SlideShare a Scribd company logo
1 of 3
Staci Bell, AAS, COC, CEMC
Certified Outpatient Coder
Cell: (832) 420-6682
Email: staci_davis20@yahoo.com
EMPLOYMENT/CAREEROBJECTIVE
Seeking a full-time or part-time position in the medical field, so that I may combine my knowledge of Coding, and
Information Management to reach any organizations goals and make a positive effect on revenues and to experience long
term career growth
QUALIFICATION SUMMARY
 3+ years’ experience as a Medical Coder in the Medical Records Department, Physican office and hospital setting
 ICD-10 Proficient/Certified
 Knowledge of the Medical Coding guidelines and coding techniques
 Efficient in E/M coding: ED and physician coding, outpatient and inpatient including specialty clinics: Rehab, Surgery: Pain
Management, clinic billing, HCC auditing, E/M auditing and Nephrology
 Efficient in Microsoft Office Software
 Effective communication, managerial, problem resolution and interpersonal skills; Hardworking, energetic, reliable, goal
oriented, self starter, high attention to detail, analytical, independent/teamcapabilities
 Efficient in 3M, Epic, Encoder Pro, Allmeds, Elligence, Meditech, Paragon, SpringCharts, Edemand, Etran, Erehab, HPF and
CMS Qies, Siemens Soarian
PROFESSIONALEDUCATION
San Jacinto College, Houston, TX
Associates of Applied Science May 2013
Major: Health Information Management (HIM)
San Jacinto College, Houston, TX
Certificate of Technology in Medical Coding June 2012
Zachary High School, Zachary, Louisiana
Diploma May 2004
PROFESSIONALEXPERIENCE
TrustHCS, Remote
Facility Inpatient Rehabilitation Coder, August 2015-Current
Responsible for a 287 new medical center. They serve patients recovering from strokes, brain and spinal cord injuries,
amputations, complex orthopedic injuries, neurological, renal, myopaties, respiratory and much more. Code IRF admit and
discharge records using current ICD 10 within timeframe set by the hospital, works with the PPS coordinatorassigning
impairment codes and UB acute coding on discharge. Assigns codes forall diagnostic and operative information from the
medical record using ICD-10-CM, CPT, HCPCS level 2 coding classification systems.Reviews DRG discrepancies from the
fiscal intermediary occasionally to ensure the appropriate per case DRG assignment.Verifies and abstracts all medical data
from the record to complete a data abstract on hospitalencounters.Corrects data as appropriate per query. Ensures that all
data abstracted and/orcoded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.
Reviews appropriate provider documentation to determine principal diagnosis,co-morbidities and complications, secondary
conditions and surgical procedures.Assigns present on admission (POA) value for inpatient diagnoses.
Ochsner Health System, Baton Rouge, Louisiana
Physician Coder II, July 2015-Current
Responsible for Internal medicine, Hospitalist, Family practice, Urgent care,Transitional Care (TC), Health Risk
Adjustment (HCC/HRA) coding and auditing. Perform chart audit on EM level, work claim edits, and denials.
Perform chart reviews and icd9/icd10 conversions. The Physician Coder II is responsible for reviewing and
accurately coding all professional services including evaluation and management, diagnostic and procedures.
Remain in conformance with applicable Medicare, Medicaid and third party payor guidelines to ensure receipt of
accurate reimbursement. Prioritize daily duties, multitask, communicate effectively and make decisions necessary
to complete all assigned tasks and accomplish their goals. Conducts thorough qualitative reviews of all medical
documentation ensuring assigned codes are supported and partnering with attending physician/medical provider if
vital information is missing.
Comprehensive Pain Management, Baton Rouge, Louisiana
E/M Pro-fee Biller & Coder, March 2014- July 2015 (TEMP)
Responsible for clinical coding and billing of outpatient services as well as surgical cases,uses ICD-9, CPT-4 and
HCPCS to assign correct coding for patient clinic visit and procedures, collect, post, and manage patient account
payments, submit claims to insurance, review delinquent accounts and call for collection purpose’s, ensure
healthcare facilities are reimbursed for all procedures,investigate rejected claim to see why denial was issued and
send appeals when needed remotely
Baton Rouge Rehab Hospital, Baton Rouge, Louisiana
Inpatient Rehab Coding Specialist, March 2014– March 2015
Responsible for Same Day Surgery for Pain Management, Outpatient and Inpatient Rehab coding
Performs coding on all diagnoses, procedures, and related services according to applicable coding guidelines for
outpatient clinic and specialty accounts. Uses ICD-9-CM,CPT-4,and HCPCS code sets to appropriately assign
and sequence codes identified within the outpatient medical record while maintaining confidentiality of patient
records and procedures. Applies the most accurate codes for reimbursement purposes, statistical analysis
outcomes, financial and strategic planning, evaluation of quality of care,and communication to support the
patient’s treatment. Reviews and prepares for correction Outpatient Coder Editor (OCE) errors,Medically
Unlikely Edits (MUE) errors and National Correct Coding Initiative (NCCI) edits. Reviews assignment of CPT-4
codes and resolves Local Coverage Determination (LCD) errors as it relates to the diagnosis codes, Lean Six
Sigma Green Belt participation, Remote experience
Clear Lake Regional Medical Center, Webster, TX
E/M ED Facility Coder W/I & I, January 2012 – March 2014
Level 2 trauma hospital: Performs level category assignment of Emergency Department accounts with I & I
Maintains regulatory agenda requirements for level category assignment. Reviews patient charts daily for correct
charging of: Supply items used on patients, Procedures and levels of care. Coordinates with Facility Audit Nurse,
Emergency Department Registration and Medical Records correct processing of charges within the Emergency
Department patient charts. Maintains and improves own professional knowledge. Maintains good departmental
relationships and effectively communicates with the HIM Manager,co-workers, PAS and SSC Managers
Supports the mission, goals and objectives of the hospital. Adheres to and complies with HCA's ethics and
compliance policies in the Code of Conduct, supports the mission, goals and objectives of the hospital and attends
annual training sessions
West Oaks Hospital, Houston, TX & San Jacinto Hospital Baytown, TX
January 2012- December 2012
Participated in all managerial aspects of the HIM Department as part of curriculum
Requirements; Psych Coding on Paper Charts,Chart Audits and Data Analysis, Birth Certificate Analysis and
Chart Audits
JCPenney, Houston, TX
Sales Supervisor, August 2009 - July 2011
Determines annual unit and gross-profit plans by implementing marketing strategies; analyzing trends and results.
Implements national sales programs by developing field sales action plans. Establishes sales objectives by
forecasting and developing annual sales quotas for regions and territories. Maintains sales volume, product mix,
and selling price by keeping current with supply and demand, changing trends, economic indicators, and
competitors. Establishes and adjusts selling prices by monitoring costs, competition, and supply and demand.
Recruiting, selecting, orienting, and training employees. Maintains national sales staff job results by counseling
and disciplining employees; planning, monitoring, and appraising job results, scheduling and assigning employees
recruiting, selecting, orienting, training employees, and following up on work results. Maintains professional and
technical knowledge by attending educational workshops.
PROFESSIONALACTIVITIES/ORGANIZATIONS
Member of AAPC, 2014 – current
Secretary Officer of SAHIMS Texas Chapter, 2011-2012
Phi Theta Kappa Association

More Related Content

What's hot

Revenue Cycle Management
Revenue Cycle ManagementRevenue Cycle Management
Revenue Cycle Management
Divyang Bhatt
 
RESUME of Joy Orlina (2)
RESUME of Joy Orlina (2)RESUME of Joy Orlina (2)
RESUME of Joy Orlina (2)
Joy Orlina
 
Medical Billing
Medical BillingMedical Billing
Medical Billing
Karna *
 
Medical Billing Cycle
Medical Billing CycleMedical Billing Cycle
Medical Billing Cycle
sunnymemon
 

What's hot (20)

Muhsin cv
Muhsin cvMuhsin cv
Muhsin cv
 
Evaluation & management for coding & billing
Evaluation & management for coding & billingEvaluation & management for coding & billing
Evaluation & management for coding & billing
 
Medical Coding 101
Medical Coding 101Medical Coding 101
Medical Coding 101
 
Medical Billing and Coding
Medical Billing and CodingMedical Billing and Coding
Medical Billing and Coding
 
Revenue Cycle Management
Revenue Cycle ManagementRevenue Cycle Management
Revenue Cycle Management
 
RESUME of Joy Orlina (2)
RESUME of Joy Orlina (2)RESUME of Joy Orlina (2)
RESUME of Joy Orlina (2)
 
Medical Tourism
Medical TourismMedical Tourism
Medical Tourism
 
PPT Presentation for Medical Billing Services
PPT Presentation for Medical Billing ServicesPPT Presentation for Medical Billing Services
PPT Presentation for Medical Billing Services
 
The medical billing process
The medical billing processThe medical billing process
The medical billing process
 
Medical Billing RCM Module
Medical Billing RCM Module Medical Billing RCM Module
Medical Billing RCM Module
 
Medical Billing Services in California
Medical Billing Services in CaliforniaMedical Billing Services in California
Medical Billing Services in California
 
Nabh
Nabh Nabh
Nabh
 
Hospital Profile
Hospital ProfileHospital Profile
Hospital Profile
 
Healthcare Revenue Cycle Management
Healthcare Revenue Cycle ManagementHealthcare Revenue Cycle Management
Healthcare Revenue Cycle Management
 
Medical Billing
Medical BillingMedical Billing
Medical Billing
 
CV-PREETHA-latest (1)
CV-PREETHA-latest (1)CV-PREETHA-latest (1)
CV-PREETHA-latest (1)
 
Decoding healthcare codes: ICD-10, DRG, CPT, HCPCS
Decoding healthcare codes: ICD-10, DRG, CPT, HCPCSDecoding healthcare codes: ICD-10, DRG, CPT, HCPCS
Decoding healthcare codes: ICD-10, DRG, CPT, HCPCS
 
Medical Billing 101
Medical Billing 101Medical Billing 101
Medical Billing 101
 
Revenue cycle rcm
Revenue cycle   rcmRevenue cycle   rcm
Revenue cycle rcm
 
Medical Billing Cycle
Medical Billing CycleMedical Billing Cycle
Medical Billing Cycle
 

Similar to Staci Bell Resume (20)

CodingResume.BDO
CodingResume.BDOCodingResume.BDO
CodingResume.BDO
 
SENA JOLLIFFI Resume.....
SENA JOLLIFFI Resume.....SENA JOLLIFFI Resume.....
SENA JOLLIFFI Resume.....
 
Aida_Resume 4
Aida_Resume 4Aida_Resume 4
Aida_Resume 4
 
resumerRCP2017.docx2
resumerRCP2017.docx2resumerRCP2017.docx2
resumerRCP2017.docx2
 
KMG resume
KMG resumeKMG resume
KMG resume
 
Sharon D. Bush Resume 1 (2)
Sharon D. Bush Resume 1 (2)Sharon D. Bush Resume 1 (2)
Sharon D. Bush Resume 1 (2)
 
DwallworkUpdate
DwallworkUpdateDwallworkUpdate
DwallworkUpdate
 
Sonyas most recent resume
Sonyas most recent resumeSonyas most recent resume
Sonyas most recent resume
 
Frank Spencer Resume 2017
Frank Spencer Resume 2017Frank Spencer Resume 2017
Frank Spencer Resume 2017
 
KIM_Evelyn102616_Resume
KIM_Evelyn102616_ResumeKIM_Evelyn102616_Resume
KIM_Evelyn102616_Resume
 
Eugene Rucker Resume 2.0
Eugene Rucker Resume 2.0Eugene Rucker Resume 2.0
Eugene Rucker Resume 2.0
 
Terry K resume 12-8-16
Terry K resume 12-8-16Terry K resume 12-8-16
Terry K resume 12-8-16
 
Karen Hart resume 2016
Karen Hart resume 2016Karen Hart resume 2016
Karen Hart resume 2016
 
Lesley B Caudill
Lesley B CaudillLesley B Caudill
Lesley B Caudill
 
Sidupdatedres2015-1
Sidupdatedres2015-1Sidupdatedres2015-1
Sidupdatedres2015-1
 
Timothy Look Resume
Timothy Look ResumeTimothy Look Resume
Timothy Look Resume
 
lfresume 201606
lfresume 201606lfresume 201606
lfresume 201606
 
Harris_Zachary Professional CPC Resume.doc 2-3-16
Harris_Zachary Professional CPC Resume.doc 2-3-16Harris_Zachary Professional CPC Resume.doc 2-3-16
Harris_Zachary Professional CPC Resume.doc 2-3-16
 
charris2016
charris2016charris2016
charris2016
 
Ruthy E. Montalbano 2016
Ruthy E. Montalbano 2016Ruthy E. Montalbano 2016
Ruthy E. Montalbano 2016
 

Recently uploaded

❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
daljeetkaur2026
 
❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...
❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...
❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...
daljeetkaur2026
 
🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...
🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...
🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...
dilpreetentertainmen
 

Recently uploaded (18)

💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
💞 Safe And Secure Call Girls Mysore 🧿 9332606886 🧿 High Class Call Girl Servi...
 
2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology
 
💸Cash Payment No Advance Call Girls Kanpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Kanpur 🧿 9332606886 🧿 High Class Call Gir...💸Cash Payment No Advance Call Girls Kanpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Kanpur 🧿 9332606886 🧿 High Class Call Gir...
 
💸Cash Payment No Advance Call Girls Kolkata 🧿 9332606886 🧿 High Class Call Gi...
💸Cash Payment No Advance Call Girls Kolkata 🧿 9332606886 🧿 High Class Call Gi...💸Cash Payment No Advance Call Girls Kolkata 🧿 9332606886 🧿 High Class Call Gi...
💸Cash Payment No Advance Call Girls Kolkata 🧿 9332606886 🧿 High Class Call Gi...
 
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
❤️ Call Girls service In Panchkula☎️9815457724☎️ Call Girl service in Panchku...
 
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
💸Cash Payment No Advance Call Girls Pune 🧿 9332606886 🧿 High Class Call Girl ...
 
❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...❤️ Zirakpur Call Girl Service  ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
❤️ Zirakpur Call Girl Service ☎️9878799926☎️ Call Girl service in Zirakpur ☎...
 
❤️Amritsar Escort Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escort Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escort Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escort Service☎️98151-129OO☎️ Call Girl service in Amritsar☎️ Amri...
 
❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...
❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...
❤️ Chandigarh Call Girls Service☎️9878799926☎️ Call Girl service in Chandigar...
 
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
❤️Chandigarh Escort Service☎️9815457724☎️ Call Girl service in Chandigarh☎️ C...
 
💸Cash Payment No Advance Call Girls Surat 🧿 9332606886 🧿 High Class Call Girl...
💸Cash Payment No Advance Call Girls Surat 🧿 9332606886 🧿 High Class Call Girl...💸Cash Payment No Advance Call Girls Surat 🧿 9332606886 🧿 High Class Call Girl...
💸Cash Payment No Advance Call Girls Surat 🧿 9332606886 🧿 High Class Call Girl...
 
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
 
💞 Safe And Secure Call Girls gaya 🧿 9332606886 🧿 High Class Call Girl Service...
💞 Safe And Secure Call Girls gaya 🧿 9332606886 🧿 High Class Call Girl Service...💞 Safe And Secure Call Girls gaya 🧿 9332606886 🧿 High Class Call Girl Service...
💞 Safe And Secure Call Girls gaya 🧿 9332606886 🧿 High Class Call Girl Service...
 
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
💸Cash Payment No Advance Call Girls Hyderabad 🧿 9332606886 🧿 High Class Call ...
 
💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
💸Cash Payment No Advance Call Girls Nagpur 🧿 9332606886 🧿 High Class Call Gir...
 
👉Bangalore Call Girl Service👉📞 6378878445 👉📞 Just📲 Call Manisha Call Girls Se...
👉Bangalore Call Girl Service👉📞 6378878445 👉📞 Just📲 Call Manisha Call Girls Se...👉Bangalore Call Girl Service👉📞 6378878445 👉📞 Just📲 Call Manisha Call Girls Se...
👉Bangalore Call Girl Service👉📞 6378878445 👉📞 Just📲 Call Manisha Call Girls Se...
 
The Events of Cardiac Cycle - Wigger's Diagram
The Events of Cardiac Cycle - Wigger's DiagramThe Events of Cardiac Cycle - Wigger's Diagram
The Events of Cardiac Cycle - Wigger's Diagram
 
🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...
🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...
🍑👄Ludhiana Escorts Service☎️98157-77685🍑👄 Call Girl service in Ludhiana☎️Ludh...
 

Staci Bell Resume

  • 1. Staci Bell, AAS, COC, CEMC Certified Outpatient Coder Cell: (832) 420-6682 Email: staci_davis20@yahoo.com EMPLOYMENT/CAREEROBJECTIVE Seeking a full-time or part-time position in the medical field, so that I may combine my knowledge of Coding, and Information Management to reach any organizations goals and make a positive effect on revenues and to experience long term career growth QUALIFICATION SUMMARY  3+ years’ experience as a Medical Coder in the Medical Records Department, Physican office and hospital setting  ICD-10 Proficient/Certified  Knowledge of the Medical Coding guidelines and coding techniques  Efficient in E/M coding: ED and physician coding, outpatient and inpatient including specialty clinics: Rehab, Surgery: Pain Management, clinic billing, HCC auditing, E/M auditing and Nephrology  Efficient in Microsoft Office Software  Effective communication, managerial, problem resolution and interpersonal skills; Hardworking, energetic, reliable, goal oriented, self starter, high attention to detail, analytical, independent/teamcapabilities  Efficient in 3M, Epic, Encoder Pro, Allmeds, Elligence, Meditech, Paragon, SpringCharts, Edemand, Etran, Erehab, HPF and CMS Qies, Siemens Soarian PROFESSIONALEDUCATION San Jacinto College, Houston, TX Associates of Applied Science May 2013 Major: Health Information Management (HIM) San Jacinto College, Houston, TX Certificate of Technology in Medical Coding June 2012 Zachary High School, Zachary, Louisiana Diploma May 2004 PROFESSIONALEXPERIENCE TrustHCS, Remote Facility Inpatient Rehabilitation Coder, August 2015-Current Responsible for a 287 new medical center. They serve patients recovering from strokes, brain and spinal cord injuries, amputations, complex orthopedic injuries, neurological, renal, myopaties, respiratory and much more. Code IRF admit and discharge records using current ICD 10 within timeframe set by the hospital, works with the PPS coordinatorassigning impairment codes and UB acute coding on discharge. Assigns codes forall diagnostic and operative information from the medical record using ICD-10-CM, CPT, HCPCS level 2 coding classification systems.Reviews DRG discrepancies from the fiscal intermediary occasionally to ensure the appropriate per case DRG assignment.Verifies and abstracts all medical data from the record to complete a data abstract on hospitalencounters.Corrects data as appropriate per query. Ensures that all data abstracted and/orcoded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy. Reviews appropriate provider documentation to determine principal diagnosis,co-morbidities and complications, secondary conditions and surgical procedures.Assigns present on admission (POA) value for inpatient diagnoses. Ochsner Health System, Baton Rouge, Louisiana Physician Coder II, July 2015-Current Responsible for Internal medicine, Hospitalist, Family practice, Urgent care,Transitional Care (TC), Health Risk Adjustment (HCC/HRA) coding and auditing. Perform chart audit on EM level, work claim edits, and denials. Perform chart reviews and icd9/icd10 conversions. The Physician Coder II is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostic and procedures. Remain in conformance with applicable Medicare, Medicaid and third party payor guidelines to ensure receipt of accurate reimbursement. Prioritize daily duties, multitask, communicate effectively and make decisions necessary to complete all assigned tasks and accomplish their goals. Conducts thorough qualitative reviews of all medical documentation ensuring assigned codes are supported and partnering with attending physician/medical provider if
  • 2. vital information is missing. Comprehensive Pain Management, Baton Rouge, Louisiana E/M Pro-fee Biller & Coder, March 2014- July 2015 (TEMP) Responsible for clinical coding and billing of outpatient services as well as surgical cases,uses ICD-9, CPT-4 and HCPCS to assign correct coding for patient clinic visit and procedures, collect, post, and manage patient account payments, submit claims to insurance, review delinquent accounts and call for collection purpose’s, ensure healthcare facilities are reimbursed for all procedures,investigate rejected claim to see why denial was issued and send appeals when needed remotely Baton Rouge Rehab Hospital, Baton Rouge, Louisiana Inpatient Rehab Coding Specialist, March 2014– March 2015 Responsible for Same Day Surgery for Pain Management, Outpatient and Inpatient Rehab coding Performs coding on all diagnoses, procedures, and related services according to applicable coding guidelines for outpatient clinic and specialty accounts. Uses ICD-9-CM,CPT-4,and HCPCS code sets to appropriately assign and sequence codes identified within the outpatient medical record while maintaining confidentiality of patient records and procedures. Applies the most accurate codes for reimbursement purposes, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care,and communication to support the patient’s treatment. Reviews and prepares for correction Outpatient Coder Editor (OCE) errors,Medically Unlikely Edits (MUE) errors and National Correct Coding Initiative (NCCI) edits. Reviews assignment of CPT-4 codes and resolves Local Coverage Determination (LCD) errors as it relates to the diagnosis codes, Lean Six Sigma Green Belt participation, Remote experience Clear Lake Regional Medical Center, Webster, TX E/M ED Facility Coder W/I & I, January 2012 – March 2014 Level 2 trauma hospital: Performs level category assignment of Emergency Department accounts with I & I Maintains regulatory agenda requirements for level category assignment. Reviews patient charts daily for correct charging of: Supply items used on patients, Procedures and levels of care. Coordinates with Facility Audit Nurse, Emergency Department Registration and Medical Records correct processing of charges within the Emergency Department patient charts. Maintains and improves own professional knowledge. Maintains good departmental relationships and effectively communicates with the HIM Manager,co-workers, PAS and SSC Managers Supports the mission, goals and objectives of the hospital. Adheres to and complies with HCA's ethics and compliance policies in the Code of Conduct, supports the mission, goals and objectives of the hospital and attends annual training sessions West Oaks Hospital, Houston, TX & San Jacinto Hospital Baytown, TX January 2012- December 2012 Participated in all managerial aspects of the HIM Department as part of curriculum Requirements; Psych Coding on Paper Charts,Chart Audits and Data Analysis, Birth Certificate Analysis and Chart Audits JCPenney, Houston, TX Sales Supervisor, August 2009 - July 2011 Determines annual unit and gross-profit plans by implementing marketing strategies; analyzing trends and results. Implements national sales programs by developing field sales action plans. Establishes sales objectives by forecasting and developing annual sales quotas for regions and territories. Maintains sales volume, product mix, and selling price by keeping current with supply and demand, changing trends, economic indicators, and competitors. Establishes and adjusts selling prices by monitoring costs, competition, and supply and demand. Recruiting, selecting, orienting, and training employees. Maintains national sales staff job results by counseling and disciplining employees; planning, monitoring, and appraising job results, scheduling and assigning employees recruiting, selecting, orienting, training employees, and following up on work results. Maintains professional and technical knowledge by attending educational workshops.
  • 3. PROFESSIONALACTIVITIES/ORGANIZATIONS Member of AAPC, 2014 – current Secretary Officer of SAHIMS Texas Chapter, 2011-2012 Phi Theta Kappa Association