Dana Fox CPC
Summary
Competent Certified Medical Coder with seventeen years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software for Professional Fee physician services.
Overview
17
17
years of professional experience
1
1
Certification
5
5
years of post-secondary education
Work History
Remote Certified Coding Associate
Trubridge, formerly CPSI, formerly Healthcare Resource Group, Inc.
01.2021 - 05.2024
- Perform coding back log for different clients throughout the country
- I was mostly assigned to Yukon-Kuskokwim Health Corporation in Alaska, coding outpatient professional fee encounters for the village clinics.
Certified Coding Specialist
Pullman Regional Hospital Clinic Network
07.2017 - 02.2020
- Professional fee coding for a small hospital clinic network
- Charge entry and validation of physician submitted codes.
- Resolution of coding edits and denials.
Clinical Data Specialist
UW Medicine/Harborview Hospital
05.2015 - 06.2016
- Analysis of medical records to assign ICD-9, ICD-10, CPT, E/M and HCPCS codes to assure optimal reimbursement
- Abstracted codes from electronic medical record systems
- Charge entry into electronic health record systems for endoscopy procedures and diagnoses
- Fixed patient accounts by resolving coding edits for facility billing
- Professional fee coding for respite care program.
Radiology Professional Fee Coder
St. Luke's Magic Valley Medical Center
10.2013 - 04.2015
- Implementation of in-house radiology professional fee coding procedures for the Radiology department.
- Abstracting diagnosis and radiological procedures from dictated reports.
- Concurrent monitoring of facility billing and coding.
- Communicated with radiologists either for procedural clarification, or to educate based on documentation or coding choice.
Professional Fee Coder/Auditor
Reimbursement Management Consultants
10.2011 - 07.2013
- Analyzed medical records to assess the adequacy of documentation to support services billed in accordance with professional fee coding and billing guidelines.
- Conducted complex coding compliance reviews across a variety of specialties to determine the adequacy of documentation to support services billed for both professional fee and hospital services.
- Provided coding backlog support at an acute care hospital for inpatient hospital E/M services, consultations and ICU procedures for hospitalists and intensivists
- Provided education and feedback for providers and existing coding staff members.
Certified Coder/Auditor
Brown Consulting Associates, Inc.
07.2007 - 10.2011
- Worked with various clinics, including Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) auditing medical records for compliance purposes
- Delivered Webinar presentation related to ICD-9-CM and CPT coding for physician services
- Conducted administrative work and teaching for the Medical Coding Program at the College of Southern Idaho.
Education
Medical Coding
College of Southern Idaho
Twin Falls, Idaho 06.2003 - 07.2007
Associate of Applied Science - Health Information Management
Spokane Community College
Spokane, WA 09.2023 - Current
Skills
MS office
Auditing
Problem solving
Billing procedures
Medical record keeping
CPT and HCPCS Coding
Insurance billing
ICD-10-CM Diagnosis coding
Medical record documentation
Experience with multiple EMR systems
Coding Error Resolution
Data security procedures
Insurance claims analysis
Medical claims coding
Critical thinking abilities
Clinical Documentation
Insurance coding (ICD-9 and CPT)
Claims Processing
Medical Billing
HIPAA Compliance
Medical Terminology
Record assessment
Professional Fee coding
Continuing education
Regulatory guidelines
Certification
- CPC - Certified Professional Coder
Accomplishments
- Collaborated with team of 5-7 in the development of in house professional fee radiology coding for St. Luke's Magic Valley Hospital.
- Achieved CCS and CCS-P Certifications by completing AHIMA certification exams with accuracy and efficiency, although they are not current as I could not maintain three credentials during Covid.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Affiliations
AAPC American Academy of Professional Coders
AHIMA Student membership
Work Preference
Work Type
Full TimeContract WorkWork Location
RemoteImportant To Me
Career advancementPaid sick leaveHealthcare benefitsFlexible work hoursPaid time offWork-life balanceWork from home optionPersonal development programsCompany CultureTimeline
Associate of Applied Science - Health Information Management
Spokane Community College
09.2023 - Current
Remote Certified Coding Associate
Trubridge, formerly CPSI, formerly Healthcare Resource Group, Inc.
01.2021 - 05.2024
Certified Coding Specialist
Pullman Regional Hospital Clinic Network
07.2017 - 02.2020
Clinical Data Specialist
UW Medicine/Harborview Hospital
05.2015 - 06.2016
Radiology Professional Fee Coder
St. Luke's Magic Valley Medical Center
10.2013 - 04.2015
Professional Fee Coder/Auditor
Reimbursement Management Consultants
10.2011 - 07.2013
Certified Coder/Auditor
Brown Consulting Associates, Inc.
07.2007 - 10.2011
Medical Coding
College of Southern Idaho
06.2003 - 07.2007
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