Experience

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  Aviacode

  • Remote

  • Anesthesia Auditor

    • Nov 2015 - Present
    • Remote

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  US Anesthesia Partners

  • Houston, Texas

  • Anesthesia Coder

    • Jul 2013 - Nov 2015
    • Houston, Texas

    Assign CPT / ICD-9/10 codes for Anesthesia provided for surgical procedures with accuracy, ensuring that all charges have adequate physician documentation to meet Medicare/Medicaid and other third party requirements. Conduct remote chart reviews via EPIC; Citrix Attend departmental meetings / Webinars to stay abreast of coding changes

• 

  Cigna-Healthspring

  • Houston, Texas

  • HCC Coder

    • Jan 2013 - Jun 2013
    • Houston, Texas

     Reviews health management reports for coding accuracy, assign ICD-9 codes if missing, and document opportunities when applicable. Conduct remote chart reviews (extracting ICD-9-CM codes from medical records) or assign ICD-9-CM codes to documentation received for comprehensive review. Responsible for HMR and 360 physical results reporting. Identifies providers that may need additional education on ICD-9-CMcoding, documentation requirements, or training on Company tools Perform ongoing review of medical record charts for the appropriate ICD- 9 code(s) according to CMS and ICD-9 guidelines Review medical charts electronically using a computer Determine valid encounters including legibility and valid signaturerequirements Identify valid face to face encounters

• 

  UTMB

  • Galveston, TX

  • IP/OP Physician E/M-contract

    • Oct 2012 - Jan 2013
    • Galveston, TX

     Assign CPT, ICD-9, and HCPCs codes with accuracy, ensuring that all charges have adequate physician documentation to meet Medicare/Medicaid and other third party requirements, within a single or multiple-specialty. Entering charges into the CPT database or Charge Automation system accurately. Work all errors daily, including CPT, Diagnosis, Modifiers, Signature and IE errors. Educate and offer feedback to physicians and staff as needed to ensure that documentation is complete, accurate, and compliant with guidelines. Adheres to internal control and reporting structure

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  Medi-connect

  • Remote

  • HCC Coder-Contract

    • Jul 2012 - Jan 2013
    • Remote

     Reviews health management reports for coding accuracy, assign codes if missing, and document opportunities when applicable Perform ongoing review of medical record charts for the appropriate ICD- 9 code(s) according to CMS and ICD-9 guidelines Review medical charts electronically using a computer Determine valid encounters including legibility and valid signaturerequirements Identify valid face to face encounters

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  Kelsey-Seybold Clinic

  • Insurance Follow-up Rep II

    • Feb 2007 - Oct 2012

    Review medical documentation to verify documentation supports charges billed; review denied claims via EOB; appeal denied claims via online / manually; review denied claims for missing modifiers; bundle charges etc. make corrections if needed and resubmit to carrier for reconsideration. File claims electronically; review benefits / claim status online. Manually adjudicated CAP HMO plans per member benefits.

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  Southwest Medical Center, Lafayette, La

  • Auditor / Department Secretary-ER

    • Jan 2005 - Jan 2007

    Review ER providers documentation to verify documentation supported charges; Educated ER providers on proper documentation; enter charges; check patients in / out; maintained ER providers on call schedule monthly; enter ER request for test / labs / xrays etc. prepared patients paperwork for transfer / admission.

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  Kevin W. Young, MD, Adult Psychiatrist, Crowley, LA

  • Medical Office Manager

    • Jan 2004 - Jan 2005