Nicole S. Gesino

Coding Assistant Job Duties

• Add Referring Providers - Identified Overlooked Referring Physician in Patient Encounters
• Addendum Report - Ran Report and Provided New Addendums for Coders
• HMO X-ray Red Claims - Made Appropriate Provider/Encounter Changes for Claim to be Billed Properly
• Ingenious Med Pull - Pulled in Patient Charges for Providers
• Ingenious Med Charges - Set up Encounters to Match Cerner, Verified Consult & Procedure Notes, and Pulled Charges Through
• Unlocking - Unlocked Patient Encounters for Providers to Document SNF & Hospital Patients
• SCMG Commercial HMO Claims - Changed POS for Telehealth
• HCC Report - Identified Appropriate HCC Codes in EHR Interfaced to PM
• CPE Recalls - Pulled Recall Report to Flag Chart for CPE Eligible Patients
• Psych Entry - Processed Psych Services for Arch
• Hospitals - Reviewed EHR Hospital Inpatient Template and manually creating encounters, adding charges, and entering CPT diagnosis and procedures into PM for Professional Services
• Void Report - Identified & Correcting Mistaken Voided Adjustments
• Holter Monitor Report - Identified & Processed Appropriate Information for Physicians to Receive Proper Monthly Credit
• Missing Op Report - Accessed Cerner & Obtained Missing Op Reports for Coders
• Skilled Nursing Facility - Reviewed EHR SNF Template and manually created encounters, added charges, and entered CPT diagnosis and procedures into PM for Professional Services
• Unbilled Tasking - Responsible for collecting unbilled encounters and communicating to physicians
• Arch Geneva - Verified and modified insurances from excel spreadsheet for Geneva services before charges were billed out

Business Office/Revenue Enhancement Job Duties

• Mail - Sorted & Operated a Substantial Mail Machine, Couriered/Delivered Mail to Company Locations
• Payment Posting - ERA (Electronic) & Paper Payment Posting
• Batched Payments - Organized & Totaled Paper Insurance Payment Batches for Payment Posters
• Private Pays - Processed & Posted All Incoming Mail Patient Payments
• Collections - Sorted & Processed Patient Collection Accounts
• Bad Debts - Adjusted & Noted Patient Accounts to Bad Debts
• SCMG EOBs - Reviewed EOB Reason & Denial Codes, Sorted & Distributed to Appropriate Acct. Reps
• Zero EOBs - Sorted & Identified All Incoming Non-Payment Explanation of Benefits to the Appropriate Acct. Rep
• Zero deductibles - Processed Patient Deductible EOBs to Patient Responsibility