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Medical Management

Location:
Kent, WA
Posted:
April 11, 2017

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Resume:

Tanya Green, CPC, CCS

***** ** ***** **

Kent, WA 98031

253-***-****

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

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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