EDUCATION/CERTIFICATION/MEMBERSHIPS
Certificate of Completion of American Academy of Professional Coders (AAPC)
CPC-H Online Study Program-2013
Certified in ICD 10-CM Proficiency from AAPC -2015
Certified Medical Coder CPC-H from AAPC -2013
AAPC member since 2012
Certificate in Applied Science Office Technology with a Specialization in Medical Billing and Coding
West Virginia Northern Community College Wheeling, West Virginia-2005
PROFESSIONAL EXPERIENCE
Remote Outpatient Coding Specialist in Health Information Department
3/6/2014-3/25/2016 Licking Memorial Health System Newark, Ohio
Run the codes through Med Assets Code Correct to make sure they meet medical necessity for Medicare and other insurances to payers so that the claims do not come back to billing.
Keeping up-to-date on all new updates to Coding and the new implementation of ICD 10-CM while keeping up on all CEU requirements to keep certification current.
Coding and Auditing Specialist for MediGold
7/08/2013-1/25/2014 Mount Carmel Health Plan Columbus, Ohio
Running reports on pending Medicare claims, auditing claims to verify that correct diagnosis ICD 9 and CPT codes are correct for dates of service, making sure proper authorizations are attached, checking to make sure duplicate payments are not made in error.
Answering member services back about patients questions about their claim denials, and responding back to provider’s inquiries about why claims have been denied and for payment discrepancies while following all Medicare Rules and Guidelines for up-to-date claim decisions.
Medical Secretary and Medical Coder for Orthopedic Surgeon
8/16/2010-12/28/2012 Ohio State Medical Center Columbus, Ohio
Using Epic EMR software to gather pertinent patient information, placing orders for: referrals to specialists and clinical procedures, clinical history organization, scheduling of: appointments, surgeries, radiology services, getting insurance approvals for appointments and medical services. Returning disability paperwork to patient's employers.
Taking care of paperwork for BWC claims, coding CPT and ICD 9 codes accurately for upcoming surgeries, making sure that all pre-admission testing is done prior to surgeries, entering proper ICD 9 and CPT codes into patients charts for accurate billing, and providing excellent customer service to all of our patients.
