Lisa Dicus
Certified Professional Coder
Camarillo,CA
Summary
Certified Professional Coder with over 25 years of successful experience in Medical Billing and Coding. I enjoy driving change, connecting with people, and influencing strategic decisions while working with the highest standards of ethics, compliance, and quality. Will work independently or contribute to team success through hard work, attention to detail and excellent organizational skills.
Overview
32
32
years of professional experience
1
1
Certification
9
9
years of post-secondary education
Work History
Medical Billing Specialist IV-Lead
County Of Ventura
06.2021 - Current
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records to ensure accuracy and completeness.
- Apply official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign ICD 10, CPT or HCPCS codes.
- Contribute to the development of new features by actively participating in brainstorming sessions and providing constructive feedback.
- Interact with physicians and other healthcare staff to educate on policy, guidelines and coding updates.
- Monitor changes in coding regulations by continuing education and certification renewal to provide recommendations for compliance.
- Communicate with insurance companies and HCA billing office to research and resolve coding discrepancies.
- Traine and mentor billers and non coders to support growth and development and apply high-quality coding practices.
- Generate weekly coding reports to identify coding trends and discrepancies.
- Followed up with medical staff regarding missing information in patient records.
- Generate daily Good Faith estimates
- Code Quest lab E-trailers
Certified Professional Coder & Billing Specialist
Magnolia Family Care Clinic
10.2011 - 06.2021
- Analyze outpatient records and interpret documentation to identify all CPT, ICD 10 and procedures accurately reflect services provided.
- Research denials by auditing patient documentation.
- Attain up-to-date knowledge of coding requirements through continuing education courses and certification renewal
- Provide training to non coders and billers in software and billing and coding guidelines
- Educate providers and other supporting healthcare staff on policy, guidelines and coding updates
- Enter orders into EHR system efficiently
- Post all charges for physicians in Family Practice, Urgent Care and Specialty clinics
- Update patient demographics and collect patient payments
- Manage weekly specialized reports with appropriate coding corrections
- Prepare daily Good Faith Estimates
- Assist patients, providers, Insurance inquiries and Central billing office with clarification of accounts
- Verify insurances – Medi-Cal, Medicare, HMO, PPO and other insurances
- Identify billing under special programs, Family Pact and EWC for appropriate CPT and diagnosis
- Process Self Pay Discount and Sliding Fee scale applications.
- Process PM-160 for Medi-Cal and Gold Coast CHDP's
- Prepare daily clinic deposits
- Daily Good Faith estimates
- Code for Quest lab E-trailers
Medical Billing Specialist
Pain and Spine Medicine Center
01.2007 - 11.2009
- Accurately post and send out all medical claims primary and secondary for Physicians and Surgery Center
- Doctors First Reports for Work Comp
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Precisely evaluated and verified benefits and eligibility
- Identified and resolved patient billing and payment issues
- Responded to requests for information from various individuals
- Posted and adjusted payments from insurance companies
- Located errors and promptly refiled rejected claims
- Trained new employees on multiple medical billing programs and data entry software
- Printed and reviewed monthly patient aging report and solicited overdue payments
Medical Billing Specialist
Interventional Pain Mgmt And Nevada Pain Medicine
11.2002 - 12.2006
Medical Records & Medical Billing Specialist
Joane E Baumer, MD & West Ventura Medical Clinic
11.1992 - 10.2002
Education
Ventura Community College - 2002
Ventura, CA2002
GED -
Oxnard Adult Education - 2000
Oxnard, CA2000
Medical Coding
AAPC
Camarillo, CA 2015 - Current
Skills
- Proficient in ICD-9, ICD-10, HCPCS, CPT & Modifiers
- Medical terminology, anatomy, physiology, disease pathology
- Critical Thinking
- Verbal and written communication
- Troubleshooting
- Proficient in Microsoft Office Knowledgeable in Cerner, Centricity, Healthpro, Med occur, Perfect Practice
- Working knowledge of The Joint Commission standards
- Proficient in Microsoft office skills
Certification
- Certified Professional Coder- AAPC
- ICD-10 Proficiency Assessment
Timeline
Medical Billing Specialist IV-Lead
County Of Ventura
06.2021 - Current
Medical Coding
AAPC
2015 - Current
Certified Professional Coder & Billing Specialist
Magnolia Family Care Clinic
10.2011 - 06.2021
Medical Billing Specialist
Pain and Spine Medicine Center
01.2007 - 11.2009
Medical Billing Specialist
Interventional Pain Mgmt And Nevada Pain Medicine
11.2002 - 12.2006
Medical Records & Medical Billing Specialist
Joane E Baumer, MD & West Ventura Medical Clinic
11.1992 - 10.2002
Ventura Community College - 2002
GED -
Oxnard Adult Education - 2000