NOVELLA JONES OUSLEY
SAN ANTONIO, TEXAS 78245
CELL:210-***-****
adb758@r.postjobfree.com
WORK HISTORY:
**/** ** ******* – Remote Medical Coder – Baylor Scott & White Health System – Central Texas
-Code all ER visits for various BSW locations including any and all procedures performed in the ER setting (injections, infusions, surgical procedures)
-Review coding edits for all outpatient services settings including laboratory and radiology
-Send queries to physicians at various locations to ensure accurate coding and supportive documentation
08/2015 to 06/29/2018 – Remote Medical Coder- Detroit Medical Center/Tenet Healthcare
-Code all ER visits for various DMC hospitals including surgical procedures performed in the ER and OR settings
-Review coding edits for all ER encounter (lab, radiology, NCCI, etc.)
-Query physicians and hospital departments for coding and documentation correction
12/2014 to 09/2016 –Remote Medical Coder - Hill Country Memorial Hospital – Fredericksburg, Texas
-Code all surgical procedures from various specialties performed at both the ambulatory surgical center and same day surgery departments
-Code clinical procedures performed within the hospital including both radiology and laboratory services
-Code emergency room services performed in the hospital.
-Send physician queries via email for coding accuracy and documentation improvement
02/2011 thru 10/2014 – Medical Records Technician - South Texas Veteran Healthcare System - Audie L. Murphy Hospital - San Antonio, Texas
--Apply accurate diagnosis and cpt codes for entire surgery package (procedure, diagnosis, anesthesiology, & pathology services) for various specialties
--Code all OP service types and specialties (eg. Vascular, cardio, IR, ancillary, etc)
-Awarded VHA Service Award for Excellence for retrieving $10 million dollar of surplus revenue due to coding capture, accuracy, and review
04/2010 thru 02/2011 - Medical Coder - University of Texas Health Science Center San Antonio -
-Code all diagnoses, procedures, and HCPCS codes for various medical specialties located within the Ambulatory Surgical Center including Infectious Disease, Rheumatology, Cardiology (including vascular procedures) GI, Orthopedics
-Provide both facility and professional (teaching and non-teaching) coding for services including outpatient services, clinic services, and inpatient rounds
-Ensure financial stability of the Ambulatory Surgical Center within its first year through process improvement and coding capture of both professional and facility procedures
-Reviewed outsourced coding to ensure accuracy and timeliness of all coding services
-Served as member of the EPIC Edit Review Committee to ensure the necessity of various edits generated by computer software
5/2006 thru 04/2010 - Coding/Documentation Trainer - Healthcare Resolution Services, Inc. - Willford Hall Medical Center, Lackland AFB -San Antonio, Texas -
-Educate both doctors and other healthcare personnel in proper documentation to improve service capture and serviceman education
-Review and apply all diagnoses (ICD9), procedures (CPT), and HCPCS codes from patient encounters in the following specialties: Internal Medicine, Rheumatology/Bone Density, Family Practice, Gastroenterology, Pulmonary, Pain Management, Sleep Disorder Center, Infectious Disease, Podiatry, Emergency Room, Plastic Surgery, Hematology/Oncology, and Orthotics
-Review processes and procedures with department commanders to ensure capture of all services provided within the clinic
EDUCATION/CERTIFICATIONS:
High School – Orange Grove High School
Orange Grove, Texas
Ranked 3rd in graduating class
Coastal Bend College
Beeville, Texas
Associate in Applied Science (Accounting)
American Academy of Professional Coders
Certified Professional Coder w/ ICD 10 Proficiency
Completed portions of AAPC sponsored Inpatient Coder
AHIMA
Completed ICD 10 AHIMA Proficiency Course (certification)
Knowledgeable of the following computer systems:
Healthmatics Enterprise, Meditech, Quadramed, Epic, AHLTA,
E Clinical Works, Cerner, VA CPRS, VA CCM, 3M 360 encoder/coding system, Kareo
REFERENCES
Available upon request