Support Specialist Office Manager

Lisa Yagisawa, CPC

Norcross, GA 678-***-**** ad5noe@r.postjobfree.com

http://www.linkedin.com/in/LisaYagisawa

Objective

Highly organized and reliable professional seeking a medical coding position to utilize my certification, organizational and leadership skills. Skills include the ability to adapt to new situations, learn new processes and procedures with ease.

Qualifications

Certified Medical Coder EPIC E-Clinical Works

Receptionist/Support Specialist WayStar Lytec Patient Medical Records/Documents Office Management Medical Terminology Excellent Computer Skills Flexibility/Adaptability Basic Anatomy CMS-1500 Medical Billing Medisoft Computerized Billing Scheduling Professional Career History

Emory Healthcare, Atlanta, GA

Coder II, Professional Services - September2023 – March 2024 Accountable for reviewing physician documentation, CPT, HCPCS, and ICD10-coding. Review and resolve all daily coding related denials based on coding/billing guidelines. Edit maintenance and resolution, Denial resolution, charge correction and special projects in order to optimize he revenue collections for the department. Research and resolve all outstanding coding related denials with work queues/ coding specialties and complete all necessary follow-up within a timely and accurate manner. Responsible for communicating all denial trends and denial increases directly to the supervisor/manager in order to positively affect the volume of denials. Northside Hospital, Atlanta, GA

Charge Entry Specialist, Emergency Department - March 2022 - Present Responsible for the accurate and timely charge entry for all procedures associated with client professional and facility activity. Ensures demographic and insurance information is complete for outgoing charges. Review medical documentation to determine the appropriate procedure and diagnosis codes that correlate with the documentation.

Responsible for sequencing the procedure and diagnosis codes in accordance with government and insurance regulations.

Responsible for timely and accurately enter procedure and diagnosis codes that meets applicable targets in accordance with established policies and procedures Demonstrated knowledge of ICD-10, Common Procedural Terminology Codes, HCPCS Codes, NCCI edits, Modifiers, Coding Clinics and Medicare Coding Guidelines Possess the skill set to research coding information on complex and unusual cases. Ability to detect and trend coding errors or issues and report information to leadership in a timely manner.

Assist with performing internal quality assessment reviews on physician (professional) coding to ensure compliance with national coding guidelines and SEES Groups policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Maintains knowledge of and follows policies, procedures, Code of Conduct, and all Federal and state rules and regulations related to the position.

Northwest Georgia Oncology, Roswell, GA

Clinical Administrative Assistant- March 2021 – August 2023 Under the direction of the Office Manager, coordinate the activities of Administrative duties while working hand-in-hand with the Physician and Office Manager to achieve quality outcomes for the patient. Manage Providers scheduling with Epic system

Verify all labs, records, scans are collected prior to office visits. Assists between patients and providers communications. Coordinate referrals and Imaging Orders

Schedule peer to peer conferences regarding prescriptions. Coordinate Transfer of care

Assist with Patients forms ( FMLA, Parking Disabilities, Home Health) Contact Patients regarding no shows, rescheduling, and cancellations. Creating letters for the providers ( dismissal letters, condolences letters, missed appointments) Send Thank you notes

Coordinate in-patient hospital Consults

Travel to other offices to provide coverage.

Answer incoming phone calls and follows through with requests made Request proper medical records

Arrange and link providers orders

Scan medical records into patients chart

Manage orders for Pathology reports

Chart preparation

Weekly reports

Obtain complete and accurate demographic, financial and insurance information Enters all patient information into the registration system Obtain all necessary signatures and is knowledgeable regarding any special forms that may be required by the patient's third party payer

Reads physician's orders to determine the procedures requested and to instruct patients accordingly

Escort or arranges to have patient escorted to procedure areas and assigned rooms Documents thorough explanatory notes on patients accounts, concerning any non-routine circumstances, clarifying special billing processes Maintains confidentiality of patient information, in accordance with WHS policy and HIPPA regulations.

Maintains proficiency in data entry skills

Resolves errors and applicable claim, DNB and patient Work Queues Attempt to collect the estimated self-pay balance

SandySprings Internal Medicine, Sandy Springs, GA

Front Office Coordinator - April 2016 - Jan 2020

Under the direction of the Office Manager, coordinates the activities of the Front Office and performs all front office duties while working hand-in-hand with the Physician and Office Manager to achieve quality outcomes for the patient.

Coding of all patient visits prior to sending to insurance companies Enter payments

Submit claims: Medicare, Tricare, clearinghouse.

Assists patient with intake processes including copying required documents Collects co-payments, co-insurance and deductibles and issues receipts Collect, record and balances payments

Manages cashier box and daily deposits according to company policies Processes walk-in patients and visitors

Ensure all correspondence is scanned and/or filed in timely manner Performs all other related duties as assigned

Verify Insurance / Enter insurance info AllScripts, Eclinicalworks, Waystar Assist patients with portal support

Responsible for correcting coding errors that created a clearinghouse rejection or denial from insurance plan.

Responsible for timely and accurately enter procedure and diagnosis codes that meets applicable targets in accordance with established policies and procedures Demonstrated knowledge of ICD-10, Common Procedural Terminology Codes, HCPCS Codes, NCCI edits, Modifiers, Coding Clinics and Medicare Coding Guidelines Possess the skill set to research coding information on complex and unusual cases. Ability to detect and trend coding errors or issues and report information to leadership in a timely manner.

Serve as internal coding resource for fellow revenue cycle team members, physicians or other clinicians upon request to provide guidance in response to specific questions. Maintain the established department productivity and quality levels. DUNWOODY DERMATOLOGY, Atlanta, GA

Front Office Coordinator - July 2014 - March 2016

Under the direction of the Office Manager, coordinates the activities of the Front Office and performs all front office duties while working hand-in-hand with the Physician and Office Manager to achieve quality outcomes for the patient.

Assists patient with intake processes including copying required documents Collects co-payments, co-insurance and deductibles and issues receipts Collect, record and balances payments

Manages cashier box and daily deposits according to company policies Processes walk-in patients and visitors

Answers phones and schedules appointments

Manages medical records (maintains, files/scans, prepares for schedule) Ensure all correspondence is scanned and/or filed in timely manner Performs all other related duties as assigned

Verify Insurance / Enter insurance info Centricity Generate Superbills / Create billing for record requests Product ordering and inventory / Verify daily deposits STRONG TOWER BEHAVIORAL HEALTHCARE, Marietta, GA

Front Office Coordinator – May 2013 – July 2014

Assisted the facility in managing the facility:

Answers phones and schedules appointments

Prepare and organize waiting rooms for patients

Assists patient with intake processes including copying required documents Prepare and send out monthly statements / Collect, record and balances payments Collects co-payments, co-insurance and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Manages medical records (maintains, files/scans, prepares for schedule) Schedule/Reschedule Appointments

Prepare lab forms for drug screening, read instant urine results / Pack and ship urine and/or saliva samples,

Call insurance regarding unpaid claims / Complete Prior Authorizations Education/ Specialized Training/Certification

Kennesaw State University

Certified Professional Coder 2021

Certified Medical Office Assistant 2010

References

Available upon request

Contact this candidate