Annette Aley
Grants Pass,OR
Summary
Certified Professional Coder (CPC) with substantial experience in multi-specialty coding, reviewing class changes, and case management review accounts, seeks Associate Coding Analyst position with Providence Health and Services.
Overview
19
19
years of professional experience
Work History
Outpatient Medical Coder
Providence Health and Services
Remote
06.2015 - Current
- As an Ambulatory Surgery (ASU) Coder, my responsibilities are to accurately abstract and code procedures, surgeries and observation visits across all specialties provided by Providence Health and Services
- My duties are to understand and implement current coding guidelines for multi-specialty surgical practices, maintain >95% accuracy and knowledge of current coding guidelines, NCCI edits, NCDs, LCDs, CPT-4, ICD-10-CM, HCPCS and Modifiers
- In addition, I review, correct and complete class change accounts and case management review accounts.
- As part of the ASU training team, I have trained many new coders on our system including creating training videos for future new coders to use.
- I frequently test system upgrades prior to 'go live' to ensure a smooth and error-free update.
- I keep my credentials current by completing 36 hours of continuing education credits every two years
Physician Coder
Island Hospital - Orcas Medical Center
Eastsound
06.2012 - 06.2015
- Coding and posting all charges generated by our medical center was my sole responsibility
- In addition, I processed all insurance prior-authorizations which required substantial knowledge of payer requirements.
- I helped our team implement 3 different electronic medical records systems.
- I processed all lab orders
- Reconciled clinical notes, patient forms and health information for compliance with correct coding initiatives (CCIs)
Assistant Manager/Medical Billing Manager
Northwest Eye Clinic
Bellingham, WA
01.2005 - 06.2012
- Managed Billing and the Front office
- Responsible for tracking and reducing aged A/R, policy and procedure development and all Reception and Billing tasks including charge and receipt posting
- Responsible for all internal auditing of coding and data entry.
- Interfaced with vendors, staff and managing partners, planned monthly company meetings, built annual physician fee schedule and ran quarterly reports
- Supervised twenty-five employees, including hiring and firing, milestone performance reviews and training.
Education
AAPC Certified Professional Coder Course -
American Academy of Professional Coders
01.2014
Bachelor's Degree - International Business Management -
BYU-Hawaii
12-2001
Skills
- Certified Professional Coder
- Proficient in Epic
- Coding Error Resolution
- Quick to Learn New Tasks
- Experienced Internal Auditor
- ICD-10 Coding
- Proven management and Leadership skills
- Articulate
- HIPAA Trained and Compliant
- Insurance Verification
- Records Scanning
- Patient Admission Documents Processing
- Medical Terminology
- Proficient in MS Office
- Records Maintenance
- Past Due Account Management
- Insurance Billing
- Medical Release of Information ROI Processes
Websites
References
- Karen Dangol - Coding Analyst - Providence Health and Services, (971) 340-3980, Karen.Dangol@providence.org
- Brett Chesbro - Education Coordinator and Coding Support, Providence Health and Services, (503) 703-5661, bchez@comcast.net
- Lynn Rockwell - Coding Specialist, Providence Health and Services, (360) 871-0770, lynn.rockwell@hotmail.com
Timeline
Outpatient Medical Coder
Providence Health and Services
06.2015 - Current
Physician Coder
Island Hospital - Orcas Medical Center
06.2012 - 06.2015
Assistant Manager/Medical Billing Manager
Northwest Eye Clinic
01.2005 - 06.2012
AAPC Certified Professional Coder Course -
American Academy of Professional Coders
Bachelor's Degree - International Business Management -
BYU-Hawaii