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Medical Billing

Location:
Atlanta, GA
Salary:
25/hr
Posted:
February 21, 2020

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Resume:

Lynda Joyce Morris CPC, LPN, ACPAR, CBCS

267-***-**** Mobile

404-***-**** Home/Office

Experience:

Comforce Health, Duluth, GA

HCC Medical Auditor

*/*/**** – 3/22/2019

•HCC Audit

•Inpatient hospital HCC coding

•Outpatient coding

•Remote Coder & Auditor

•Managed Care

•Commercial Risk Adjustment

N. P. Health Resourses, Dallas, Texas

HCC Coder Consultant

Part Time

11/2/2016-3/13/2018

•HCC Audit

•Inpatient hospital HCC coding

•Outpatient coding

•Remote Coder & Auditor

•Managed Care

Health Insurance Services

Insurance Claim Specialist

8/5/2000-10/12/2019 Contracted Coder and Trainer

•Supervisor in the Billing and Coding Department of five employees

•Controlled and Corrected Billing for Medicare, Medicaid and Commercial Insurance payments

•Hierarchical Condition Categories (HCC) Coding, Commercial Risk Adjustment, RAVD

•Out Patient Professional and Ancillary Facility Coding

•ER Coding for Professional and Facility Services

•E & M Coder and Auditor

•Multi-Specialty Coding ENT, Urology, Surgery, Oncology, Mental Health and Orthopaedic

•Remote Coding and Training

•Input medical data manually and electronically CPT and ICD-9 coding of inpatient and outpatient claims

•Chart Auditing and Editing for accurate coding

•Followed-up on claims payments and accounts receivable reports.

•Obtained referrals and pre-certifications of inpatient/outpatient surgeries.

•Filed appeals with turnaround decisions and self-pay collections.

•ICD-10 CM Proficient

MedPartners HIM Tampa, Florida

Coding Consultant

11-26-2012 – 11-1-2015

•Emergency Department Coding

•Ancillary Coding

•Outpatient Surgery Coding

•Outpatient Edits on 3M ARMS

•Coded Professional Fees Services

•Claim Review Edits &Charge Review

HCC Coding Contracts Experience:

8/2017 to 2/18 Ciox Health, Inc.

Remote Contract Coder

9/2012 - 3/2013, MediConnect, South Jordan, Utah

Contract HCC Coder

8/10 – 12-11 Tactical Management, Maitland, FL

Contract HCC Coder

10/09 – 3/10 Maxim Health Information Services, Atlanta, GA

Contract HCC Coder

8/10 - 2-12 E-code Solutions, Litchfield Park, AZ

Contract HCC Coder

On Assignment HIM, Calabasa, CA

Remote Medical Coder

7/18/11 – 11/1/12

•Facility and Professional Fee Coding

• Emergency Room and Urgent Care Coding

•CPT Evaluation and Management Coding

•Urology and Oncology Specialty Coding for Clinic Visits

•Internal Medicine and Surgery Coding

•IV, IM and SC Injection and Infusion coding,

•Ancillary Diagnostic Coding- CT Scan, MRI, Mammogram

•Ultrasounds and Wound Care coding

XLHealth-Care Improvement Plus, Atlanta, GA

Utilization Review Nurse/Case Management/Medical Coder

4/28/08 – 6/21/11

•Reviewed records for pre-cert Home Health, Skilled Nursing Facility & Durable Med Equipment

•Concurrent Review

•Applied the Milliman Criteria for reviews and approvals

•Specialized care for Medicare Hierarchical Condition Categories Coding

•Managed Care Experience

•Correspond with Medical Director regarding potential denials

•ICD-9 HCC coding

Computer Experience

3M Encoder, EPIC, Cerner, RIMS, Benetics, IBM, Macintosh, Comtec, Erisco, Versyss

Microsoft word, Excel, Power Point, SMS Invision, Storan, Microsoft Office, Outlook

Medical Manager and Medisoft Medical Billing Software & MediTech

Education

Certified Professional Coder (CPC)

Certified Billing and Coding Specialist (CBCS

Advanced Certified Patient Account Representative (CPAR)

Atlanta Area Technical School-Licensed Practical Nurse (LPN)

High School Diploma, BT Washington High School



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