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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

  • 5 years management experience (2-5 employees)
  • Served as HIPAA compliance officer
  • Developed office policies and procedures
  • Extensive knowledge of medical terminology, ICD-9, HCPCS, CPT coding
  • Extensive knowledge of electronic medical billing and coding systems

Her Role:

  • Developed and implemented office policy and procedures.
  • Implemented the use of online patient eligibility and claims status check.
  • Monitor Q/I with quarterly chart and billing report audits. Maintain 80% A/R claims collections.
  • Process electronic or manual claims for: Medicare, Medicaid, Tricare, BC/BS. Accurately post payments and determine adjustments or write-offs.
  • Interpret and follow-up EOB/MR for appeals or resubmission. Authorize individual claim payment negotiations for out-of-network providers.
  • Conduct Safety and other training.
  • Perform employee orientation, review and evaluations.
  • Monitor inventory and cost control by evaluating expenses and making adequate adjustments.
  • 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.
  • Tracked patient data on a daily basis (surgeries, complications, transfers, discharge, death, etc). 
  • Coded charts for statistical data at the County Morgue.
  • Worked with Physicians, residents and other departments generating reports and research data.
  • Conducted interdepartmental Coding workshops.

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

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