Mary Johnson, CPC,CNA,RMA

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

Chesapeake, VA 23323

ad3a9e@r.postjobfree.com

Phone: 757-***-****

Alt:757-***-****

OBJECTIVE:

To obtain a Certified Professional Coder position where I can continue to maximize on my coding skills, supervisory role, and experience.

EXPERIENCE:

Novant Healthcare

Jan.2022-Present

Inpatient Coder/Abstractor III

Reviewing inpatient medical records and assigning accurate ICD-10-CM and CPT codes for diagnoses and procedure

Assigning and sequencing codes accurately based on medical record documentation.

Assigning POA indicators correctly

Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims

Involved in ensuring data integrity including appropriate sequencing and dispositions, resolving all coding edits prior to finalizing abstracts, compliant with New York and Federal Regulations

Adhering to coding clinics and guidelines, and queried physicians for clarification as needed

Knowledge of 3M360 coding, EPIC, CITRIX, and Encoder systems

Aquity Solutions

Remote Certified Coder

Orlando Health (1st Assignment)

Jan2023-August2023

Abstracting and Charge coding of Emergency charts inside of EPIC and 3M360; Accessing system via Citrix and Cerner

Assigning E/M levels; ICD-10 codes; CPT codes for Infusions and Injections; CPT codes for general surgeries

Acute Care Same Day Surgery; Level I Trauma Hospital

Intermountain Healthcare

Remote Charge Capture Specialist I

August 22-April 23

Reviewing medical records and insurance claims to ensure the claim was processed correctly.

Communicating with patients, insurance companies, and medical providers to obtain additional information or clarification on claims.

Coordinating with internal staff members to ensure all claims are processed accurately and efficiently.

Ensuring claims are processed within regulatory guidelines such as state laws regarding notice requirements for health insurance claims.

Entering data into an automated system to track claims processing progress.

Working with an insurance carrier’s policy language to ensure that billing codes are accurate and consistent with industry standards.

Performing administrative tasks such as updating claim status in computer systems (EPIC, CERNER, CITRIX, Microsoft teams)

Maxim Healthcare Services

Remote Certified Coder

University of Michigan

May2022-June2022(3rd assignment)

Abstracting and Charge coding of Emergency charts inside of EPIC (ED, Psych, and OBS charts); Accessing system via Citrix; Assigning E/M levels; ICD-10 codes; CPT codes for Infusions and Injections; CPT codes for general surgeries.

August 2021-Feb 2022

Kaiser Permanente (2nd Assignment) Part-time

Abstracting and Charge coding of Emergency Department Charts Inside of hospital system

using Citrix; Epic; 3M360 and Encoder. Assigning Diagnosis, CPT codes, correcting modifiers

May 2021-July 2021

University of Washington (1st Assignment) Abstracting and Charge coding of Emergency charts inside of EPIC and 3M360; Accessing system via Citrix; Assigning

E/M levels; ICD-10 codes; CPT codes for Infusions and Injections; CPT codes for general surgeries.

United Healthcare Group/Optum

March 2020-August 2021

Recovery Analyst Specialist (Clinical Documentation Investigator)

Complete accurate and timely record review to ensure the integrity of documentation compliance. Systems OPTUM, 3M360, Encoder, Microsoft

Build and generate reports from the EMR.

Review concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI) and quality.

Audit, review, and correct E/M levels, CPT codes, and HCPCS codes for accuracy.

Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance.

Complete well-timed follow-up case reviews on all concurrent cases with

priority given for resolution of those with clinical documentation clarifications.

Harmony Healthcare (Staffing Agency)

September 2021-January 2022

Remote Certified Coder

Memorial Hermann

Abstracting and Charge coding of Emergency charts inside of EPIC and 3M360; Accessing system via Citrix; Assigning; E/M levels; ICD-10 codes; CPT codes for Infusions and Injections; CPT codes for general surgeries; Acute Care Same Day Surgery. Level I Trauma Hospital

Himagine Solutions

September 2017

To

April 2020

Remote Certified Coder

Acute Care Same Day Surgery Hospital

Level I Trauma

Steward Healthcare (First assignment)

Nationwide Children’s Hospital (Second Assignment)

OCT2019-JAN2020

Assigning charge codes for main hospital emergency urgent care facilities; assigning charge codes for offsite facilities using Citrix and EPIC coding systems

Acute Care Same Day Surgery; Level I Trauma Hospital

Bickford Senior Living Suffolk, VA

Dec. 2019

To

Present

Registered Med Tech/Certified Nurse's Aide Administering medication to residents; Keep medication records updated; Order and receive meds; Keeping all meds in appropriate carts, cupboards, or locked spaces; Assist residents with daily ADLs; Checking vitals; Room checks q 1 hour; Making sure Memory Unit station is safe and locked at all times; Continued training on Dementia and Alzheimer's residents.

Edelberg and Associates

September 2015

To

July 2017

Remote Certified Coder/ QA Auditor

Responsible for assigning correct ICD-10 codes and CPT codes to E/R charts for

ProFee and Facility billing. Auditing charts for accurate assignment of ICD-10

and CPT codes, and IV/IVP,IM(MEDS AND NORMAL SALNE),for acute care hospitals. Working inside EPIC,CLEAR,MCKESSEON, CERNER, MEDITECH, and CITRIX system to

obtain EMR. I am experienced with ICD-10, ICD-9, CPT, medical terminology, CMS, MEDICAID, MEDICARE, AND HIPAA guidelines; Acute Care Same Day Surgery; Level I Trauma

Supervisor: Terry Scott Director (QA and Education) 904-***-****

Langley Air Force Base

November 2013

To

September 2015

Lead Coder/ Outpatient Coder

Supervision of six coders. Managing and assigning workload among coders. Training new coders on Outpatient and E/R charts. Abstracting and assigning E/M codes to charts allowing correct levels for physician billing. Auditing outside facilities Outpatient charts (Seymour-Johnson, Shaw and Charleston). Attending Data Quality meetings to ensure productivity and quality of coding is maintained. I am ICD-10 certified. Experienced with DMRSi, MHS LEARN,CCE,AHLTA and SWANK SYSTEM, HAIMS, CHCS. I am experienced with ICD-9, CPT, HCPCS, HIPAA GUIDELINES, MCD and MCR guidelines.

Supervisor: Mrs. Patricia Bowman(Director of Coding) 757-***-****

Nicka and Associates Remote Coder, TX

May 2007

To

September 2015

Remote Coder

Experienced in abstracting information Inpatient and E/R charts that will ensure

a correct E/M code for physician billing; Auditing and checking the acuity of my

charts; Experienced with Microsoft Word, Microsoft Excel, Remote Coding from hospital systems (PHNS system), also experienced in using MCKESSON, CITRIX, UNIX, ENHANCE. I am also trained in using medical terminology, ICD-9, CPT, HCPCS, HIPAA GUIDELINES, MCD and MCR guidelines. Supervisor Contact: Donna Rask 704-***-****/828-***-****

Medical Management Resources Jacksonville, FL

January 2005

To

August 2007

Medical Coder

Professional and Facility coding of E/R medical charts; Coding directly from hospital system; Responsible for closing out charts on assigned dates; Worked on assignments as a team; Assisted in training new coders; Assigning IV,IM and Normal Saline charges; Experienced in medical terminology, CPT,ICD-9,HCPCS, HIPPAA GUIDELINES, MCR/MCD GUIDELINES, TRICARE

Supervisor Contact: Terry Vinnett 904-***-****

Westminster-Canterbury Senior Living (Hoy Center)

January 2019

to

May 2019

Assisting patients who has had surgery; need wound care; or rehabilitation care due to inability to do daily avticities of care. Obtaining vitals signs; Repositioning q2h if needed;

assisting with ambulation; toileting; preparing for bed; keeping rooms tidy; emptying trash; Documenting in computer system all ADL's

Chesapeake Healthcare and Rehabilitation Center

May 2018

To

Sept. 2018

Assisting patient with daily activities; Assisting with meals and baths; Repositioning patients q 2hrs to help with skin care; Training new CNA's; Documenting ADL's in PCC system; Obtaining vital signs and blood sugars for nurse's documentation; Documenting daily ADL books; Experienced in using blood pressure cuff, thermometer; glucometer, stethoscope.

Lanier Manor Jacksonville, FL

May 2000

To

April 2002

Certified Nurse's Assistant

Assisting patient with daily activities; Assisting with meals and baths; Repositioning patients q 2hrs to help with skin care; Training new CNA's; Obtaining vital signs and blood

sugars for nurse's documentation; Documenting daily ADL books; Experienced in using blood pressure cuff, thermometer; glucometer, stethoscope.

EDUCATION:

2018 Tidewater Medical Training Virginia Beach, Va.

Certificate Registered Medication Aide(RMA) Graduate 27Sept.2018

2018 Tidewater Medical Training Virginia Beach,Va.

Certificate Certified Nurse's Aide (Graduate Date 20April2018)

2018 Certified Nurse'e Aide

ID# 140******* Exp: 05/2022 (Renews yearly)

2019 Registered Medication Aide

ID#003******* Exp: 04/2024 (Renews yearly)

2018 CPR/American Heart Association

BLS Certified ( 2 years) 3/2024

2013 Training Solutions Norfolk, Va.

Certificate Certified Nurse's Assistant

2003 Concorde Career Institute Jacksonville, FL

Certification of Medical Billing and Coding GPA: 3.4

AAPC (American Academy of Professional Coders)

CPC Aug 2006 ID # 01036889 (Renews yearly)

1984 Smithfield-Selma Senior High School Smithfield, NC

Diploma- College Prep Classes

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