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PHONE 813-***-**** • E-MAIL f413qp@r.postjobfree.com

TAMIKA L.PICKARD,CPC

O BJECTIVE

To obtain a position in the medical profession commensurate with my experience

and skills to recover lost revenue and maximize future reimbursement, with the

opportunity for advancement based on my performance.

P ROFESSIONAL EXPERIE NCE

October 2011- Present Chapters Health System Temple Terrace, FL

Evaluation & Management Coding Specialist

Evaluates Inpatient and Outpatient medical records documentation for

appropriate provider coding by ensuring that procedural codes and other

documentation accurately reflect and support the visit, and to ensure that the

information complies with regulatory standards and guidelines.

Worked with Accounts Receivable to verify completeness and accuracy of

claims to minimize claim denials

Conduct ongoing audits of current documentation and coding of all

providers and provide feedback and education as appropriate

Identify training needs, prepares training materials and conduct training for

physicians and support staff to improve skills in the collection and coding

quality health data.

Works with Medical Services Department staff to develop documentation

templates that foster appropriate coding.

January 2009 – October 2011 Emory University Atlanta, GA [ City, State ]

Medical Coder II, Inpatient Physician Coding

Coded Inpatient and Outpatient Physician/Patient encounters directly from the

medical records using appropriate diagnosis (ICD -9) and treatment codes

(CPT-4) for billing and/or statistical purposes.

Reviewed Medical Records for completeness and accuracy of documentation

supporting the diagnosis and treatment as recorded by the Physician.

Monitored medical records to ensure compliance by the attending physician

with the hospital and third party payer polices and regulations.

Educated the Physician in medical records standards and proper

documentation techniques.

November 2002 -December 2008 Peachtree Orthopedic Clinic Atlanta, GA

Medical Biller/Collector

Processed and maintained Lien Agreements with Attorneys; Responsible for

Medical Billing Collections and Coding Orthopedic and Pain Management

Surgeries, Billed and collected for Medicare, Medicaid, Workers Compensation,

Personal Injuries and Commercial Insurance.

Appealed denied claims for payments / insurance follow-up. Decreased A/R

by 45% in sixty days by resolving unpaid insurance claims and denials, and

maintained average

Medical Coder

Ensured that medical records had been appropriately ICD -9 coded to the

highest level of service

Examined codes and audit medical record documents for appropriate E&M

codes, Modifiers, Procedures and Diagnosis with complete accuracy.

Provide guidance to physicians on coding errors, issues, etc

June 1999- October 2002 Saint Joseph’s Hospital Atlanta, GA [ City, State ]

Medical Biller

Reviewed medical records to ensure appropriateness and accuracy of ICD -9

coding and level of service.

Identified coding errors and recommends correct coding and billing of

medical claims to the physician. Insurance Verification, Billing, Insurance

Follow-up, Denials Management/Appeals, Reimbursement (payment

reconciliation)

The Coding Clinic (Strong Knowledge of ICD-9-CM and CPT coding, Medical

Terminology, Anatomy and Physiology and Coding Guidelines and Ethics ) AAPC

CPC Certification -11/2008

Georgia Medical Institute -Medical Assistant

Georgia Paramedic-Certified CPR Technician-AHA-EMT

S KILLS

HIPPA/HEDIS/Evaluation/Management/Cardiology/ Emergency

Department/ Medicare Risk Adjustment/HCC/ Endocrinology /Internal

Medicine/Pain Management Billing and Coding/Microsoft Word /

Microsoft Excel / Centricity / Medisoft / Lytech/Medical Management/

PCN/ Flexible Package /Epic /IDX/ Encoder Pro/3M Coder

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