Front Desk Cath Lab
Resume:
Gayla Giles
Cell Phone: 760-***-****
SUMMARY
●More than 20 years of combined provider and outpatient hospital coding experience:
●More than five years coding for Cardiology provider services,
●More than four years coding for Cardiology outpatient hospital services,
●More than one year as cath lab clinical database analyst
●Supervised up to 20 employees in both clinical and outpatient hospital settings, Including Oncology front desk and coding staff
●More than 1 year gathering statistics for submission to government entities for cardiology devices (E. G. TAVR, ICD, PM)
SKILLS
●Provider and outpatient hospital coding
●Billing
●Auditing
●targeted data gathering & analysis
●provider and staff liaison & education
●intimate knowledge of cardiac cath lab procedures
●chart abstraction and data collection for ACC registry database
●supervisory experience
served as officer in local AAPC chapter for 3 years.
SOFTWARE
●Multi-Entity/Eclipsys
●Epic
●3M
●HDM
●Horizon Patient Folder (HPF)
●Maclab/CardioLab software
●IDX/PMA
●Centricity
●Centricity DMS
MS Office Suite
EXPERIENCE
Compass/Lanoi Dermatopathology
Biller viewing providers notes for accuracy in CPT and ICD 10.
August 2022 through January 2023
USPI
Validating Insurance for potential patients.
April 2022 tgrough August 2022
Ross Stores Sales July 2019 to January 2022
●Stocking Cash deposits
HCC Risk for United Health March 2019 to May 2019
Insight Global
Contractor
●Remote auditing of charts for additional reimbursement following the guidelines written by United Health
●HCC coding several classes and over 1-year experience
●Worked in an Epic environment
Mercy Health 06/2018 to 09/2018
Coding Pool
●Coded and keyed charges into EPIC for SDS used HCC method for code capture Using EPIC software for entry and scrubbing charges.
●Coding outpatient surgeries
●coding for each of the following departments: UCC, Neurology, Diabetes Endo, OB/Gyn, MOHS, Dermatology, Oncology
HCTec Remote coding services 11/2015 to 04/2017
Assigned to Stamford Hospital Stamford, CT
●Phoned provider offices for updates to diagnosis on lab claims using HCC rules for code capture.
●Using EPIC and Medicare guidebook as resources.
●Worked with Physicians on site
●Documentation of reimbursement
Mercy Health 11/2015 to 04/2017
Risk Adjustment
●Process claims for HCC coding which are required by Medicare Senior Insurance Companies for proper processing of the claims by the payers, Using EPIC and Mercy guidelines.
●gathering statistics for submission to government entities for cardiology devices
Scripps Health 12/1987 –10/2014
Various positions, including:
Insurance Processor
●Corrected claims to go to Medicare and all Government Insurances using both IBM and IDX software
Medicare Team Lead
●Ensured all claims were processed in a timely manner using IBM and IDX software. Also was on the team that built the EDI payment system for interacting with Medicare.
Reimbursement Specialist
●Ensured claims are coded correctly using 3M coding software and McKesson Horizon Patient Folder for documentation.
●Using MacLab software for documentation of Cardio Cath Lab procedures.
●Using HDM for INPT auditing.
Supervisor
●Radiation Oncology coding staff and front desk using a specialized Radiation Coding and EMR system.
Database Analyst CVL
●Gather data for ACC Registry database for both PCI and TVT using pivot tables and Excel Spreadsheets.
●Produce local reports for finance, providers and management
●Maintain employee, supplies, and procedure databases for CVL
Contact this candidate