Lisa Caruso
Stella,NC
Summary
Knowledgeable Medical Coder specializing in CPT Coding and Auditing physicians charts . Talented at correcting and resubmitting claims, preparing patient charts for registration and reviewing health records to identify proper relationships between procedure and diagnosis codes. Offering 1-year background in reviewing, analyzing and managing medical record information to identify appropriate coding. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
9
9
years of professional experience
Work History
Credentialized Abstract Spec
CarolinaEast Physcians
11.2020 - Current
- Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
- E/M coding for Physicians offices
- Reviewed Orthopedic surgeries and coded to Operation note
- Coded labs from all doctors
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Verified signatures and checked medical charts for accuracy and completion.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Used Allscripts to assign procedure and diagnostic codes to patient records for billing purposes.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Initiated, performed and documented quarterly coding audits for hospital physicians and office physicians
- Managed over 25 doctors for coding errors
- Demonstrated strong organizational and time management skills while managing multiple projects
- Worked well in a team setting, providing support and guidance
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution
- Skilled at working independently and collaboratively in a team environment
Certified Phlebotomist
CCHC New Bern Family Practice
03.2017 - 11.2020
- Followed physician orders when administering therapeutic phlebotomy.
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
- Drew blood from veins by vacuum tube, syringe or butterfly venipuncture methods.
- Assembled tourniquets, needles and blood collection devices to prepare work trays.
- Obtained blood specimens by performing venipunctures and finger sticks 75 times per day.
- Tracked collected specimens by initialing, dating and noting times of collection.
- Accurately labeled vacutainer tubes with patient name, date and time of collection.
- Utilized ICD 10 codes for reimbursement.
- Stocked phlebotomy cart or carrier with appropriate supplies
- Protected patients by following infection control, sharps disposal, and biohazardous waste disposal procedures
- Spoke with patient to gather information for lab records, reduce fear, or anxiety and optimize cooperation
- Determined donor eligibility by conducting screenings, interviewing prospective donors, and obtaining medical histories
- Followed physician orders to correctly administer therapeutic phlebotomy
- Organized daily work based on collection priority
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles
- Validated blood and specimen collection orders, alerting nurses, or physicians of discrepancies between order and nursing station logs
Office Assistant
T&H Electrical Corporation
03.2014 - 01.2016
- Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs.
- Delivered clerical support by handling range of routine and special requirements.
- Interacted with customers by phone, email or in-person to provide information.
- Executed record filing system to improve document organization and management.
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
- Coordinated travel arrangements by booking airfare, hotel and ground transportation.
- Coordinated, scheduled and arranged business meetings and travel calendars.
- Managed multiple projects simultaneously using organizational and analytical skills.
- Delivered clerical support by handling range of routine and special requirements
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments
- Completed clerical tasks such as filing, copying, and distributing mail
- Prepared and edited documents to produce precise, accurate and professional communication
- Submitted employee payroll documentation weekly to avoid errors and kept employees paid accurately and on time
- Ordered office supplies and kept office stocked with needed resources to operate smoothly
- Organized events and meetings to maximize capacity and keep event venues running smoothly
Education
Certificate - CRC
AAPC
Online03.2023
Certification - CPC
AAPC
Online08.2020
Licensed National - Phlebotomist
Craven Community College
New Bern, NC07.2018
Certified - Pharmacy Technician
Coastal Carolina Community College
Jacksonville, NC11.2014
Skills
- CPT Coding
- Medical Records Management
- Medical Coding
- Insurance Knowledge
- Coding Error Resolution
- ICD 10 coding
- Patient data compilation
- Records review
- Medical billing code accuracy
- Responsible
- Detail-oriented
- Good listening skills
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The way to get started is to quit talking and begin doing.
Walt Disney
Timeline
Credentialized Abstract Spec
CarolinaEast Physcians
11.2020 - Current
Certified Phlebotomist
CCHC New Bern Family Practice
03.2017 - 11.2020
Office Assistant
T&H Electrical Corporation
03.2014 - 01.2016
Certificate - CRC
AAPC
Certification - CPC
AAPC
Licensed National - Phlebotomist
Craven Community College
Certified - Pharmacy Technician
Coastal Carolina Community College
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