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Senior Professional Coder

Location:
Memphis, TN
Posted:
February 08, 2024

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Resume:

Leigh H Fullilove

**** ******* ***** # ***

Memphis,TN 38125

901-***-****

ad3hr3@r.postjobfree.com

OBJECTIVE: I want to secure a full time remote coder position to utilize my skills.

EDUCATION

2002-2005 Southwest Community College Memphis, TN

Associate of Science/General Studies

Graduated 2005

Honors Cum Laude

2005 AAPC /CPC Certification Memphis, TN

1985-1987 Hamilton High School Memphis, TN

Diploma Graduated 1987

SKILLS

Certified Professional Coder (CPC) with 21 years of coding experience which includes IP/OP Profee / Multispeciality OP clinics, Nursing Home/.Ed coding /HCC Coding Experience /Infusions Injections& Hydration coding experience .

CMS Medicare/Medicaid Risk Adjustment experience with HCC/RXHCC Categories

Proficient in 3DM, HDM, 3M, Encoder, Meditech, Laserfiche, Nextgen, Woundexpert, Soarian Clinicals & Financials.,Epic, Cerner, Allscripts.,Epic.

Prior remote work experience with self-initiative, self-driven, complete task in time manner with little supervision/guidance.

Physician Coding 10 years plus with multispecialty experience

ICD10 trained and certified through AAPC

HEDIS Abstraction Experience

WORK EXPERIENCE 09/26/23- Present (Partime/PRN)

Oschner Health Systems Shreveport.LA

Hospitalist Coding.

ED OP Coding/Infusions/Injections

Some Critical Care

WH OP/OP Clinics

Diagnostics & Rehab

Review /validates /changes EM level/ICD 10 codes

02/26//22- 01/11/24

Renown Health Systems Reno, NV

Teaching Facility

Hospitalist IP Profee Coding /Observation

Women;s Health Obgyn Profee OP

WH OP Procedures

Review /validates /changes EM level/ICD 10 codes that have been assigned

08/2019- 12/12/23 Corrohealth Plano, Tx

Remote Coding Specialist

Profee EM level /ICD 10 coding

OP Multispecialty Clinics \Nursing Home coding

CPT Coding Profee IP/OP Procedures

Hospitalist Coding.

Review /validates /changes EM level/ICD 10 codes that have been assigned

5/2017- 10/14/2020

11/2020-01/21 Himagine Solutions, Inc. Memphis, TN

Remote Coder Consultant

Same Day Surgery Coder To abstract /assign CPT codes and ICD 10 codes.

Inpatient Coding /Nursing Home skilled facility coding

HCC Coder Risk Adjustments Assignment HCC/RXHCC categories

Edits / Worked edit/ denials for multispecialty clinics which included modifiers, profee, procedure

08/2017- 08/06/2020 MModal Inc Remote Coder

Profee E/M Coding Derm/ Neuro

Hospitalist Coder which includes Inpatient/Subsequent/Critical care consultation level coding. Profee/Multispeacialty for outpatient, nursing skilled facilities.

11/01/18- 08/2019 Aviacode

Remote Per Diem HCC Coder (PRN) HHS Risk Adjustment

To review medical chart to verify,capture or change codes that link to HHS risk adjustment coding from 2017/2018 dates of service

06//2018 09/2018 Peak Remote Coder

Complete Code Capture.

To capture codes from medical charts following Cigna Guidelines that include coding acute/ chronic conditions that have support,long term meds, history codes, and status codes .

4/2017 – 1/2018 Optum United Healthcare Group Memphis,TN

Remote Contract HCC Risk Adjustment Coding Specialist

Abstract /Assign ICD 10 risk adjustment codes that are a included in HCC /RXHCC categories from CMS/Medicare and Medicaid.

2/2014- 5/2017 Regional Health One Memphis, TN

Clinical Coding Specialist

Teaching Facility

Assign ICD9/CPT for various Outpatient clinics (40).

Reconcile aged accounts to be coded.

Neurology, Dermatoloy, Vascular, Rheumatology, wounds ( burn, ulcer, hbo treatments,) rehab (Ot, PT, Speech Therapy, Medicine ( General & Internal), Adult Special Care,Same Day Surgery, ED, OBGYN, Sickle Cell, Oncology,Hand, Plastics, Podiatry, Oral Surgery, PATS, Ancillary,Radiology, Protime Clinic, Recurring Accounts, Dialysis, Pain Clinic, Fetal Medicine, and a variety of others.

4/2014-12/2017 Arrohealth

Remote Coder Memphis, TN

HCC/Medicare Risk Adjustment

Complete Capture Code various insurance/provider clients

3/2012 – 11/2013 Altegra Health Los Angeles, CA.

HCC/Medicare Risk Adjustment Remote Coder

To audit medical charts & assign ICD9 codes thru HCC/RXHCC relations

Perform complete coding for some accounts.Some Hedis Abstraction

6/2011 -11/2013 Outcomes Inc. Alpharetta, GA.

Onsite Coder/Field Reviewer

To perform medical review services with healthcare providers for HEDIS/PIA Risk Adjustment.

Assign ICD9 codes to HCC/RXHCC relations

Perform onsite coding audits/ICD9 with healthcare providers.

Uphold HIPAA /Patient confidentiality Requirements.

6/2008-1/2014 Inovalon Bowie, MD.

Remote Consultant Coder

Audit medical charts

Assign and input ICD9 codes to HCC/RXHCC relations

CRG projects complete code capture

Participation in approved AAPC continuing education through

Webinars/training provided on the job.

10/2006-6/2008 Concorde Career College Memphis, TN.

Medical Office Instructor

Taught ICD/CPT/HCPC, medical terminology, insurance,

Transcription, Keypro, and HIPAA.

Assisted students to prepare for AAPC/NCCT exam

5/2003- 10/2006 UT Medical Group Memphis, TN.

Clinical Coder I

Coded Outpatient Clinics, EKG reports, and diagnostic procedures

by assigning ICD9 codes .

Distribution of work to others

1/2001-5/2003 UT Medical Group Memphis, TN.

Call Center Representative

Registered Patients/scheduled appts.



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