Data Entry Medical Billing
Resume:
ORGANIZATIONS
• American Academy of Professional Coders (AAPC)
-Active Member
LEE MORRIS
PROFILE
Versatile employee, relationship
developer, and professional with
30+ years distinguished experience
in insurance, physician, hospital,
and home health billing operations.
Skilled in quickly assimilating new
goals, business benchmarks, data
metrics and surpassing
expectations. Highly motivated
professional with extensive
experience in medical insurance
billing and medical claims
processing. Demonstrated ability in
providing superior customer service.
Able to work independently and
achieve high quality results.
Motivated leader with
documentation, and medical coding.
Expertise includes verifying
insurance coverage, and records
reviews. Familiar with commercial
and private insurance carriers.
CONTACT
St. Gabriel, LA 70776
Phone: 225-***-****
Email: ***.********@*****.***
WORK EXPERIENCE
Baton Rouge Community College
Medical Billing and Coding Instructor Adjunct
September 2021- Currently
-Prepare students to successfully pass the AAPC medical billing and coding exam
-Assist in curriculum development and design of virtual and online learning environments
-Monitor and access student goals are monitored and obtained Unitech Training Academy
Medical Billing and Coding Instructor
January 2021-December 2021
-Engage students in Medical Billing and Coding curricula college level courses utilizing CPT, ICD-10, and HCPCS principles and guidelines
-Enhance student learning by utilizing “real world” billing examples incorporating HIPAA guidelines
-Develop improvement targets and measures to cultivate the learning experience while maintaining student retention
-Exam preparation enhancement used to increase student certification pass rate
LSU Health Systems
Hospital Revenue Cycle Management Analyst
March 2015-September 2017
-Resolved claim, billing, and claim issues for (7) facilities state- wide in LSU hospital system
-Abstracted medical records for third party vendors to report appropriate HEDIS measures
-Applied applicable auditing criteria to determine coding compliance for State Medicaid compliance measures
-Efficiently and effectively managed high dollar/high volume claim to ensure prompt payment of claims
-Worked closely with management and clinical and clerical staff to reduce front-end errors noted on claims submission error reports
-Analyzed claims to ensure proper reimbursement based on payor contracts and incentive measures (HEDIS and State of Louisiana specific measures)
-Appealed denied claims in accordance with payor guidelines
-Identified payment/denial trends and alert supervisor to take appropriate action
-Interacted with providers/nursing staff regarding medical audit findings to enforce corrective measures
AmeriHealth Caritas Louisiana
Provider Network Representative
July 2013-Febuary 2015
-Resolved provider issues relative to claims payments for Medicaid providers
-Resolved configuration issues to refile incorrectly paid claims promptly and efficiently for payment
-Collaborated with Network Management staff to reduce rejection errors
-Collaborated in HEDIS training to ensure providers were appropriately reporting and linking diagnosis codes with appropriate measures
-Identified payment issues and alert management to take appropriate corrective measures
-Interacted with providers regarding payment issues and coding errors
LSU Health Systems
Hospital Accounts Receivables Representative
October 2010-July 2013
-Resolved claims and billing issues for (7) facilities state-wide in LSU hospital system
-Abstracted medical records for third party vendors to report appropriate HEDIS measures
-Applied applicable auditing criteria to determine coding compliance for State Medicaid compliance measures
-Efficiently and effectively managed high dollar/high volume claim to ensure prompt payment of claims
-Worked closely with management and clinical and clerical staff to reduce front-end errors noted on claims submission error reports
-Analyzed claims to ensure proper reimbursement based on payor contracts and incentive measures (HEDIS and State of Louisiana specific measures)
-Appealed denied claims in accordance with payor guidelines
-Identified payment/denial trends and alert supervisor to take appropriate action
-Interacted with providers/nursing staff regarding medical audit findings to enforce corrective measures
Southern Nursing Home Health
Medical Consultant
October 2006-October 2010
-Assigned CPT in Home Health service adhering to CMS and commercial payor specific guidelines
-Audited accuracy of reimbursed charges relative to CMS, Medicaid, and Commercial payor contracts
-Maintained statistical dashboard data based on MGMA guidelines
-Analyzed and resolved all coding relating issues promptly and efficiently
Woman’s Hospital
Billing Specialist
November 2001-October 2006
-Processed all Medicare and Medicaid charges
-Alerted management of all front-end relating denial issues
-Attended monthly billing meetings to resolve all in-house coding issues to maximize reimbursement timely and efficiently Davis Home Health
Billing Coordinator
May 1996-August 2001
-Collaborate with finance and sales professionals to maintain accounts receivable
-Ensure customers are billed correctly for services offered
-Resolve disagreements between the company and its creditors
-Request payment of pending debts in a firm yet considerate manner
-Keep accurate records (customer information, received payments etc.)
-Prepare and submit statements
Best Home Health Care
Data Entry Director
July 1993-May 1996
-Maintains database by entering new and updated customer and account information
-Prepares source data for computer entry by compiling and sorting information
-Establishes entry priorities
-Processes customer and account source documents by reviewing data for deficiencies.
Ochsner Clinic
Computer Auditor
June 1986-July 1993
-Effectively communicates with providers to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing.
-Monitors all coding accuracy at various levels of detail and maintains coding quality as needed.
-Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement. Reports or resolves escalated issues as necessary.
-Performs a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered
-Monitors, audits, and reconciles all documents required for data entry, returns incomplete or questionable documents to generating location or provider.
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