Lisa Belot

• Extensive experience in production-based coding for the following specialties- most current- , Ophthalmology, Orthopedics

• Review clinical documentation and code to the highest level to accurately capture the correct charges
• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
• Ensure compliance with internal policies and report compliance issues appropriately
• Perform coding work which requires independent judgement in a timely and accurate manner
• Consistently verify teaching and compliance standards are met
• Exceed production goals set by management with a verifiable low error rate; since 2015. Manage coding related edit work queues
• Provide feedback/education to physicians utilizing physical, verbal and written communications in the Completion of Electronic Records, the proper assignment of ICD-10CDM, HCPCS and CPT codes
• Assist follow-up with coding denials and recognize denial trends.
• Work with various departments such as compliance and managed care to ensure proper billing/coding issues are resolved timely.
• Verify and register patient demographics for billing purposes.
• Proficient in data entry and follow-up including account corrections.
• Proficient with programs such as Allscripts, MedData, Vital Coder, Encoder Plus.

• Verify and/or assign CPT, ICD and Modifier codes for each patient encounter as needed
• Identify payer specific guidelines, billing edits, National Correct coding initiative and online tools
• Identify trends by payer that impact A/R and Communicate to Leader of backlogs or unsolved issues
• Perform several Special Projects assigned by the team leader
• Re-filing insurance claims based on each payer’s specific appeal process with the knowledge of time lines
• Thorough knowledge of CPT and ICD-9 Coding and medical terminology.

Maintain Log of all referrals/admission

• Scheduling all patient's for outside referral to specialists and admission for approximately 35 patients a day
• Report billing problems related to referrals
• Contact Insurance companies on a daily basis for authorizations.

Title and Registration review at port of entry

• Collections of overweight fines
• Knowledge of State rules and regulations
• Heavy public interaction (Avg 150 patrons daily).

• Responsible for filing records within office
• Assist patients with medical records questions and retrieval
• Work on computer system making and canceling patient appointments
• Advise and coordinate employees in medical records offices.

• Greet all patient and visitors
• Registration (Avg 80 per day)
• Checked eligibility for various insurance companies.