Tamaria M. Gibson, CPC

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

Silver Spring, MD 20904

(Cell) 202-***-****

ad2g6g@r.postjobfree.com

WORK EXPERIENCE:

March 2019 - PRESENT

Medical Coder & Review Processor

GBX /STGInternational Consultants/ICE/DHS, Washington, DC

Audit and review medical records for completeness and accuracy

Assign and sequence CPT, ICD9-10, HCC, and HCPCS codes for all services rendered to

detainees according to Coding Guidelines

Query physicians for documentation and specificity of services provided

Meeting a daily quota of quality and quantity of assigned locations

Educate and train medical staff on coding guidelines and documentation

July 2016- July 2018 Medstar Georgetown Medical Center, Arlington, VA

Practice Coding Reviewer Audit and review medical records for completeness and accuracy with a accuracy of 95%

Assign and sequence CPT, ICD9-10, HCC, and HCPCS codes for all services rendered

Collaborates with AR department to minimize denials

Specialties include ER, Pathology, Radiation Medicine, Urology, Hospitalists

April 2014-July 2016 Amerigroup Inc. (Anthem), Hanover, MD

Credentialing Specialist, Sr. Responsible for leading, coordinating, monitoring, and maintaining the credentialing

and recredentialing process

Maintaining accuracy and integrity of credentialing databases and applications

Ensuring compliance with Joint Commission, NCQA, and CMS

November 2012-April 2014 Medstar Georgetown Medical Center, Arlington, VA

Insurance Analyst Responsible for analyzing, auditing, and investigating aged accounts

Preparing and analyzing reports to identify trends and denials

Meeting with Coding team to minimize billing and coding errors

October 2010- May 2019 Healthcare Business Solutions Alliance, Landover, MD

Medical Consultant Identify and resolve issues to increase accounts receivables

Ensuring practice is in compliance with all federal and national entities

Assisting in staffing and marketing of practice

Provide credentialing, billing, coding, accounts receivable and payable

Sept. 2009-Sept. 2011 SRA International, Rockville, MD

Medical Coder Abstract and code adverse events through VAERS for CDC maintaining 95% accuracy

Audit and adjudicate coded data to ensure accuracy and completeness

Compile data to report new advents and trends to CDC

Education: High Point High School, Beltsville, MD

September 1982-June 1986 High School Diploma

Special Skills: CPC Certified; Medical terminology; ICD-9; ICD-10; CPT; DRG; ECW; CAQH; EMR; 3M.

EPIC; IDX; Excel; PowerPoint; Outlook; SMS; NexGen; Cerner; QuickBooks.

Medisoft; Salesforce; Member Of AAPC; Member of MAMSS

References Furnished Upon Request

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