Army Garrison Medical Coder

Cecilia Ellis, CPC *** Creath Place San Antonio, Texas 78221

210-***-**** *******@*****.***

Summary of Experience

Highly qualified, customer focused professional with 26 years of experience in Healthcare and Business OperaNons, including overall company financial management and Revenue Cycle. CommiQed to providing, coordinaNng and leading staff and projects with established success in increased profitability, overhead, reducNon in AR, staffing, coding and audiNng accuracy and proficiency. Skills

● Strong problem-solving and analyNcal skills.

● Ability to manage and develop high performing teams.

● Commendable aQenNon to details with effecNve communicaNon and listening skills.

● Excellent organizaNonal and project management abiliNes

● Proficiency in uNlizaNon soYware programs including MicrosoY Office Suite, Agile point, Concur, Birdseye, Costpoint, Deltek,AHLTA, CCE, Genesis, EPIC and 3M.

● Ability to prioriNze, lead and manage mulNple projects and tasks to successful compleNon. Professional Experience

Alaka’ina Laulima Government Solu=ons- Medical Coder II October 2021- current

● Review clinical documentaNon and assign medical codes for inpaNent, ambulatory, or outpaNent professional services performed under TAA.

● Conduct audits for coding compliance and training purposes.

● Accurately assigns diagnosis, procedures, supply codes and modifiers for the professional components of inpaNent, APV, ObservaNon, Emergency Medicine, and outpaNent encounters.

● Develop and submit a wriQen query to the provider as necessary to request clarificaNon of provider documentaNon that is conflicNng, ambiguous, or incomplete.

● Educate and provide feedback to providers and clinical staff to resolve documentaNon issues to support coding compliance.

● Perform audits of specific Military training faciliNes, medical specialNes, clinics, coders, or providers as directed.

Cherokee Na=on Businesses May 2014-August 2020

CNOS Genesis-Certified coder (Temporary 2 month assignment) 2019-2019 United States Army Garrison Presidio of Monterey, California

● Completed MHS Genesis training to include lap entry and End User classroom training.

● Provided clinic with Go-Live floor end user and coding support.

● Assisted walk-in members in LifeNme Pharmacy assignment and DEER crossover registraNon CNHS Program Manager 2017-2020

● Facilitate Nmeliness of service delivery, invoicing, and financial planning and reporNng, as well as on-going consistency with contract requirements

● Manage cost control, revenue and profit planning, oversight of budget, and planning.

● Ensure project deliverables are within the planned costs and schedules and delivered with the highest of quality

● Create and execute project work plans and revisions as appropriate to meet evolving requirements to include managing project risk.

● Communicate effecNvely with clients to idenNfy needs and evaluate alternaNve business soluNons.

● Oversee quality and performance of contractors to determine if required standards are met. 1 Page

Cecilia Ellis, CPC 438 Creath Place San Antonio, Texas 78221 210-***-**** *******@*****.***

CNHS Project Contract Manager/Lead Coder 2014-2020 Brooke Army Medical Center, Fort Sam Houston, Texas

● Supported Brooke Army Medical Center (BAMC) PaNent AdministraNon Division (PAD), Medical Records Branch, for remote coding of professional services. Performing technically complex professional services for outpaNent medical condiNons for a Level I Trauma Center.

● Oversee the work performed by the contracted personnel, oversee quality assurance and responsible for the performance of the contract.

● Perform data quality checks and ensure all work is performed according to qualitaNve and quanNtaNve producNon standards in all funcNonal areas IAW appropriate Army RegulaNons and DoD Official Coding Guidelines.

● Conduct internal audits on encounters coded to ensure appropriate use of ICD-9 CM and CPT assignment and assist coders in improving coding accuracy; provide coding guidance as directed by the MTF to promote consistency and compliance with coding rules and regulaNons.

● Analyze, review and code mulN-specialty professional services. Sterling Medical Healthcare- Medical Coder January 2014-May 2014

● Analyze medical record documentaNon for consistency and completeness for coding purposes using established Air Force Medical OperaNons Agency criteria and regulaNons.

● Review idenNfy and code the correct diagnosis(e) based on physician and clinical staff's recorded documentaNon and established sequencing rules and MHS, AFMOA, and Center for Medicare and Medicaid Services coding guidelines.

● Code principal diagnosis, co-morbidiNes, compliances, therapeuNc and diagnosNc procedures, supplies, materials, injecNons, and drugs with ICD-CM, CPT, HCPS-all levels, and other coding classificaNon systems required by the Department of Defense. Renal Associates, P.A.-Coding Compliance Educator July 2012-January 2014

● Develop and facilitate effecNve educaNonal coding and documentaNon programs for employees and providers.

● Designed and implemented programs, policies, and pracNces to ensure that all business units are within compliance with federal, state, and local regulatory requirements

● Audits medical records to ensure compliance with the organizaNon's coding procedures and standards to include State, Federal, Center of Medicare and Medicaid services and the American Medical AssociaNon coding guidelines and educate on deficiencies. UT Health Science Center-Medical Coder March 2010-July 2012

● Code, Audit and ensure physician notes for completeness to include abstracNng and entering relevant medical informaNon from the medical record; check for required signatures; assure proper documentaNon guidelines are followed for Nephrology, InfecNous Disease, HIV Clinic, and Emergency Medicine

Sanford Brown College-Instructor October 2009-December 2010

● Responsible for providing and sustaining an effecNve learning environment for every student through well prepared classes, relevant assignments, fair and holisNc assessment of learning, clear documentaNon of student progress, and support of the academic success for at-risk students.

● Designed and developed curriculum such as Anatomy & Physiology, Medical Terminology, Pathophysiology, Principles of Insurance, Law & Ethics, Coding and Reimbursements, Electronic Medical Records, Medical SoYware Coding and ClassificaNon Systems (CPT), ICD-9 and ICD-10 Coding, HCPCS Coding, IntroducNon to Pharmacology, InterpreNng CMS and Custom Fee schedules.

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Cecilia Ellis, CPC 438 Creath Place San Antonio, Texas 78221 210-***-**** *******@*****.***

HCRS, Inc. - Cer=fied Coder/Interim Coding Supervisor Sept 2007-Sept 2009 Coding Consultant Assistant/Special Projects Coder Interim Internal Medicine Coder\Training Health Coder

● Directly responsible for the coordinaNon and delivery of AHLTA, ADM, CCE, 3M Encoder system training.

Interim Coding Supervisor

● Managed acNviNes involving operaNons, planning, and scheduling for team success to include counseling, evaluaNng, and mentoring staff

● AQend monthly Data quality meeNngs to provide plan of acNon to clinics under the Air force standard of 95% coding accuracy and Nmeliness

Cer=fied Professional Coder

● Read and analyze medical records to idenNfy all diagnosis, operaNons and procedures relevant to the current episode of paNent care.

● Conduct quality assessment of work to ensure conNnuous improvement in ICD-9 coding and collecNon of quality health data and clarify inconsistent or non-specific informaNon in a medical record by consulNng with the responsible medical provider. ENT*Audiology*Speech*PlasNc Surgery*Emergency Medicine (Trauma/Death cases)

Fresenius Medical Care- Outpa=ent Facility Dialysis Billing Representa=ve August 2004-September 2007

● Insurance billing and collecNons for commercial, Medicaid and Medicare Insurances. Maintaining accounts receivable of less than 90 days for all account audits and correct billing records for ICD-9 and CPT coding accuracy.

Women’s Health Consultants-Office Manager March 1999-February 2004

● Manage and coordinate operaNonal, administraNve, revenue cycle and clinical services for a mulN physician office pracNce.

● Responsible for financial operaNons to include paNent business services, insurance verificaNon and authorizaNons as well as to ensure accounts receivable is reconciled, denials are minimized, refunds are issued, and customer service is conducted appropriately. Educa=on and Special Qualifica=ons

1995 CerNficaNon-New Horizons Learning Center-CerNfied Professional Coder Training /SATX 1996 American Academy of Professional Coders- CerNfied Medical Coder # 010*****-**** NaNonal Alliance of Medical Specialist-CerNfied E&M Auditor # 14724 Favorable Tier 3 Security Clearance- 2008-to current 3 Page

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