Does Your In house Team Lack Deep Insights into the Revenue Cycle.pptx
Nina M Stephens Resume03012016
1. Nina M Stephens, CPC, ICD-10
Proficient
206 Ruth Rd.
Dubach, La 71235
318-455-3221 cell
318-777-1136 home nstep68214@yahoo.com
OBJECTIVE
Seeking an mid level position, with an established firm that needs a Certified Professional
Coder, to build upon the 12 years of experience in Medical Billing and Coding that I have.
My hope is to be able to continue to work remotely, with a permanent position that is not
contract, and join a company that has room for growth, and is willing to support the learning
environment necessary to keep abreast of the ever changing world of coding.
WORK EXPERIENCE
Himagine Solutions 3109 West Dr. Martin Luther King Jr. Blvd Suite 650 Tampa, FL
33607
11/16/2015-Present
Supervisor-Lea Lolley System- NextGen
Remote Physician Coder
*Work remotely thru a virtual desktop for the hospital assigned to me by himagine Solutions.
*Work closely with the contact person for the hospital I have been assigned to resolve any
documentation issues,(ie. missing attestation statements). *Coding and entering charges for
EKG's for profee services *Coding and auditing of profee e/m services for Cardiology.
*Correct errors, that I have access to correct, so that a clean claim goes out the door.
Physician Group of Louisiana/Iasis-Glenwood Regional Medical Center
10/14/14-11/13/2015
Supervisor- Pat Whitecotten System- NextGen
Coding Specialist
*Meet with Physicians onsite and provide education based on auditing results.
*Provide education for Physicians on Medical Decision Making guidelines.
*Provide education for Physicians on ICD-10 diagnosis coding.
*Assign Cpt and ICD-9 codes for operative notes for the physicians that were assigned to me
for their surgery notes.
*Audit E/M levels assigned to visits by the physicians within our group.
*Assisted each physician in the capture of all revenue due to missed dictation.
2. *Call insurance companies to verify claim status and then note accounts within the hospital
system.
*Assist guarantors as needed with their accounts.
*Supply dictation done by the physician to the billing company, to send with those claims that
require it. For example (Workers Comp)
*Keep business current as defined by department standards and parameters.
*Work accounts with urgency as defined by department standards to bring them to closure
expediently.
*Work as a team and assist others with their files as needed.
*Abide by HIPAA regulations
*Continue on my own time, to further my coding knowledge and increase and expand my
specialty familiarity.
*Correct and rebill the errors contained in the monthly A/R report, to ensure that the oldest are
adjudicated and cleared before the newest ones.
*Assist the office manager for each clinic within our group, with any coding issues. Assist them
in any corrections that include coding from the office side of the Physician Practice.
*Coding, and Auditing E/M profee, and procedures for Brain and Spine, Neurology,
Cardiovascular Surgery, Podiatry, Family and Internal Medicine, General Surgery, Cardiology,
Pulmonary, Psychiatry, ENT, Urology, Stat Care, Family Care, Nephrology and OBGYN.
UASI-United Audit Systems, Inc.
05/2014-08/18/2014 Laid off, then rehired 09/24/14, resigned 10/18/14
Coding Manager- Rhonda Blackburn System- Epic
Coding Consultant for Profee Services
*Work remotely thru a virtual desktop for the hospital assigned to me by UASI.
*Coding and auditing of profee e/m services for Internal Medicine.
*Coding and entering charges for EKG's for profee services
*Coding and entering charges for same day surgery e/m services for profee side.
*Keeping a tracking log of all charge sessions entered and turning that in to my
supervisor at the end of the week.
*Work closely with the contact person for the hospital I have been assigned to resolve any
documentation issues,(ie. missing attestation statements).
*Log time in an electronic time program for hours worked and charts coded.
Official Coding accuracy reported-95.42%
Reason for leaving: Laid off due to finishing the work included in the contract.
Ruston Clinic Co. LLC., Ruston, La
Company dissolved
03/2012-05/2014 Physician Coder
*Assign Cpt and ICD-9 codes for operative notes for the physicians that were assigned to me
for their surgery notes.
*Audit E/M levels assigned to visits by the physicians within our group.
3. *Assisted each physician in the capture of all revenue due to missed dictation.
*Call insurance companies to verify claim status and then note accounts within the hospital
system.
*Assist guarantors as needed with their accounts.
*Supply dictation done by the physician to the billing company, to send with those claims that
require it. For example (Workers Comp)
*Keep business current as defined by department standards and parameters.
*Work accounts with urgency as defined by department standards to bring them to closure
expediently.
*Work as a team and assist others with their files as needed.
*Abide by HIPAA regulations
*Continue on my own time, to further my coding knowledge and increase and expand my
specialty familiarity.
*Correct and rebill the errors contained in the monthly A/R report, to ensure that the oldest are
adjudicated and cleared before the newest ones.
*Assist the office manager for each clinic within our group, with any coding issues. Assist
them in any corrections that include coding from the office side of the Physician Practice.
Reason for leaving: unstable work, with Physicians leaving.
Green Clinic LLC., Ruston, La
Medicaid Claims Specialist
06/2009 – 03/2012
*Ensures timely and accurate billing of all Medicaid claims to insurance companies for 45
doctors associated with Green Clinic.
*Corrects all Prebill errors prior to submission of claims electronically.
* Corrects all Rebill errors contained in the monthly aged reports I print for myself to ensure
that the oldest claims are corrected and resubmitted with the correct information as well as
the weekly remit errors that come in each week.
*Implemented the first payment for nebulizers and crutches that Green Clinic ever received
due to my research and tenacity to find out the correct way to bill these and get the claims
paid. *Oversee and train the help I need to get the Medicaid secondary claims ready to go
out with the correct information on each claim along with the correct EOB from the primary
insurance company.
*Help with the Customer service overflow when statements are sent out and the Customer
Service personnel are overwhelmed with an influx of calls.
*Assisted the Community Care Providers in the main branch of Green Clinic, as well as all
the Satellite Clinics with the patients that are assigned to them on their panels and making
changes to this panel, sometimes on a weekly basis.
*Assisted the Data Department with posting payments and adjustments from the RA’s that
come in the mail when needed.
4. *Reason for leaving this clinic- Three years without any sort of raise, and no room for
growth.
Green Clinic LLC, Ruston, La
Coder for Physician Services
10/2008 - 06/2009
*Assign Cpt and ICD-9 codes for operative notes for the 12 physicians that were assigned to
me for their surgery notes.
*Audit E/M levels assigned to visits by the physicians assigned to me.
*Reported to each physician the monthly productivity report before the end of the month so
that we could discuss any discrepancies or missing charges.
*Assisted each physician in the capture of all revenue due to missed dictation.
*Reviewed the production report after the close of the month to correct and establish any
corrections.
*Reason for leaving this department- My position was eliminated due to the departure of
several doctors from Green Clinic.
SMC Doctors Clinic, Springhill, La
Medical Insurance Specialist
01/2004 - 10/2008
*Ensures timely and accurate billing of all medical claims to insurance companies for Medicare,
Blue Cross, and all other commercial insurance companies.
*Corrects all Prebill errors prior to submission of claims electronically.
* Corrects all Rebill errors contained in the monthly aged reports I print for myself to ensure
that the oldest claims are corrected and resubmitted with the correct information as well as
the weekly remit errors that come in each week.
*Orchestrated the renewal of all 8 physicians with Medicare within SMC Doctors Clinic when
their certifications lapsed.
*Managed high volumes of claims transmittal issues with the responsibility of coordinating with
the clearing house to ensure that all claims transmitted accurately.
*Help with the Customer service overflow when statements are sent out and the Customer
Service personnel are overwhelmed with an influx of calls.
*Assisted the front reception personnel as needed to help with incoming registration and
outgoing follow up of patients in and out of the clinic.
*Experienced in Collections with a strong command of the skill that is needed to discuss
patient accounts and charges and establish payment of accounts with finesse. *Reason for
leaving this Clinic-Relocation to Dubach, La
EDUCATION
AAPC
Certified Professional Coder AAPC Member # 01067657
2007 to present
I paid out of my own pocket the $2000.00 required to obtain my Certified Professional Coder
Certification, and continue my certification renewal each year.
5. South Natchez High School Natchez, Ms
Diploma in Regular
1984
High School Diploma
REFERENCES
Available upon request.