Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiffany Newhoff

Callahan,Florida

Summary

Certified Medical Coder with 20+ years of experience. AAPC certifications in Professional Coding, Risk Adjustment, and Inpatient Facility Coding. Experienced in the following specialties, but not limited to: Family Medicine, Cardiology, Pulmonology, Gastroenterology, Urgent Care, Emergency Medicine, Radiology, Pathology/Laboratory, Infusions, Evaluation and Management Auditing. Knowledge of Anatomy, Physiology, and Disease Etiology. Acclimated to a Production Coding Environment with consistent high quality results. I am a self-motivated team player. AAPC member # 01054343

Overview

26
26
years of professional experience

Work History

Certified Medical Coder

Ascension St. Vincent
01.2024 - Current

• Cardiology and Pulmonology Coding, including bronchoscopies, heart catherizations, pacemakers, defibrillators, all cardio testing and E/M leveling. Currently coding for seven providers.

• Partnered with Physicians and Management to resolve documentation and coding concerns.

Provided corrections and suggestions for denials and appeals to the outsourced team.

• Denials corrections and appeals suggestions given to the outsourced team in order to optimize reimbursement.

• Team player, enjoy helping others when overloaded.

Property Manager

Pink Pearl Property Mgmt, LLC
02.2022 - 01.2024
  • Manage and maintain a 24,000 sq.ft. private residence in Amelia Island, including a 10,000 gallon koi pond and 1 acre of land. Schedule and oversee all maintenance and construction projects.
  • Personal Assistant to Homeowner and family. Responsibilities include, but not limited to: professional cleaning, assisting with finances, pets, purchasing, vehicle maintenance, personal and household emergencies.
  • Self-employed business owner for one full time client. Adept at multitasking, organizing, and prioritizing tasks by order of importance in a high value, high responsibility environment.

Certified Medical Coder

Change Healthcare
07.2012 - 01.2022
  • Auditing E/M levels using both 1997 guidelines and 2021 E/M guideline changes.
  • I coded all visits and procedures from physician and clinical documentation for the following specialties: Emergency Medicine, ER Facility, and Urgent Care. This included but not limited to: I&I, fracture care, lacerations, labs, radiology, ekgs, hcpcs supplies and meds, critical care, CPR, intubation, IV placement, etc.
  • High productivity and quality environment with a standard of 95% QA and 20-30 charts per hour depending on the facility "scope of practice complexity" and the average amount of documentation per chart.
  • Contact: Wendy Highsmith, Manager (904)400-5222

Certified Medical Coder

Borland Groover Clinic
06.2006 - 06.2012
  • Gastroenterology Coding, which included E/M level auditing for all hospital consults, admits, and follow ups. All procedures, such as colonoscopies, upper gi endoscopies, ERCP's, EUS's, double balloon small bowel endoscopies, and myriad of other procedures within the GI world.
  • Insurance Appeals and Denials while in the Insurance A/R Department when I originally started and prior to obtaining my coding certification.
  • Working directly with physicians on documentation issues, queries, etc.
  • Suggested the use of dual monitors within our department and it increased productivity, drastically reduced the use of paper, and lessened the need for overtime.
  • Contact: Sherry Hunter, Supervisor (904)485-0219

Medical Coding and Billing Specialist

Physicians Online
01.2005 - 04.2006
  • Coding and Billing for several Outpatient Cardiology Practices at a third-party billing company.
  • Responsibilities included verifying and correcting demographics provided along with superbills and procedure reports for heart caths, TEE's, stress test, EKG's, echocardiograms, etc. Submitting claims electronically, running and working A/R reports, appeals, and denials. Full Revenue Cycle.
  • Contact: (904)281-0944

Medical Coding and Billing Specialist

Prince Family Medical Center
01.2000 - 01.2004
  • Primary Care Coding and Full Revenue Cycle Billing for a small 3 physician practice. Applying ICD-9 codes from hand-written diagnoses and data entry of CPT/HCPCS from superbills.
  • Working A/R reports, denials, appeals, collections, explaining balances to patients, setting up payment plans, etc. Full Revenue Cycle.
  • Assisting the front office as needed and filing medical records.
  • Contact: Judy Burkett, Manager (904)557-6357

Education

High School Diploma -

West Nassau High School
Callahan, FL
06.1999

Skills

  • Medical coding, abstracting, full revenue cycle experience
  • Works well in both a team environment and independently
  • Auditing E/M's using 95/97 and 2021/2023 guidelines
  • Attention to detail and critical thinking skills
  • High morals and ethics, staunch adherence to HIPAA and Coding Laws
  • Proficient in ICD-9/10, CPT, HCPCS, and ICD-10-PCS

Timeline

Certified Medical Coder

Ascension St. Vincent
01.2024 - Current

Property Manager

Pink Pearl Property Mgmt, LLC
02.2022 - 01.2024

Certified Medical Coder

Change Healthcare
07.2012 - 01.2022

Certified Medical Coder

Borland Groover Clinic
06.2006 - 06.2012

Medical Coding and Billing Specialist

Physicians Online
01.2005 - 04.2006

Medical Coding and Billing Specialist

Prince Family Medical Center
01.2000 - 01.2004

High School Diploma -

West Nassau High School
Tiffany Newhoff