Lynette Jones
Coder
Marietta,GA
Overview
18
18
years of professional experience
2
2
Certification
Work History
Coder Anatomical Pathology
Emory Healthcare
04.2017 - 08.2025
- Abstract procedures and diagnosis codes based on documentation contained in the patient medical record for billing/charge capture.
- Have a strong knowledge base of the conventions, rules and guidelines for ICD-10 and CPT classification and reimbursement systems.
- Apply Coding, Payer and Compliance guidelines to ensure maximum reimbursement according to National Correct Coding Initiatives (NCCI) and departmental policies.
- Have a strong knowledge base and experience in interpreting and applying federal/government and commercial regulations to ensure coding and documentation compliance.
Abstract HEDIS Coder – Contract Seasonal
Reveleer/Health Data Vision
01.2017 - 01.2019
- Abstract procedures and diagnosis codes based on documentation contained in the patient medical record for billing/charge capture of the HEDIS measures and performance improvement tools.
- Ensures that the measures collected are correct with the standards set by the Vendor and the Medicare Guidelines.
Physician Coding Educator
Piedmont Healthcare
07.2015 - 01.2017
- Assess the educational needs of Physicians regarding coding and documentation as to direct a development plan of effective regularly scheduled educational programs that meet Physician needs. To serve as the primary resource to Physicians for documentation and coding issues.
- Conduct coding and training programs for Coders and Physicians on staff.
- Create presentations, develop learning material, and other training materials to assist Coders and Physicians with Coding and updates, as necessary.
- Conducts coding and data quality reviews and prepare complex reports as required.
- Ensures all CBO coding activities comply with clinical billing standards and government regulation with concentration on hospital outpatient procedures and specialty physician services.
- Have a strong knowledge base of the conventions, rules and guidelines for ICD-10, CPT and appropriate HCPCS classification and reimbursement and to apply them to federal/government and commercial regulations to ensure coding and documentation compliance.
Coding Supervisor
Piedmont Healthcare
11.2014 - 07.2015
- Supervise Coding and Corresponding Staff.
- Managing auditing and productivity initiatives.
- Ensures claims adheres with complies with internal policies and procedures and governing agencies.
- Works with Managers and Directors to assist with department needs and planning, including developing policies and procedures to facilitate timely and accurate reimbursement.
- Create and implement training plans for new employees.
- Complete payroll and coordinate PTO to cover staffing needs.
- Develop and reports performance measures to Managers and Directors for Coders and Support staff.
- Work with billing office and Managers to facilitate resolution of Coding/billing issues.
Coder
Piedmont Healthcare
03.2013 - 11.2014
- Duties include proficiently and efficiently coding medical records in the outpatient setting using ICD-9, CPT, and HCPCS.
- Abstract procedures and diagnosis codes based on documentation contained in the patient medical record for billing/charge capture apply Coding, Payer and Compliance guidelines to ensure maximum reimbursement.
- Correct failed claim errors to billing edits, clinical trial codes and other coding related errors according to National Correct Coding Initiatives (NCCI) and departmental policies.
HCC Contract Coder
Verisk Healthcare
10.2013 - 02.2014
- Duties include proficiently and efficiently code medical records enrolled in the Medicare HCC program utilizing all the guidelines from ICD-9 and HCC Medicare.
- Abstract chronic conditions and comorbidities based on the documentation contained in the medical record.
Auditor
Emory Healthcare
08.2011 - 03.2013
- Conducts quarterly audits of charges billed by Physicians and Mid-Levels to ensure accuracy of coding to provide feedback and opportunities for improvement.
- Audit all E/M and Critical Care patient records that are coded and edited through the use of IDX, Power Chart, IMBills and Super Coder to ensure that they are coded correctly and billing meets the standards of compliance at Emory.
- Assists in training of Physicians and Mid-Levels in documentation and IMBills software.
Certified Medical Coder, Internal Medicine
Emory Healthcare
03.2007 - 08.2011
- Duties include proficiently and efficiently coding medical records in the inpatient and outpatient setting using ICD-9, CPT, and HCPCS.
- Responsible for working TES and billing exception when needed. Responsible for being a backup coder and taking on projects as needed.
- Abstract procedures and diagnosis codes based on documentation contained in the patient medical record for billing/charge capture of Inpatient and Outpatient Professional Services for Internal Medicine for EUH and EUH-M.
- Apply Payor and Compliance guidelines to ensure maximum reimbursement. Capture 95% of all charges in less than 5 days to facilitate prompt billing payments.
Education
COC – Certified Outpatient Coder -
American Academy of Professional Coders
04.2008
CPC – Certified Professional Coder - undefined
American Academy of Professional Coders
08.2022
Skills
- Comprehensive knowledge of healthcare regulations and Anatomy and Physiology and Medical Terminology
- Clinical Evaluation and Management, Pathology, Critical Care
- Skilled in Epic software, Microsoft Office
- Proficient in independent work management
Affiliations
- Member of AAPC since 2007.
- President of Greater Atlanta Chapter of Professional Coders for AAPC 2013.
Certification
- CPC - Certified Professional Coder
- COC - Certified Outpatient Coder
Timeline
Coder Anatomical Pathology
Emory Healthcare
04.2017 - 08.2025
Abstract HEDIS Coder – Contract Seasonal
Reveleer/Health Data Vision
01.2017 - 01.2019
Physician Coding Educator
Piedmont Healthcare
07.2015 - 01.2017
Coding Supervisor
Piedmont Healthcare
11.2014 - 07.2015
HCC Contract Coder
Verisk Healthcare
10.2013 - 02.2014
Coder
Piedmont Healthcare
03.2013 - 11.2014
Auditor
Emory Healthcare
08.2011 - 03.2013
Certified Medical Coder, Internal Medicine
Emory Healthcare
03.2007 - 08.2011
CPC – Certified Professional Coder - undefined
American Academy of Professional Coders
COC – Certified Outpatient Coder -
American Academy of Professional Coders
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