Cheryl Chasen
Oviedo,FL
Summary
Qualified professional offering a combination of experience in the medical profession. Possess over twenty years of medical administration/management, financial counseling and credentialing. Extensive knowledge in coding, including medical terminology and ICD-10. Working knowledge of commercial/government claims processing follow-up and billing. . At Medical Coder known for productivity and efficiency in task completion. Possess in-depth knowledge of medical coding guidelines, expertise in ICD-10-CM, CPT, and HCPCS Level II coding systems, alongside proficiency in electronic health records (EHR) software. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Baptist Medical Center South
Montgomery, AL
02.2017 - Current
- Reviewed medical records and assigned appropriate codes to diagnoses, treatments, procedures, and services rendered by healthcare providers.
- Analyzed patient data for accuracy and completeness of information.
- Researched coding guidelines and regulations to ensure accurate coding practices.
- Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
- Collaborated with physicians, nurses, other healthcare professionals to resolve questions regarding code selection or documentation requirements.
- Ensured HIPAA compliance when handling confidential patient information.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Accurately assigned codes using software and official print copy of code book.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Assigned value codes and modifiers to provide specific information for services provided.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Reviewed patient records and assigned accurate codes for diagnoses and procedures.
- Provided assistance with insurance claims processing including verifying coverage eligibility.
- Participated in the development of department policies and procedures related to medical coding activities.
Certified Medical Coder
Spencer Cancer Center
Opelika, AL
01.2022 - 10.2024
- Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
- Attended continuing education seminars related to new developments in medical coding field.
- Maintained up-to-date knowledge of medical terminology and coding systems.
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
- Responded to coding questions from callers and other internal departments.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- nterpreted medical terminology and pharmacological information to translate information into coding system.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Assigned value codes and modifiers to provide specific information for services provided.
- Specified service dates by assigning occurrence codes, span codes, and date information.
- Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained high accuracy rate on daily production of completed reviews.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Interpreted medical reports to apply appropriate ICD-9, ICD 10, CPT-4 and HCPCS codes.
- Entered coded data into electronic health record (EHR) systems.
- Participated in coding team meetings to discuss challenges and best practices.
- Reviewed medical records and assigned appropriate codes to diagnoses, treatments, procedures, and services rendered by healthcare providers.
Financial Counselor
Parallon/Columbus Regional
Columbus, GA
05.2015 - 02.2017
- Conducts patient financial interviews to assist with account resolution, ensuring compliance with hospital financil resolution policies
- Acts as a liaison with other departments of the hospital and physician offices, as well as for patients and the business office.
- Assists patients with financial needs; self-pay balance resources, medication resources, and arrange payment plans
- Coordinate referrals for Medicaid eligibility in a timely and complete manner.
- Verify patient insurance coverage, ensure demographic information is updated, collection of deductibles, copay and coinsurance balances
- Visit inpatients to explain billing processes.
- Process and approve financial assistance applications.
- Provided financial counseling to clients on budgeting, credit management, and debt repayment strategies.
- Conducted comprehensive financial assessments with clients to identify their current financial situation and develop appropriate action plans.
- Advised clients on the best ways to save money, manage investments, and reduce expenses.
- Created individualized budgets for clients to help them become financially stable over time.
- Negotiated payment arrangements with creditors when necessary on behalf of clients.
Coding Specialist
Baptist Health/MCC
Montgomery, AL
02.2007 - 05.2015
- Performed coding and auditing of infusion and E&M charges for 8 physicians
- Reviewed coding error reports and corrected coding errors
- Prepared charges to be successfully filed to various insurance companies for reimbursement
- Assisted supervisors with various daily functions of the business office
- Oversight of coding functions while providing training to coding associates
- Executed ICD-10 Implementation within the business office, in preparation for ICD-10 go-live
- Conducted training on coding updates and maintained current knowledge of coding guidelines.
Senior Insurance Analyst
Advanced Surgical Associates
Montgomery, AL
08.2006 - 02.2007
- Ensured all surgical procedures performed by physicians were accurately coded according to coding standards
- Submit charges to all contracted insurance carriers
- Performed collection and follow-up on outstanding claims
- Collection activity for delinquent self-pay accounts
- Obtained precertification/authorizations/notifications for surgical and diagnostic procedures
- Coordinated scheduling functions; surgeries and patient office appointments
- Registration duties: verification of patient benefits, collection of patient balances, and delinquent accounts.
Team Lead-Coding/Account Representative
Southeastern Cardiology
Montgomery, AL
08.2004 - 08.2006
- Assisted supervisor with daily functions of the billing department
- Performed coding on office and diagnostic procedures
- Prepared delinquent claims reports for account resolution
- Posted payments from various insurance payments and patient balances
- Claims submission and billing functions.
Education
CPC -
American Academy of Professional Coders
Atlanta, GA11-2017
Certified Nursing Assistant -
Draughons Junior College
01.2008
CPC Certification -
American Academy of Professional Coders
Atlanta, GA01.2001
Skills
- Medical Billing
- Healthcare claim coding
- Clinical Documentation
- Medical Terminology
- Claims Processing
- HIPAA Compliance
References
Available Upon Request
Cellular
334.450.4339
Certification
- Certified Professional Coder Certtification, 11/6/2017
Timeline
Certified Medical Coder
Spencer Cancer Center
01.2022 - 10.2024
Certified Medical Coder
Baptist Medical Center South
02.2017 - Current
Financial Counselor
Parallon/Columbus Regional
05.2015 - 02.2017
Coding Specialist
Baptist Health/MCC
02.2007 - 05.2015
Senior Insurance Analyst
Advanced Surgical Associates
08.2006 - 02.2007
Team Lead-Coding/Account Representative
Southeastern Cardiology
08.2004 - 08.2006
CPC -
American Academy of Professional Coders
Certified Nursing Assistant -
Draughons Junior College
CPC Certification -
American Academy of Professional Coders
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