LAKESHIA JONES, CPC,CRC, CMA
Memphis,TN
Summary
PURPOSE: Organized and dependable experienced Medical Coder offering over 10 years of healthcare experience seeking to utilize and expand current skills and knowledge while being a great asset to the organization. Successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to achieve team goals. Highly accurate and efficient with strong time management, problem-solving, reliable, and hardworking skills. I'm detail oriented, a quick learner, energetic, self motivated, team player with the ability to communicate effectively and efficiently with others in order to provide outstanding patient care.
Overview
8
8
years of professional experience
Work History
Certified Medical Coder
Church Health Center
Memphis, TN
03.2014 - Current
- Performs both medical billing and coding tasks for multi-specialty Federally Qualified Healthcare Center (FQHC) practice
- Assigns current ICD-10-CM diagnoses and the CPT procedure codes for Family & Internal Medicine, and Pediatric using the current Evaluation and Management services
- Review, analyze and abstract 75-100 medical records per day coding of diagnostic and treatment procedures contained in outpatient setting using classification manuals and standard systems
- Ensure codes are accurate and sequenced correctly in accordance with government (Medicare/Medicaid) and private insurance regulation guidelines
- Verified signatures and checked medical charts for accuracy and completion.
- Reviews and communicates with providers and other clinical staff regarding any documentation discrepancies that do not supports diagnoses, procedures, and treatment results
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Posts payments daily from EOBs by insurance carriers into NextGen system, transfer of responsibility and process refunds request as necessary
- Collect, prepare, and submit claims daily to insurance companies and other third-party payers either electronically or by paper
- Maintains and secures medical documentation to support claims or appeals as necessary
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Maintained accuracy, completeness and security for medical records and health information.
Education
Professional Medical Coding Curriculum -
CODES UNLIMITED HEALTHCARE ACADEMY
2021
CPT/ICD-10-CM/HCPCS Level 2; Certificate -
VATTEROTT CAREER COLLEGE
06.2009
Skills
- Medical Terminology, Anatomy and Physiology
- ICD-9-CM ICD-10-CM coding & Medicare 1995 and 1997 Documentation Guidelines CPT/HCPCS
- Computer software skills: NextGen EHR, Availity, Palmetto GBA, Microsoft Office-Word, Excel, Powerpoint
- Medical Data Collection/Entry
- Patient Confidentiality and Data Security
- Insurance Verification
- Quality Standards and Protocols
- Insurance Medical Billing Processing
- Charting and Clinical Documentation
- Patient Data Abstracts
- Quality Patient Care
Affiliations
American Academy of Professional Coders-2021 Certified Professional Coder (CPC)-1st attempt
National Center for Competency Testing-2009 Certified Medical Assistant (CMA)
Timeline
Certified Medical Coder
Church Health Center
03.2014 - Current
Professional Medical Coding Curriculum -
CODES UNLIMITED HEALTHCARE ACADEMY
CPT/ICD-10-CM/HCPCS Level 2; Certificate -
VATTEROTT CAREER COLLEGE
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