Marschula R. Guillory
Name : Marschula R. Guillory
Experience : 15
Specialty : Primary Care,Hospitalist Billing,Orthopedic,Durable Medical Equipment,
Location : Houston,TX
Description :
Marsha Guillory is a Certified Professional Coder (CPC) and Certified Coding Specialist(Physician) with more than 15 years of teaching and hands on experience in medical billing, insurance collections, CPT, HCPCS and ICD-9 coding. Utilization of Electronic Health Records (EHR) and management. Worked extensively with DME too.
Core Competencies and Qualifications
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5 years management experience (2-5 employees)
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Served as HIPAA compliance officer
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Developed office policies and procedures
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Extensive knowledge of medical terminology, ICD-9, HCPCS, CPT coding
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Extensive knowledge of electronic medical billing and coding systems
Her Role:
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Developed and implemented office policy and procedures.
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Implemented the use of online patient eligibility and claims status check.
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Monitor Q/I with quarterly chart and billing report audits. Maintain 80% A/R claims collections.
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Process electronic or manual claims for: Medicare, Medicaid, Tricare, BC/BS. Accurately post payments and determine adjustments or write-offs.
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Interpret and follow-up EOB/MR for appeals or resubmission. Authorize individual claim payment negotiations for out-of-network providers.
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Conduct Safety and other training.
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Perform employee orientation, review and evaluations.
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Monitor inventory and cost control by evaluating expenses and making adequate adjustments.
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Coded (ICD-9, CPT) inpatient and outpatient charts for Trauma and Life Flight services from the point of admission to discharge. Performed archived chart review and coding as needed.
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Tracked patient data on a daily basis (surgeries, complications, transfers, discharge, death, etc).
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Coded charts for statistical data at the County Morgue.
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Worked with Physicians, residents and other departments generating reports and research data.
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Conducted interdepartmental Coding workshops.
Specialty:
Code Inpatient EMR--- general surgery, catheterizations, obesity surgery, orthopedic, Hospitalist, Emergency Room, Wound Care
Software Exposure:
Medisoft/ Alta Point/ PC-Ace Pro 32 Software, Availity, Zirmed
