Certified Medical Coder
Resume:
Lisa Yagisawa, CPC
Norcross, GA 678-***-**** ***********@*****.***
http://www.linkedin.com/in/LisaYagisawa
Objective
Certified medical coding professional seeking to utilize my organizational and leadership skills. Eager to adapt to new situations and learn new processes and procedures with ease, contributing to efficient and accurate medical coding operations.
Qualifications
● Certified Medical Coder
● Patient Medical Records/Documents
● Receptionist/Support Specialist
● Medical Terminology
● Basic Anatomy
● Computerized Billing
● CMS-1500 Medical Billing
● Flexibility/Adaptability
● Excellent Computer Skills
● EPIC, AthenaIDX, E-Clinical
Works, Lytec, Medisoft, Waystar
Professional Career History
Medical Coder
Morehouse School of Medicine, Atlanta, GA May 2024 – Present
● Independently reviewed clinical documentation and diagnostic results to validate and ensure correct procedural and diagnostic coding of professional services.
● Validated provider and diagnostic services rendered to patients, ensuring coded services are supported by appropriate documentation, including medical necessity.
● Complied with Revenue Cycle policies and procedures.
● Worked assigned task lists, work queues, work files, and reports.
● Maintained current knowledge of third-party payor reimbursements and managed care contracts.
● Familiar with physician billing, accounts receivable, and EHR systems.
● Utilized and identified all components of Explanation of Benefits (EOB) and Explanation of Payments
(EOP).
● Accurately counted and tracked all daily activities and production.
● Completed and accurately documented activity or communication on accounts.
● Consistently met department production standards as defined by management.
● Worked on special projects as assigned by Manager, Supervisor, or Coordinator. Charge Entry Specialist, Emergency Department
Northside Hospital, Atlanta, GA March 2022 – September 2024
● Ensured accurate and timely charge entry for all procedures related to client professional and facility activity.
● Verified completeness of demographic and insurance information for outgoing charges.
● Reviewed medical documentation to determine appropriate procedure and diagnosis codes.
● Sequenced procedure and diagnosis codes in accordance with government and insurance regulations.
● Entered procedure and diagnosis codes accurately and timely, meeting established targets.
● Demonstrated knowledge of ICD-10, CPT, HCPCS, NCCI edits, modifiers, coding clinics, and Medicare coding guidelines.
● Researched coding information for complex and unusual cases, detecting and trending coding errors or issues, and reporting to leadership.
● Assisted with internal quality assessment reviews on physician coding to ensure compliance with national coding guidelines and SEES Group policies.
● Maintained knowledge of and adhered to policies, procedures, Code of Conduct, and all federal and state regulations related to the position.
Coder II, Professional Services
Emory Healthcare, Atlanta, GA September 2023 – March 2024 (Contract)
● Reviewed physician documentation and applied CPT, HCPCS, and ICD-10 coding.
● Resolved daily coding-related denials based on coding and billing guidelines.
● Managed edit maintenance, denial resolution, charge correction, and special projects to optimize revenue collections.
● Researched and resolved outstanding coding-related denials within work queues and coding specialties, ensuring timely and accurate follow-up.
● Communicated denial trends and increases to supervisors/managers to positively impact the volume of denials.
Clinical Administrative Assistant
Northwest Georgia Oncology, Roswell, GA March 2021 – August 2023
● Coordinated administrative activities under the direction of the Office Manager, working closely with physicians to achieve quality patient outcomes.
● Managed provider scheduling using the Epic system.
● Verified collection of all labs, records, and scans prior to office visits.
● Facilitated communication between patients and providers.
● Coordinated referrals and imaging orders.
● Scheduled peer-to-peer conferences regarding prescriptions.
● Managed transfer of care processes.
● Assisted with patient forms (FMLA, parking disabilities, home health).
● Contacted patients regarding no-shows, rescheduling, and cancellations.
● Created letters for providers (dismissal, condolences, missed appointments) and sent thank you notes.
● Coordinated in-patient hospital consults.
● Provided coverage at other offices as needed.
● Answered incoming phone calls and followed through with requests.
● Requested and linked proper medical records.
● Scanned medical records into patient charts.
● Managed orders for pathology reports.
● Prepared charts and generated weekly reports.
● Obtained complete and accurate demographic, financial, and insurance information, entering all patient information into the registration system.
● Obtained necessary signatures and ensured knowledge of any special forms required by third-party payers.
● Read physician's orders to determine requested procedures and instructed patients accordingly.
● Arranged for patient escort to procedure areas and assigned rooms.
● Documented thorough explanatory notes on patient accounts, clarifying special billing processes.
● Maintained confidentiality of patient information in accordance with WHS policy and HIPAA regulations.
● Maintained proficiency in data entry skills.
● Resolved errors and applicable claim, DNB, and patient work queues.
● Attempted to collect estimated self-pay balances. Front Office Coordinator/Charge Entry Coder
Sandy Springs Internal Medicine, Sandy Springs, GA April 2016 – January 2020
● Coordinated front office activities under the direction of the Office Manager, working closely with physicians to achieve quality patient outcomes.
● Coded all patient visits prior to sending to insurance companies.
● Entered payments and submitted claims to Medicare, Tricare, and clearinghouses.
● Assisted patients with intake processes, including copying required documents.
● Collected co-payments, co-insurance, and deductibles, issuing receipts.
● Collected, recorded, and balanced payments.
● Managed cashier box and daily deposits according to company policies.
● Processed walk-in patients and visitors.
● Ensured all correspondence was scanned and/or filed in a timely manner.
● Performed all other related duties as assigned.
● Verified insurance and entered insurance information using AllScripts, E-Clinical works, and Waystar.
● Assisted patients with portal support.
● Corrected coding errors that created clearinghouse rejections or denials from insurance plans.
● Entered procedure and diagnosis codes accurately and timely, meeting established targets.
● Demonstrated knowledge of ICD-10, CPT, HCPCS, NCCI edits, modifiers, coding clinics, and Medicare coding guidelines.
● Researched coding information for complex and unusual cases, detecting and trending coding errors or issues, and reporting to leadership.
● Served as an internal coding resource for revenue cycle team members, physicians, or other clinicians upon request.
● Maintained established department productivity and quality levels. Education/ Specialized Training/Certification
Kennesaw State University
Certified Professional Coder 2021
Certified Medical Office Assistant 2010
References
Available upon request
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