TRINA D. LAMAR, CPC

** ****** **. ● Forsyth, GA *1029 ● Cell: 478-***-**** ● Email: ad5bzi@r.postjobfree.com HEALTH CARE PROFESSIONAL

MEDICAL CODING BILLING CLINICAL & HOSPITAL ADMINISTRATION PROFESSIONAL PROFILE

Seasoned certified medical coder with a strong background in healthcare administration, which includes 18+ years of broad- based, combined experience in supervision, medical coding, medical billing, office administrative support, insurance, and patient services. Proven ability to communicate with patients, healthcare staff, and office personnel. Work well in a fast- paced, constantly changing environment. Adapt quickly to new tasks and situations; strong attention to detail and ability to precisely follow procedures and instructions. Solid communication skills, both verbally and written. Team player, able to build a strong rapport with a diverse range of coworkers, management, healthcare staff, and patients. Excel in problem- solving and decision-making and offer superior customer service. Strong attention to detail. Technically proficient in typing, 10-key speed; Microsoft Office; EPIC System and Cerner; Coding: ICD-10-CM (Diagnosis), CPT Codes, and Internet savvy. CORE COMPETENCIES

• Medical Coding Billing • Insurance • CPT/HCPCS

• Policies & Procedures • ICD-10-Coding • Staff Leadership

• Electronic Medical Records • Insurance Claims • Medical Technology

• Electronic Medical Office System • Financial Records Invoicing • Analytical/Problem Solving Skills CERTIFICATION EDUCATION

Certified Professional Coder Certification, American Academy of Professional Coders Accredited Certified Medical Coding and Receptionist Certification, Central Georgia Technical College, Macon, GA Associate of Science – Criminal Justice, Central Georgia Technical College, Macon, GA Associate of Science – Technology & Health Training, Central Georgia Technical College, Macon, GA SUMMARY OF QUALIFICATIONS

MEDICAL CODING

Analyzed medical information from medical records. Accurately coded diagnostic and procedural information per the national coding guidelines and appropriate reimbursement requirements. Consulted with medical providers to clarify missing or inadequate record information to determine applicable diagnostic and procedure codes. Provided quality assurance for medical records. Met ongoing productivity and quality standards of 95% accuracy rate or better. Verified all ICD-10 codes were correctly captured.

MEDICAL BILLING

Familiar and knowledgeable with Medicare, Medicaid, contracted, and commercial payers, including familiarity with billing. Reviewed and researched insurance-specific requirements and made corrections to ensure appropriate claim payment. Reviewed patient bills for accuracy and completeness and obtained any missing information. Maintained and ensured HIPPA compliance policies were followed; always maintained patient and organization information confidentiality. SUPERVISION/LEADERSHIP

Oversaw daily billing department functions, including medical coding, charge entries, payment postings, and reimbursement management. Supervised 12- member billing team and 9-member patient account representative team and guided coding and billing; assisted with training new hires. Assisted with interviews and recommendations on applicant pool; provided performance management and corrective action recommendations. TRINA D. LAMAR, CPC PAGE 2

PROFESSIONAL EXPERIENCE

Atrium, Macon, GA 07/2016 – Present

Certified Medical Coder

• Perform as subject matter expert in oncology, gynecology, surgical coding, and infusion coding, including chemotherapy and infusions involving multiple drugs.

• Responsible for 160 accurate medical coding of surgery, outpatient, emergency department, and health clinics.

• Assign CPT and ICD-10 codes to each diagnosis and procedure, following guidelines provided by medical coding standards.

• Query physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record when needed.

• Comprehend medical records to identify all diagnoses, operations, and procedures relevant to the current encounter documentation and orders.

• Select, assign, and sequence the appropriate ICD-10 diagnosis and CPT codes to the patient's current care period according to established sequencing guidelines for optimal reimbursement for assigned departments.

• Validate that each patient encounter has a provider order for the service before coding.

• Effectively rank CPT codes when multiple codes apply; assign Evaluation and Management (E/M) codes.

• Perform reconciliation of process to ensure all charges are captured.

• Process automated or manually enters charges into the applicable billing system.

• Process charges on a timely basis and communicates with team members and practice management on an ongoing basis.

GEICO, Macon, GA 05/2015 – 07/2016

Claims Representative

• Collected facts about the accident, investigated claim details, and collected statements from involved parties. Fresenius Health Care, Macon, GA 01/2007 – 04/2015 Senior Billing Account Representative, 2010 - 2015

• Supervised, mentored, coached, and led 12 patient account representatives; monitored the department's daily functions.

• Collected data, reviewed reports, and monitored the performance of PAR.

• Performed worklist daily activities Worklist using Sorian E Cube Financials and E Cube Clinical Systems.

• Followed coding compliance policies, official coding guidelines, regulatory requirements, internal policies, and procedures.

• Monitored accuracy rate and productivity rates consistent with department policies. Senior Admission Patient Account Representative, 2008 – 2010

• Supervised, led, trained, and coached nine patient account representatives; oversaw the day-to-day functions of the assigned section.

• Served as the primary resource for complex and sensitive cases; oversaw verification of insurance and procedures; processed patient accounts and initiated collections.

• Resolved disputes, unprocessed and other claims that required follow-up.

• Collaborated with insurance companies and private and governmental payors to obtain or correct information. Verification Patient Account Representative, 2007 – 2008

• Supervised and coordinated daily office operations to include medical collections, invoicing, financial records, phone/fax inquiries, marketing efforts, and customer service.

• Monitored staff calls with insurance carriers regarding claims processing discrepancies and related concerns. Previous experience includes Patient Account Representative, Central Georgia Cancer Care, Macon, GA, 07/2005 – 06/2007; Adjunct Instructor- Health, Central Georgia Technical College, Macon, GA, 01/2005 – 09/2007; and Medical Coder and Biller, Monroe County Hospital, Forsyth, GA, 11/2004 – 04/2006.

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