Manager Medical
Resume:
Rhonda Mauney, CPC
Hampton, GA **228
************@*****.***
Summary of Qualifications
Proficient in Medical Coding and Auditing
10+ years as a Compliance Manager and Auditor, Coder
Experience Performing E&M Audits with 95 & 97 Guidelines
9 years as a Medical Billing and Coding Manager for Multi-site Oncology Practice
3 years as a Reimbursement Specialist for a Children’s Medical Clinic
Professional Accomplishments
• Certified Professional Coder, Certified by American Academy Professional Coders
• Training and oversight of compliance program,
• Experience with monitoring and focused audits using 95 and 97 guidelines
• Trained 5 providers the proper way to document E&M Services
• Implementation of Electronic Medical Record for 5 Provider Medical Practice
• Set up coding and billing program for CLIA approved Laboratory
• Working knowledge of billing and revenue cycle management
Work History
April 2003-Present Practice Manager/Coder /Auditor/Compliance Manager, Alpha Internal Medicine
Fayetteville, Georgia
For 5 provider practice, Manage/oversee all medical coding for billing, clinical staff and administrative staff of 28
Train coding and billing staff using electronic medical record system. Handle all insurance audits for practice. Oversee compliance program for practice including auditing charts and educating physician staff about proper documentation for evaluation and management services, lab services surgical procedures. Negotiate Managed care contracts, PQRI, Meaningful UseReporting utilizing partnership with Georgia Tech
May 1994-March 2003 Billing Manager and Practice Administrator, GCTC
Atlanta, Georgia
Manage Operations and Personnel for Multi-Site Oncology Practice, Oversee Billing Dept, Coders and AccountsPayable, Negotiate Managed Care contracts, Credential Providers, Hire and Manage Personnel
Sept 1991-Feb 2003 Reimbursement Specialist, Children’s Clinic
Jonesboro, Georgia
Payment and Charge Entry, Claims follow up, Patient Collections
Education
AAPC -CPC Certification Coder
Auditing AAPC 2011, 2012
ICD-!0 AAPC Coding Workshop 2011
Bauder College Major: Business
Memberships
American Academy of Professional Coders
Medical Group Managers Association
Medical Association of Georgia
References Available Upon Request
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