Data Entry Medical Coder
Resume:
Lisa Gill, CPC, CRC
Leonardtown, MD *****
**********@*****.***
ICD-9 CM and ICD-10
Medicare, Medicaid and Commercial Insurance Claims Processing
MYSIS Billing Software, eClinical Works Software, Medisoft Billing Software
Firm understanding of Medical Terminology, Anatomy and Physiology
HIPAA rules and regulations
Microsoft Word
Work Experience
HCC Coder
Galileo - New York, NY
December 2022 to July 2025
• Review virtual dialog via video visits and digital asynchronous messaging.
• Review provider to patient documentation and assign appropriate CPT and diagnosis codes. Risk Adjustment Coding, Audit initiatives, Initial Validation Audit Reveleer - Glendale, CA
January 2023 to March 2023
• coding, confirming and abstracting ICD-10CM diagnosis codes from provider documentation and entering essential information within the Reveleer Platform data entry application.
• Reviews medical records to determine if specific disease conditions were correctly reported based on documentation.
• Reports findings of the data validation review in the data entry feature within the Reveleer Platform. Certified Coding Auditor
Monogram Health, Inc - Nashville, TN
July 2022 to September 2022
• Conduct chart reviews for purposes of identifying, confirming, and/or documenting appropriate medical coding
• Full code capture, HCC coding, CAT II codes and E/M coding HCC Medical Coder/ Auditor/Coding Review Consultant INOVALON - Bowie, MD
November 2008 to May 2022
• Conduct chart reviews for purposes of identifying, confirming, and/or documenting appropriate medical coding
• Perform quality control over-read reviews of previously completed record reviews to ensure accuracy, completeness, and overall high quality of the record review process
• Electronically download completed, pre-filled record reviews
• Compare pre-filled record review results to the scanned support documentation
• Correct the original, pre-filled review as necessary and note any discrepancies found Medical Coder
SOUTHERN MARYLAND ORTHOPAEDICS - Leonardtown, MD
August 2007 to October 2008
Charge entry
Updated patient information
Assisted patients with billing questions
Assisted the front office with coverage and schedule appointments Medical Coder
MONTGOMERY ORTHOPAEDICS - Kensington, MD
January 2007 to February 2007
2/07-6/07
Charge entry
Updated patient information
Corporate Travel Agent
OMEGA WORLD TRAVEL - Columbia, MD
February 2006 to April 2006
Made airline, hotel, car and Amtrak reservations for corporate clients.
Ensured customer satisfaction and priority.
Administrative Assistant/ Data Input
FIELDSTONE MORTGAGE COMPANY - Annapolis, MD
November 2003 to October 2004
Entered loans into computer (Fieldscore).
Inputted data from loan applications into TMO to generate disclosures.
Performed general office duties.
Assistant Manager/ Corporate Travel Agent
OMEGA WORLD TRAVEL - Greenbelt, MD
October 1998 to May 2003
Oversaw and assisted staff with leisure and corporate travel inquiries.
Maintained client profiles.
Made corporate travel arrangements.
Kept track of daily and weekly sales/activity reports. Education
Master Certificate in Medical Coding and Billing
COMPUTER CAREER INSTITUTE at JOHNS HOPKINS UNIVERSITY - Columbia, MD May 2006 to December 2006
CARLSON TRAVEL ACADEMY - Rockville, MD
July 1991 to August 1991
Skills
• ICD-9 CM and ICD-10
• Medicare, Medicaid and Commercial Insurance Claims Processing
• MYSIS Billing Software, eClinical Works Software, Medisoft Billing Software
• Firm understanding of Medical Terminology, Anatomy and Physiology
• HIPAA rules and regulations
• Microsoft Word
Contact this candidate