abstracted ICD-9, CPT-4 and HCPCS codes

• Consulted on practices to ensure optimal reimbursement and compliance for organization's clients

• Ongoing development of Excel reports to record Audit Findings for the month Certified Medical Coder

KeyMed Partners -Camp Hill, PA -April 2011 to August 2013

• Accurately assign ICD-9-CM and/or CPT-4 code(s) and sequence diagnosis and procedures per patient medical record

• Assure the assignment of complete, accurate, timely and consistent codes by the medical coding unit

• Reconcile clinical notes, patient encounter form, health information for compliance with HIPPA rules and JCAHO standards.

• Provide coding and documentation advice to the coding unit, clinical and professional staff.

• Analyze billing to improve coding data accuracy for Medicare compliance reimbursement

• Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse

EDUCATION

Certified Medical Coder and Biller

York Technical Institute

Mechanicsburg,PA

2010-2011

LICENSURE/CERTIFICATION

• Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC)

• AHIMA Certified ICD 10

• Basic Life Support

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