Risk and Integrity Services Revenue Cycle - PB Coding Compliance Neuro Education and Auditor

• Mar 2019 - Present

Coding Compliance Consultant Coding Educator

• Dec 1987 - Present

Certified professional coder(CPC) with AAPC since 2007Passed AAPC ICD-10 proficiency with AAPC February 2013Certified Evaluation and Management Certification (CEMC) with AAPC 2016The Coding Compliance Consultant works closely with the Coding Compliance Manager and/or Supervisor to ensure the coding compliance functions of SMG meet the goals and needs of the organization. The Consultant provides knowledge, experience and mentorship to the team as well as other staff in the organization. The consultant is seen as a senior level coding compliance professional and provides training and consulting to medical providers•Support and provide compliance and coding training to physicians, clinic staff and corporate auditing and billing staff •Perform medical records audits according to corporate compliance and coding plan, and provide immediate feedback and training to appropriate physician and support personnel •Prepare reports of audit results, including recommendations •Create educational materials for coding training and education •Participate in review of specialists’ claims •Act as a resource for Coding and Coding Compliance Specialists

Coding Consultant

• Jul 2015 - Jul 2016

Certified professional coder with AAPC since 2007 Passed AAPC ICD-10 proficiency February 2013Duties: Identifies and code diagnoses and spinal and brain surgical procedures on patient EMR using ICD-9 with dual coding of ICD-10 and CPT in Encoder pro and applies all coding principles and guidelines. Research all coding guidelines, looking at trending with payer guidelines. Training on spine coding and other specialties. Ensures all claims are accurate and clean before manual entry into Epic and alert supervisor and providers of any coding changes. Working closely with front office staff in getting accurate insurance information by checking insurance websites for eligibility. Answering provider and financial counselors question regarding coding and billing issues. . Perform all other duties as assigned. Maintain up-to-date knowledge of medical terminology. Acts as a resource of office staff regarding procedure and diagnosis codes. Able to solve denials and work with insurance representatives in follow up and clams edit work queues. Reviewed and resolve PACRF and refunds issues as soon as possible. Confident in spinal procedure coding, interventional radiology, cranial surgical procedures, botox billing. Performs other related duties as assigned.

Certified coding specialist

• Dec 1987 - Jul 2015

Certified professional coder with AAPC since 2007 Passed AAPC ICD-10 proficiency February 2013Duties: Identifies and code diagnoses and spinal and brain surgical procedures on patient EMR using ICD-9 with dual coding of ICD-10 and CPT in Encoder pro and applies all coding principles and guidelines. Ensures all claims are accurate and clean before manual entry into Epic and alert supervisor and providers of any coding changes. Working closely with front office staff in getting accurate insurance information by checking insurance websites for eligibility. Answering provider and financial counselors question regarding coding and billing issues. . Perform all other duties as assigned. Maintain up-to-date knowledge of medical terminology. Acts as a resource of office staff regarding procedure and diagnosis codes. Able to solve denials and work with insurance representatives in follow up and clams edit work queues. Reviewed and resolve PACRF and refunds issues as soon as possible. Confident in spinal procedure coding, interventional radiology, cranial surgical procedures, botox billing. Performs other related duties as assigned.

Clinic Operations Coordinator

• May 1995 - Dec 2005

Certified professional coder with AAPC since 2007 Passed AAPC ICD-10 proficiency February 2013Duties: Identifies and code diagnoses and spinal and brain surgical procedures on patient EMR using ICD-9 with dual coding of ICD-10 and CPT in Encoder pro and applies all coding principles and guidelines. Ensures all claims are accurate and clean before manual entry into Epic and alert supervisor and providers of any coding changes. Working closely with front office staff in getting accurate insurance information by checking insurance websites for eligibility. Answering provider and financial counselors question regarding coding and billing issues. . Perform all other duties as assigned. Maintain up-to-date knowledge of medical terminology. Acts as a resource of office staff regarding procedure and diagnosis codes. Able to solve denials and work with insurance representatives in follow up and clams edit work queues. Reviewed and resolve PACRF and refunds issues as soon as possible. Confident in spinal procedure coding, interventional radiology, cranial surgical procedures, botox billing. Performs other related duties as assigned.

Patient Account Representative

• Dec 1990 - Apr 1995

Patient Service Representative

• Dec 1987 - Dec 1990