Tina Moore
MD
Summary
Results-driven coding team lead with over 14 years of medical coding experience, specializing in risk adjustment, E&M coding, quality assurance, and remote team leadership. Certified as a CPC, CPMA, and CRC professional, with expertise in ICD-10-CM coding, provider education, auditing, workflow improvement, and productivity management. Recognized for strong analytical skills and reliability as a team player, with a proven track record of mentoring coders to enhance accuracy and support organizational objectives. Committed to driving excellence in coding practices while fostering a collaborative work environment.
Overview
21
21
years of professional experience
Work History
CERTIFIED CODER & AUDITOR-TEAM LEAD
Maryland Primary Care Physicians
Arnold, MD
08.2017 - Current
- Abstracting pertinent information from patient medical records
- Perform a detailed review of medical records to assign ICD-10-CM code(s) that map to the HCC payment structure.
- Ensure all billing is captured and no charges are missing for maximum reimbursement and compliance
- lead and support a team of medical coders in daily coding operations, productivity and quality performance
- Train and mentor new and existing coders on coding guidelines, payer requirements and workflow updates
- Assigns and sequences coding based on official coding guidelines, rules and regulations. This includes ICD-10 diagnosis coding, CPT Evaluation and Management
- Queried and educated providers and billing department regarding billing and documentation policies, procedures and regulations and compliance
- Conducted Medical review audits to ensure providers maintained compliance and full audit of billing procedures
- Reported on the findings of each audit via verbal presentations and detailed written reports.
- Completed pre-implementation audits to identify potential documentation problems for 2021
CERTIFIED CODER AND BILLER
Maryland Brain Spine & Pain
Annapolis, MD
11.2005 - 01.2017
- Worked closely with finance manager and outside billing office to ensure payments received for all services rendered
- Correctly Coded and billed medical claims for a neurosurgery and pain management practice performed in office, facility and ASC
- Analyzed and interpreted patient medical and surgical records to determine billable services
- Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy
- Completed appeals, filed and submitted claims
- Appropriately and correctly identified errors and re-filed denied/rejected claims
- Reviewed periodic billing error reports and addressed, resolved, or reported unusual findings.
- Reconciled accounts against statements and independently resolved variances.
- Prepared financial reports for managers to aid in the budget processes and support accurate decision making.
- Followed up with vendors, managers, and other employees to resolve open issues and discrepancies.
- Generated and shared daily, weekly, and monthly reports with management on pending payments, accounting, and statements involving weekly aging reports and month-end closing reports.
SURGICAL SCHEDULING SUPERVISOR
Maryland Brain Spine & Pain
Annapolis, MD
01.2014 - 01.2017
- Developed departmental goals, objectives, standards of performance, policies and procedures to provide excellent patient care
- Recruited, hired, trained and supervised 4 employees.
- Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment
- Worked closely with practice administrator, finance manager and providers to improve services and correct problems
- Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans
- Efficiently performed insurance verification and pre-certification and pre-authorization functions.
- Arranged and assisted with hospital admissions.
- Scheduled surgeries and procedures for multiple physicians and facilities
- Maintained strict patient and physician confidentiality
Education
CPC, CERTIFIED PROFESSIONAL CODER -
AAPC
CPMA, CERTIFIED PROFESSIONAL MEDICAL AUDITOR -
AAPC
CRC, CERTIFIED RISK CODER -
AAPC
Skills
- EPIC
- Athena
- Excel
- Word
- Quick Books
- Back end billing
- Coding
- Audit programs and processes
- Prepare reports
- Internal audits
- Compliance
Timeline
CERTIFIED CODER & AUDITOR-TEAM LEAD
Maryland Primary Care Physicians
08.2017 - Current
SURGICAL SCHEDULING SUPERVISOR
Maryland Brain Spine & Pain
01.2014 - 01.2017
CERTIFIED CODER AND BILLER
Maryland Brain Spine & Pain
11.2005 - 01.2017
CPC, CERTIFIED PROFESSIONAL CODER -
AAPC
CPMA, CERTIFIED PROFESSIONAL MEDICAL AUDITOR -
AAPC
CRC, CERTIFIED RISK CODER -
AAPC