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Christine Charcas

Name : Christine Charcas
Experience : 6
Specialty : Durable Medical Equipment
Location : Maitland,FL
Description :

Christine Charcas has six years experience and responsibility as a billing and coding professional in both patient office and services company settings including specialties such as; cardiology, gynecology, urology, hand and plastic surgery, internal medicine and hospitalist, groups and individual practices. Compiled skills include sturdy; individual and insurance company billing, accounts receivable (AR), collections, records and patient rights/ confidentiality. Currently on provisions in Medicare, Medicaid, private insurance providers, workers compensation, and liability statutes. Technically proficient in numerous medical software and the Microsoft Office Suite’s of programs.

Skills:

  • Verify the correct ICD-9, CPT-4 codes and modifiers provided by the office managers correspond with the medical records
  • Select CPT-4 and HCPCS codes for future medical needs
  • Review medical records for workers compensation and liability claimants tcreate Medicare Set-Aside Allocation report spreadsheets
  • Handel patient billing inquiries

Experience:

  • Review medical records for workers compensation and liability claimants tcreate Medicare Set-Aside Allocation report spreadsheets for qualified and non-qualified expense tbe submitted tCenters for Medicare and Medicaid Services (CMS) for approval
  • Select ICD-9 codes for diagnoses from medical records
  • Select CPT-4 and HCPCS codes for future medical needs outlined by the medical professional in the medical records which may include but not limited to;
  • evaluation and management services
  • surgeries and procedures
  • therapy services
  • diagnostic testing
  • durable medical, prosthetic, orthotics, equipment and supplies
  • ambulance services
  • home health
  • Price ICD-9, CPT-4, and HCPCS codes according tusual and customary or state fee schedule and Medicare guidelines
  • Select appropriate National Drug Codes for pharmaceuticals  and price according tstrength and frequency provided by a licensed pharmacist
  • Post charges for admission, discharge, and follow-up which entails selecting ICD-9 codes and CPT-4 evaluation and management codes from history and physical reports, discharge summaries, and progress notes
  • Send medical records tprimary care physicians tnotify of admissions and discharges
  • Post and balance payments from insurance E.O.B’s and patients. Process correspondences
  • Investigate denials and correct or appeal unpaid claims
  • Handel patient billing inquiries
  • Review and verify all request for release of information tvalidate HIPPA compliance
  • Verify the medical records that are tbe release are tthe specifications of the authorization trelease information form 
  • Provide education and advice tmaximize efficiency
  • Performed quality checks on all work tassure accuracy of the release according tHIPPA guidelines
  • Verify the correct ICD-9, CPT-4 codes and modifiers provided by the office managers correspond with the medical records
  • Entered charges for office, out-patient, in patient, emergency room, and surgeries for multiple physicians specialties
  • Entered payments from patients and insurance E.O.B’s, review and correct or appeal denials
  • Balanced total deposits for the month with each of the office managers
  • Worked from accounts receivable reports tcorrect or appeal unpaid claims
  • Post charges by verifying the CPT-4, and ICD-9 codes provided correspond with the medical records
  • Claims according tthe requirements and guidelines of government and private insurance companies
  • Enter patient and insurance payments
  • Review denials. File Corrected claims, reconsiderations, and formal appeals
  • Issue billing statements and collect on past due patient accounts. Prepare patient accounts for
  • Collections

Affiliations/Certifications:

VALENCIA COMMUNITY COLLEGE

  • Technical Certificate Medical Office Support
  • Technical Certificate Medical Information Coder Biller 
  • A.A. pre major for B.S. in Healthcare Service Administration

AMERICAN ACADEMY OF PROFESSIONAL CODERS (AAPC)

  • Certified Professional Coder certificate
  • Member of the AAPC organization