Brianna Johnson CPC-CRC-CEMC-CPMA-CDEO

• Oversees the coding department team of 6 coders, ensuring accuracy and timely completion of tasks.
• HCC code and data mine for Medicare advantage plans; maintaining CA standard RAF scores or higher
• Carefully review all medical records to properly code documentation with accuracy and a high daily production of reviews.
• Complete quarterly HCC audits as well as monthly chart reviews to ensure documentation accuracy.
• Coordinate meetings with physicians and their staff as needed to evaluate the accuracy of provider documentation and provide feedback for improvement opportunities and ensure coding knowledge and changes are up to date
• Maintained personal knowledge of coding requirements, which included continuing education and certification renewal, insurance carrier update calls, conferences, webinars and training courses through AAPC, as well as use this knowledge to train employees and providers
• Verified final claim submissions by comparing account charges with documentation and resolved discrepancies
• Planned, assigned and directed work of a large group of providers to be distributed over coding department that I managed to provide quality assistance and staying organized within office operations and procedures.
• Addressed complaints and resolved problems; educating providers and staff.
• Telehealth knowledge and continuing education

• Completed retrospective ICD 10 coding for different family practice providers.
• Verified that all necessary information is accurately documented in the patient's record prior to assigning a code.
• Collaborated with physicians, nurses, and other health care professionals to ensure proper coding of services provided to patients.
• Identified any potential risk areas or areas needing further review by physician or other staff members.

• Review medical records such as operative reports, imaging, and labs to ensure proper coding for CPT and ICD-10
• Developed relationships with providers and staff to communicate proper documentation and training
• Medical coding training in several different multi-specialties such as Family Practice, Internal Medicine, Oncology, Dermatology,Medicare wellness visits, preventative care, E/M, LCDs and HCPCS.
• Maintained consistent daily production of reviews
• Handled charge corrections daily

• Check in and check out patients upon arrival and leaving.
• Schedule new, return, and chemo appointments.
• Schedule outside referral appointments.
• Collect medical records for new patient consults.
• Collect co-pays.
• Input/update insurances and provide information on coverage.

• Physician Referrals and Authorizations.
• Process patient referrals and authorizations.
• Register and update patient information.
• Assist patients on finding doctors and services that meet their health needs.
• Deal with high call volumes of 50 daily in an efficient and courteous manor.
• Assist patients with insurance inquires.

• Work closely with physicians and their schedulers, accommodating all needs for block times, add-ons, and reschedules.
  
• Meet monthly targeted case goals.
• Receive all incoming referrals and authorizations.
• Input patient information efficiently and retrieve information for insurance verifiers.
• Host a bi-weekly conference call to go over facility goals, needs, and updates.
• Make orders for necessary supplies needed for cases.
• Plan quarterly meetings and gatherings with office schedulers.

Insurance Collector/Payment Poster

• Maintain monthly goals for collections by following up on each claim by the targeted date.
• Process interval progress reports.
• Post insurance and patient payments efficiently, set up refunds, and follow up on incorrect payments.

Insurance Verifier

• Call insurances and online verification of patient benefits.
• Understand each individual benefit information to be able to explain charges to patients.
• Input benefit and payment information.
• Call patients to review all information before the appointment, put together patient packet information in a timely manner and maintain organization.

Medical Records Clerk/Receptionist

• Creating charts, filing charts in order, auditing and clinical logging charts in a timely manner.
• Handling all document requests in a timely manner.
• Multi-task answering phones, checking in patients, processing payments, and direct customer service.

• Retrospective review project for capturing HCC categories at minimum of 1 time per year
• Captured any and all missing HCC codes for the year from different provider/facilities
• Maintained QA of 95% accuracy throughout project
• Maintained and exceeded production coding standards of 6 or more charts per hour.