Healthcare Excel - Remote - February 2014 to Present
Remote Inpatient/Outpatient Coder
Proficient in abstracting IC9-CM, CPT-4, DRG codes. Proficient in the use of ICD-9-CM, CPT-4, DRG, 3M and Meditech. Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM diagnostic and procedural codes for reimbursement and statistical purposes. Accurately code inpatient conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting, utilizing the required UHDDS definitions to arrive at the most appropriate MS-DRG assignment.
Revenue Cycle Manager
Administep - Plano, TX - April 2014 to September 2014
Oversee work flow of multi- specialty billing department. Responsible for auditing physician records and providing quarterly analysis of clinical documentation. Responsible for abstracting clinical information from a variety of medical records and assigning appropriate ICD9 and CPT codes. Complete payroll processes and personnel reviews. Review daily encounter batch inputs for daily clearing and billing. Perform monthly audits to identify billing errors, short payments, overpayments, unpaid claims, productivity and staffing issues. Perform as a physician and facility liaison-communicating processing errors and educating providers on current billing trends. Interact with third party collections agencies to resolve patient accounts. Negotiate and settle outstanding accounts with insurance and patients. Coordinate implementation of ICD10