Passionate job seeker with strong organizational skills eager to secure Medical Coding position. Ready to help team achieve company goals. Reliable employee seeking offering excellent communication and good judgment.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Charge Review Coordinator
LCMC
New Orleans, LA
12.2019 - Current
Review obs accounts for accurate amount of carve outs
Adding medication administration charges when appropriate
Reviewing EMR to verify account s charges are accurate
Resolving missing hourly daily/hourly charges
Performing Telemetry accommodation code Audits
Reviewing documentation and adding charges to resolve account errors
Review documentation, and adding modifiers when appropriate for CCI Edits
Special projects
Creating Tip Sheets to share with coworkers for expanded knowledge on resolving differing Edits and DNBS
Assisting coding with patient class changed
SR Billing Rep
OCHSNER HEALTH SYSTEM
New Orleans, LA
12.2011 - 12.2020
Managed facility dashboards
Downgraded accounts with incorrect events listed
Re billed corrected claims for HIM department
Resolved edits in Nthrive for claims to bill out clean
Special projects
Solved claim edits and work DNB(s) and stop bills
Vendor relations
Managed CRMS
Interoffice Training
ED registration
Admit desk
Executed billing tasks and recorded information in company databases.
APC Coordinator
OCHSNER HEALTH SYSTEM
12.2011 - 12.2019
Reviewed and solved MUE edits
Reviewed and resolved CCI edits, documentation, and adding modifiers when appropriate
Used knowledge source to verify appropriate modifiers to add.
Matched, combined charges and coding
Reporting-Entered data, generated reports and produced tracking documents.
Reviewed OBS hours for accuracy
Utilized CPT coding book(s) and 3M to review ICD or CPT code descriptions to help resolve Claim Edits or DNBs
Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting
PAS REP
WEST JEFFERSON HOSPITAL
Marrero, LA
08.2006 - 12.2011
Registered patients for emergency, outpatient, surgery, minor procedure and primatology visits
Assisted and worked with nurses in putting patients care first
Worked with bed control to admit inpatient/maternity patients, babies, entering physician’s orders, obtaining bed assignments for admitted patients and babies
Verified insurance for all admitted patients, as well as surgery and emergency patients
Obtaining authorizations for length of stay or ambulatory procedures
Made and answered phone calls to explain deductible and pay details.
SALES ASSOCIATE
Dillard's Department Store
New Orleans, LA
01.2003 - 07.2006
Worked with the coach company as the coach consultant for my store
Arranged coach merchandise and selling points
In charge of assessing stock for handbag, hosiery and accessory department
Assisted management with sale markdowns and placement of such items for each department
Responsible for cash and credit transactions and account of monies.
FILE CLERK
Deutsch, Kerrigan And Stiles
New Orleans, LA
08.2001 - 10.2002
DEUTSCH, KERRIGAN AND STILES
Managed files for various lawyers and secretaries.
CASHIER
WINN DIXIE
Gretna, LA
08.1999 - 06.2001
Cashed checks, processed bill payments, balanced cash drawer
Accountable for all front counter transactions
Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
Helped customers complete purchases, locate items and join reward programs.
Answered questions about store policies and addressed customer concerns.
Collected and authorized payments of guests.
Education
Medical Billing/Coding - CODING
GRETNA CAREER COLLEGE
Grenta,LA
09.2005
High School Diploma -
L W Higgins High School
Marrero, LA
05.2000
Skills
Microsoft office (Word, Excel, and PowerPoint)
2 years of CPT experience
ICD 10 CM proficient
Epic
Nthrive Billing
Medical Billing (commercial and Government)
Research and trending
Patient relations
Medical terminology/ Anatomy and physiology
Medical records review
Reviewing patient information
Certification
CPC - Certified Professional Coder, SEPTEMBER 2018
AAPC-CPC prep/Physician Based Coding Course
CPC Exam Review
CIC - Certified Inpatient AAPC Training Course 7/31/2022
Pharmacy Reimbursement Specialist at Accredo Health Group / Express Scripts / CignaPharmacy Reimbursement Specialist at Accredo Health Group / Express Scripts / Cigna