Coding Specialist Billing Manager
Resume:
Freda L Washington
Channelview, Texas 77530
********@*******.***
Professional Profile – 2015-2022
UT Department of Radiology
Sr. Certified Coding Specialist – Audits billing records and identify any trends or deficiencies that may put the department at risk of non-compliance. Process Transplant Billing for the department of radiology as well as other special billing as needed. Coordinates, tracks, and oversees DII billing compliance through the use of a designated computerized billing compliance auditing and risk assessment application. MDaudit
Analyzes DII billing compliance audit results to identify trends, issues, and risk areas; reports result to DII Compliance Committee, Chair, DMO, and/or RCM.
Assists DII department compliance efforts across all specialties in developing, revising, and formulating policies and procedures, billing compliance risk mitigation strategies specific to research billing and general DII billing.
Provides in person healthcare billing compliance training for new providers and non-physician practitioners including appropriate use of mandated teaching physician requirements, evaluation and management documentation guidelines, and correct coding standards based on government payers.
Acts as a resource for not only DII personnel but multiple Medical School departments as it pertains to research billing. Invited speaker at multiple research-based meetings.
Participates and stays abreast of new auditing software implementation. Participates as a Business Subject Matter Expert (BSME) for DII research billing in the new Epic implementation project.
Qualifications
28 Years of experience in Radiology Billing and Coding
7 Years of experience in Specialized Research and Transplant Billing
2 Years of experience in Otorhinolaryngology Coding
Proficient in
ICD-10-CM, CPT and HCPCS coding
Microsoft Word, Excel, Powerpoint
GE Centricity-Allscripts
ImageNow
Code Assist
Optum-EncoderPro
Novitas
MDaudit
Epic
Education
Kashmere Sr. High School - diploma
San Jacinto College - Microsoft Certificate
Houston Community College – CPT-4 Coding
Participates in coding and compliance educational activities for CEUs
Relevant Experience
2013-2015 – UT Department of Otorhinolaryngology- Sr. Coding Specialist
Review Op-reports as well as clinic charges and educate physicians on correct coding conventions as well as documentation issues in order to reduce denials.
Review missing charge report and follow up with physicians to get all reports/notes completed in a timely manner.
Assists McKesson Billing and Client Managers with RAI (request for additional information) requests as well as any other denial issues
Reviews and corrects all TES (transaction editing system) edits in GE Centricity
Assists physicians and other clinic staff with coding/compliance issues
Participates in all clinic staff meetings and educates staff as well as physicians during the meetings when appropriate.
Meets with the DMO as well as the Chief of Staff for monthly coding and compliance issues.
2006-2013- McKesson Corporation - Coding Supervisor
My daily work activities include coding radiology charts and maintaining requests for additional information (RAI). I also meet monthly with the client manager and our client’s Clinical Billing manager to discuss any coding issues and education opportunities for physicians. A portion of our coding is outsourced to Omega Healthcare located in India. I act as a liaison and trainer between the two companies to resolve any issues that may arise in the processing of radiology charts.
I previously worked as coding supervisor (2004-2009), my Core duties as supervisor included, supervising radiology coders, anesthesia coders, and demographic processing of IDX encounters and charge entry personnel. My duties also included maintaining human resource records for my employees as well as keeping track of employees’ payroll including PTO hours available to the employee. I resigned my role as supervisor in 2009 due to family
health issues.
Other Relevant Experience
2004-2006 - Per-Se’ Technologies - Coding Supervisor
Core duties included, supervising radiology coders. My duties also included maintaining human resource records for my employees as well as keeping track of employees’ payroll including PTO hours available to the employee.
1992-2004 - University of Texas Health Science Center - Coding Specialist
My job included abstract coding of radiology charts for physician billing. I consistently met and exceeded goals that were set for me by my supervisor.
1980-1992 - The Houston Club - Catering Secretary
My job included, taking individual reservations for breakfast, lunch and, dinner and planning small lunch/dinner parties and receptions as well as general secretarial duties as needed by the catering manager.
Certifications
AAPC – CPC Certification
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