Dynamic Provider Coding Educator at Prisma Health with a proven track record in enhancing coding accuracy and compliance. Skilled in problem-solving and teamwork, I effectively train staff, improve documentation practices, and recommend process changes, resulting in increased charge capture and operational efficiency. Committed to continuous learning and excellence in coding standards.
Evaluate and train providers and coding staff within the physician practice setting on proper CPT, ICD 10 and HCPCS coding. Performs random reviews of physician charges to identify opportunities for charge capture, ICD 10 specificity and proper coding of all services rendered. Review and respond to coding and billing questions submitted by physician and office staff within a timely manner. Communicates billing related issues to assigned supervisor/manager. Shadows provider and office staff to confirm coding is supported by medical record documentation and identify opportunities to improve upon documentation and coding. Participate in workshops, seminars, webinars, and other educational opportunities to ensure continued learning. Maintain current certifications and working knowledge of ICD 10 and CPT coding guidelines. Recommends changes to billing processes to achieve compliance with applicable laws, rules, and regulations. Obtain and maintain AAPC curriculum offered by AAPC. Maintain knowledge of state and Federal regulatory guidelines related to proper coding. Participate in meetings with corporate compliance to identify opportunities for improvement. Schedule education sessions with providers to improve education based on audit findings. Participate in A/R meetings to improve overall coding. Performs other duties as assigned.
Responsible for complete billing process for five physical therapy outpatient clinics
File claims electronically, hard copy and online
Monitor error reports daily
Manage account receivables
Prepare billing statements and collection letters
Take phone calls from clinics, patients, and insurance companies
Resolve financial disputes, customer complaints and billing issues
Handle all dministrative responsibilities for my assigned clinics
Compile and audit month end reports for review analysis
AAPC Certified-October 2014
AAPC Certified Professional Coder