Medical Management
Resume:
Tanya Green, CPC, CCS
Kent, WA 98031
aczrjc@r.postjobfree.com
OBJECTIVE
To obtain a career in the medical coding field where my skills and experience could be utilized to benefit and promote organizational efficiency and growth.
QUALIFICATIONS
Certified Professional Coder, Strong Medical Billing and Follow-up for optimal revenue capture.
Certified Coding Specialist, Strong Medical Coding, Evaluation and Management
Medical terminology, CPT, HCPCS, ICD-9, ICD 10 coding, CCI edits, chart documentation review and claims appeals.
Effective communication with patients, providers and external vendors in diverse communities.
Experienced with payer billing & reimbursement guidelines.
Experience with Coding Medical and Surgical Procedures for General Surgery, Breast Center Procedures, Orthopedic Surgery, E&M.
IDX Reflections, Web Framework 9.0, GE, EPIC, 3M, Flowcast 3.0, Encoder, Emdeon Codecorrect, Meditech, Foxpro, Megawest, Microsoft Word and Excel.
WORK HISTORY
TCN 2016- Present
Coding Consultant
CNOS-Neuro, Neurosurgery and Center for Advanced Orthopedics and Sports Medicine
Review and apply CPT 4 & ICD-10 codes to Evaluation and Management services performed for Neurosurgery, Neurology and Orthopedic services.
Adreima 2015 - Present
Coder I
Reviewed, and corrected CPT, ICD -9 & ICD-10 codes on professional fee services for out-patient and observation services provided by hospitalist and oncology services and assisted with same day surgeries.
Kforce/Himagine Solutions
Contracted Assignments 2010-2015
Sanford Health
Remote/Travel Coding Consultant
Review and apply CPT 4 & ICD-9 codes to procedures performed for Orthopedics into EPIC system for admissions, and coded IP and OP encounters as well as surgical procedures performed for professional fees. Conduct Audits and assist nine other coders on team with coding questions and workflow issues.
SCL Health System
Remote/Travel Coding Consultant
Review and correct coding errors from the clearinghouse prior to claims being billed,
Appeal incorrectly denied claims, audit E&M services for Family Medicine, Internal
Medicine, General Surgery, and Orthopedic services.
Swedish
Medical Coder Auditor
Scheduled audits, meeting with auditors, posting audit findings, comprising quarterly reports of audit results, acting as a resource for patient financial services staff, and meeting with patients and/or family who have concerns about their bill/charges.
Performed defense audits to satisfactory resolution.
Identified recurring billing errors and trends and reports them to manager when necessary.
Worked on account and claim edit work queue’s daily.
Conducted research and analyze coding and charges errors, and works with HIM and departments to resolve such errors.
Documented billing issues and trends, and assist with problem solving and solutions.
Presbyterian Hospital
Remote/Travel Coding Consultant
Review and apply CPT 4 & ICD-9 codes to procedures performed for Neurosurgery General Surgery, Podiatry, Orthopedics, ENT, audit enter Evaluation and Management codes into EPIC system for admissions, and subsequent visits and surgical procedures performed for professional fees.
Franciscan Medical Group 2008- 2010
Coding Specialist
Review and correct coding errors on incorrectly denied billed claims, and audit office visits.
Provide education to Providers on coding issues.
Code procedures for multispecialty medical group with main focus in General Surgery, Podiatry, Orthopedics, Family and Internal Medicine, assist in training new employees, and perform new provider orientations.
Medassurant 2008-2009
Remote Coder (part-time)
Review medical records that have been submitted to Contracted Medicare Health insurance plans for Chronic Conditions and coded to Medicare Disease Hierarchies.
Highline Medical Group 2007-2008
Coder II
Apply ICD-9 and CPT codes on fee tickets from written diagnosis and notes for charges to be entered and billed for Orthopedic, Internal Medicine, Family Medicine and Geriatric Psychiatry Physicians.
Help charge entry at Month End enter charges to be billed.
Pacific Medical Centers 2005-2007
Patient Accounts Specialist
Maintain well-aged accounts receivable for Medicare, Tricare and Managed Care insurance policies.
Resolve and resubmit denied claims due to coding or billing issues, file appeals, and redeterminations.
Assign ICD-9 and Procedure Codes to services on encounter forms that are written in or not listed by the Dr. Answer patient inquiries regarding their statements.
EDUCATION
Green River Community College 2007
Certified Professional Coder American Academy of Professional Coders
Certified Coding Specialist American Health Information Management Association 2016
2010 AAPC Education Officer for Tacoma Chapter
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