Julia Lewis
Kenosha,Wi
Summary
To obtain a position as a Coder in an organization that offers an opportunity for professional growth. Accomplished Professional Coder with single path experience offering 10 years accurately entering information for insurance and billing purposes. Highly skilled at memorizing frequently used codes. Demonstrated professionalism when communicating with patients, insurance companies and healthcare staff.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Certified Professional Coder (Radiation Oncology)
Renown Regional Medical Center
Nevada
09.2023 - Current
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Accurately assigned codes using software and official print copy of code book.
- Collected documentation and clarified ambiguous patient care statements by contacting providers.
- Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
- Assigned value codes and modifiers to provide specific information for services provided.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Responded to coding questions from callers and other internal departments.
- Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained high accuracy rate on daily production of completed reviews. (99.5% accuracy)
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Verified proper coding, sequencing of diagnoses and accuracy of Radiation Oncology & Urology procedures.
- CPT coding for Facility Based (HB) as well as Professional (PB)
Certified Urology/orthopedics Coder
Omega
05.2023 - 02.2024
- Accurately assigned codes using software and official print copy of code book.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Verified proper coding, sequencing of diagnoses and accuracy of Urology and Orthopedic procedures.
- Maintained high accuracy rate on daily production of completed reviews. (97.5%)
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Received, organized and maintained all coding and reimbursement periodicals and updates.
Urology/Orthopedic/ENT Senior Coder and Single Path Specialist
Ochsner
05.2019 - 04.2023
- Single Path Coder coding all HB/PB charges for Urology, ENT and Orthopedic providers.
- Edit work Ques in EPIC including denials, clearing house as well HB and PB edits for labs and radiology for various LCD/NCD edits.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained high accuracy rate on daily production of completed reviews. (98% accuracy)
- Verified proper coding, sequencing of diagnoses and accuracy of Urology, Orthopedic and ENT procedures.
- Interpreted medical reports to apply appropriate ICD-10, CPT-4 and HCPCS codes.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Maintained positive working relationship with fellow staff and management.
- Streamlined day-to-day office processes to meet long-term goals.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Mentored junior team members and managed employee relationships. (training other Urology coders)
Multispecialty Certified Coder/coding and compliance
Wheaton Fransican-Ascension-R1
08.2014 - 04.2019
- Verified proper coding, sequencing of diagnoses, and accuracy of Orthopedics, Podiatry, and Urology; Physiatry; Physiatry Rehab; Nephrology; and ENT; Gastroenterology, colonoscopies. Pulmonology, bronchoscopies, and sleep studies.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained high accuracy rate on daily production of completed reviews. (98% accuracy).
- Interpreted medical reports to apply appropriate ICD-10, CPT-4, and HCPCS codes.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Maintained positive working relationship with fellow staff and management.
- Streamlined day-to-day office processes to meet long-term goals.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Mentored junior team members and managed employee relationships. (training other Urology coders)
Education
Associate of Applied Science in Health Information Technology -
Gateway Technical College
05.2013
Associate of Applied Science in Accounting -
Gateway Technical College
12.2012
Skills
- ICD-10-CM diagnosis coding
- CPT-4 E/M and Procedure coding
- Governmental regulations including HIPAA
- Enterprise-wide health information computer systems/EHRs including: Epic (10 years), ARIA, EPIC CAC, Meditech, 3M Encoder, Optum, Citrix PHS, McKesson, Cerner, Nthrive, Quantum and Eclipsys
- Anatomy and Physiology
- Pathophysiology
- Chemistry
- Medical Terminology coursework
- Microsoft Word
- Excel
- Outlook
- One Note
- PowerPoint
- Epic EHR super user experience
- Single path coding (HB & PB coding)
- Teaching hospitals and residents
- Incident to and split share billing
- Professional and hospital split charges
- Denial experience
- Trauma and spine surgery experience
References
- Monica Mayer, Regional Coding Manager, 813-812-4588, 402-210-7320, Monica.Mayer@omegahms.com
- Alma Rackard, coding supervisor, 1-504-481-9557, alma.rackard@ochsner.org
- Dawn Fuget, Outpatient and Facility Coding Quality Reviewer, +1 (504) 703-6012, dawnmarie.fuget@ochsner.org
- Julie O'Brien, Medicare HMO Follow Up Representative, 262-237-2188, JOBrien@r1rcm.com
Certification
RHIT # 716515 expires 12/1/2024
Timeline
Certified Professional Coder (Radiation Oncology)
Renown Regional Medical Center
09.2023 - Current
Certified Urology/orthopedics Coder
Omega
05.2023 - 02.2024
Urology/Orthopedic/ENT Senior Coder and Single Path Specialist
Ochsner
05.2019 - 04.2023
Multispecialty Certified Coder/coding and compliance
Wheaton Fransican-Ascension-R1
08.2014 - 04.2019
Associate of Applied Science in Health Information Technology -
Gateway Technical College
Associate of Applied Science in Accounting -
Gateway Technical College
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