Lisa Bugg, RHIT, CCS-p
Lorena,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
30
30
years of professional experience
2
2
Certification
Work History
Medical Biller and Coder
180 Medical billing
Portage, MI
08.2016 - 11.2016
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
- Developed an understanding of how various insurance plans process claims for reimbursement purposes.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Ensured timely filing of all claims within established guidelines.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Medical Records and Health Information Technician
Bronson Advanced Cardiac Healthcare
Kalamazoo, MI
11.2003 - 06.2016
- Reviewed patient records for accuracy and completeness, ensuring that all required information was included.
- Maintained confidentiality of health information in accordance with HIPAA regulations.
- Created new medical records and updated existing ones as needed.
- Entered data into electronic health record systems to ensure accuracy and completeness of medical records.
- Scanned paper documents into electronic health record systems using document imaging software.
- Retrieved patient medical records upon request from physicians or other authorized personnel.
- Assisted with the release of confidential health information according to established procedures.
- Verified coding accuracy on discharge summaries and other reports prior to filing them in the patient's chart.
- Organized medical charts by assigning codes to diagnoses and procedures using ICD-10-CM and PCS, CPT, and HCPCS coding systems.
- Compiled statistical data for research studies or quality assurance purposes.
- Performed audits of medical records to identify discrepancies or errors in documentation or coding practices.
- Conducted periodic reviews of inactive charts to ensure compliance with retention schedules.
- Responded promptly to requests from insurance companies regarding patients' eligibility for coverage or services rendered.
- Answered questions from patients regarding their personal health information or billing inquiries.
- Assisted with maintaining accurate inventories of medical supplies and equipment used in patient care areas.
- Provided technical support for computer applications related to clinical documentation systems.
- Educated staff on proper use of electronic health record systems and related policies and procedures.
- Developed processes for maintaining complete and up-to-date patient medical records.
- Participated in meetings with departmental staff members to discuss issues related to healthcare documentation.
- Analyzed data collected from various sources such as laboratory results, physician orders., for accuracy prior to entry into the system.
- Implemented new technologies related to healthcare information management systems.
- Consolidated diverse medical records.
- Tracked and processed release of information requests.
- Maintained complete confidentiality in accordance with organization and legal requirements.
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Managed release of information requests and identified requestors as patient, relation or provider.
- Organized patient charts, gathering medical histories, lab results and consents.
- Processed and invoiced records requests from patients, providers and third parties.
- Obtained information by contacting appropriate personnel or patients.
- Purged outdated files.
- Retrieved medical charts for healthcare staff for filing in medical records.
- Scanned and validated medical records for upload.
- Scanned incoming documentation.
- Kept department clean, organized and professional.
- Supported administration staff with records requests to support patient care.
- Released information to persons or agencies according to regulations.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Maintained positive working relationship with fellow staff and management.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Set up patient charts and documented information in various company software.
- Safeguarded medical records to maintain patient confidentiality.
- Compiled and coded patient data using standard classification systems.
- Pulled patient records and transferred information to appropriate parties.
- Located and retrieved files, assisting public with general information.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Purged inactive files and destroyed obsolete files following procedures.
- Handled incoming calls and directed callers to appropriate department or employee.
- Processed patient admission and discharge documents.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Mentored junior team members and managed employee relationships.
- Ordered and restocked supplies in line with budget limits and office needs.
- Determined and implemented techniques to improve medical records retrieval process.
- Assigned patients to diagnosis-related groups using appropriate computer software.
- Verified record copies before handing each over to check for and remove unnecessary details.
- Streamlined day-to-day office processes to meet long-term goals.
- Pulled patient charts for upcoming appointments.
Reimbursement Specialist
Bronson Methodist Hospital
Kalamazoo, MI
01.2017 - 11/22/23
- Performed monthly audits for accuracy of claims submitted for payment.
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Provided training to new staff on the proper submission process for reimbursement requests.
- Investigated complex cases involving multiple providers or incorrect coding issues.
- Assisted in developing new processes for more efficient management of reimbursement requests.
- Collaborated with other departments within the organization to coordinate activities related to reimbursements.
- Ensured compliance with applicable laws and regulations when processing reimbursement requests.
- Verified that all necessary documents were included in each request before submitting it for payment.
- Developed relationships with insurance companies to facilitate timely payments.
- Evaluated existing systems used for tracking reimbursements and proposed improvements as needed.
- Prepared financial statements detailing all reimbursements received during a given period.
- Verified technical reimbursement questions for providers, billing and coding staff.
- Enforced adherence to Michigan and federal reporting regulations by performing regular compliance audits.
- Advised supervisors and clinicians of billing deficiencies to support charge capture.
- Researched rejections, investigating problems to appeal claims.
- Maintained confidentiality and integrity of patient data.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Verified clients' Government insurance claims coverage by coordinating with providers.
- Answered customer questions to maintain high satisfaction levels.
- Submitted claims to insurance companies.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Education
Associate of Applied Science - Health Information Technology
Davenport University
Grand Rapids, MI05-1994
Skills
- Payment Posting
- Anatomy and Physiology
- HIPAA Compliance
- Insurance Verification
- Claims Processing
- Ethical Standards
- Medical Terminology
- Medical Billing
- Mail Sorting
- Call Routing
- File Organization
- Clerical Support
- Customer Service
- Appointment Confirmation
- Problem-Solving Skills
- Technical Support
- Complex Problem-Solving
- Performance Improvement
- Appointment Scheduling
- Customer Assistance and Interaction
Certification
- RHIT
- CCS-p
Timeline
Reimbursement Specialist
Bronson Methodist Hospital
01.2017 - 11/22/23
Medical Biller and Coder
180 Medical billing
08.2016 - 11.2016
Medical Records and Health Information Technician
Bronson Advanced Cardiac Healthcare
11.2003 - 06.2016
Associate of Applied Science - Health Information Technology
Davenport University
- RHIT
- CCS-p
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