Jacqueline Thompson
Murrieta,CA
Summary
Certified Medical Coder with a meticulous approach to coding with a strong understanding of coding guidelines and conventions. Experienced in assigning ICD-10-CM diagnosis codes, HCPCS and CPT procedure codes. Skilled at reviewing medical documentation to ensure accurate code selection. Committed to maintaining the integrity and confidentiality of patient’s medical records. Well versed with Medicare, HMO, PPO, Commercial, Covered California including Government Funded Plans.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Medical Coding Specialist
TrueCare
03.2022 - Current
- Serve as first line support to the Revenue Cycle Department
- Conduct in-service training to ensure that Coders/Providers maintain proficient coding skills
- Ensure Providers and Billing Staff keep abreast of all new changes in codes and coding guidelines set forth by Regulatory Agencies
- Collaborate with Healthcare Providers and other staff members to ensure accurate documentation and coding
- Perform quarterly audit of inpatient files for accurate coding and documentation, consistent with data quality and compliance guideline; coordinate with compliance auditor to ensure full compliance and best practices are being followed
- Assign appropriate ICD-10, CPT, HCPS, DRG, and other relevant codes to medical procedures and diagnoses
- Follow up on unpaid or denied claims and resolve any billing discrepancies
- Maintain confidentiality of patient information and adhere to HIPAA regulations
- Ensure timely submission of claims by diligently meeting deadlines for coding assignments, reducing the risk of delayed payments from insurers.
- Tracked and monitor Provider communication for timely ICD-10 CM, CPT, HPCS code correction and/or clarification to prevent delays, denials, improper billing including denials
Clinic Biller
Borrego Health
06.2020 - 02.2022
- Maintain 100% billing accuracy during auditing and training
- Recognized as one of the top 5 Performers
- Significantly reduced Insurance/Billing/Coding Errors
- Conduct pre verifications, coverage of benefits
- Research and resolve Medical claims that have been rejected or denied by Insurances
- Manage daily reporting requirements; Batch Journal, CINCO, Daily Cash Log and Deposits
- Coordinate with Clinic Managers biweekly to ensure timely completion of encounter corrections, Monthly work plans with management deadlines.
Clinical Scribe
Borrego Health
04.2019 - 04.2020
- Proactively worked alongside Doctors under different Specialties as a Clinical Scribe (Chiropractic, Behavioral Health, OB/GYN, Pain Management, Pediatrics, Family Practice)
- Notable recognition from Residency Doctors and Supervisors, Attending Residents spoke highly of my documentation and coding to Chief Medical Director, Dr
- Ghafari
- Remain up to date with clinical terminology, anatomy, physiology, diagnostic procedures, pharmacology reconciliation, provider assessment and treatment plans
- Recorded patient histories, examinations, ancillary services and treatment plans under SOAP Guidelines, Reduced Providers workload allowing more face to face time with Patients
- Prepared detailed health care summaries of each Patient to Physicians prior to their visit
- Maintained 25-35 Patient’s chart daily by accurately inputting past/present disease history, chief complaints, review of symptoms, physical examination, diagnosis and treatment plan.
Lead Billing Clerk
Borrego Health
04.2015 - 04.2019
- Took on the Lead Billing Clerk position within my first year of employment
- Develop policies and procedures to ensure regulatory and departmental compliance
- Successfully organized and strengthened the Billing Clerk Department under benchmarks, auditing, organized scheduling, bi-weekly meetings, daily feedback and becoming the organization’s main point of contact for all eligibility/verification questions and concerns
- Maintain tracking system which facilitates departmental readiness for anticipated audit
- Professionally represent myself and the assigned client when interacting with the client, staff, patients, and guarantors
- Monitor and Report Employee Production ( Billing Clerks)
- Participates in Manager’s meetings to ensure each site is being handled properly – Addresses any areas of concerns
- Conduct monthly meetings with Team
- Compile and assign verification report
- Ensure Employees are compliant with Annual Trainings
- Main point of contact for questions regarding Health Insurance and Eligibility.
Lead Hostess
The Arches Restaurant
04.2012 - 01.2013
- Promoted to Waitress within 4 months of employment
- Displayed full knowledge of Restaurant’s menu and products
- Demonstrated genuine hospitality while greeting guests
- Decorated dining tables according to event and service standards
- Provide friendly and attentive services.
Lead Sale Associate/Cashier
Snack Attack Fashion Valley
04.2007 - 04.2011
- Maintained balanced cash drawer
- Ensure product displays were neat and organized
- Provider excellent customer service
- Open and close business with no supervision.
Driver Assistant
UPS Delivery
12.2011 - 02.2011
- Delivered to residential and commercial locations
- Inspected cargo for count and location accuracy
- Quickly delivered and retrieved packages within allotted time frame
- Assist with loading and unloading company trucks.
Education
GED -
Fullerton College
Certified Professional Medical Auditor, CPMA
Amercian Academy of Professional Codes
04.2024
Certified Professional Coders, CPC
American Academy of Professional Coders
12.2021
Skills
- Excellent Communication
- Research and Analytical Skills
- Initiative and Problem Solving Skills
- Detail Oriented, Close attention to detail
- Demonstrates compassion and empathy with patients and coworkers
- Experience in creating effective solutions to enhance departments
- Accustomed to maintaining high productivity levels with heavy workloads
- Self-Motivated, Critical Thinker
References
- Diana Troncoso, (619)962-5333 CFO, San Ysidro Health
- Claudine Castro, (858)692-8134, Clinic Manager UCSD
- Karen Hebets, (619)933-5580, VP of Business Services
Certification
- CPC - Certified Professional Coder
Timeline
Medical Coding Specialist
TrueCare
03.2022 - Current
Clinic Biller
Borrego Health
06.2020 - 02.2022
Clinical Scribe
Borrego Health
04.2019 - 04.2020
Lead Billing Clerk
Borrego Health
04.2015 - 04.2019
Lead Hostess
The Arches Restaurant
04.2012 - 01.2013
Driver Assistant
UPS Delivery
12.2011 - 02.2011
Lead Sale Associate/Cashier
Snack Attack Fashion Valley
04.2007 - 04.2011
GED -
Fullerton College
Certified Professional Medical Auditor, CPMA
Amercian Academy of Professional Codes
Certified Professional Coders, CPC
American Academy of Professional Coders
- CPC - Certified Professional Coder
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