1. Timothy Patrick Look, CPC-P
Long Beach, CA 90802
Cell: 562-212-3875 Email: tlook55@hotmail.com
PROFESSIONAL SUMMARY
Experienced hands-on Coding Manager with over 18 years’ experience in multi-specialty physician coding.
Maintains current and sound understanding of all coding practices, compliance and regulatory guidelines.
CORE QUALIFICATIONS
 Multi-Specialty Physician Coding
 In-Patient and Outpatient
 Internal Medicine, Family Practice
& Pediatrics
 Medicare, Medi-Cal, CCS
 Medicare Advantage & Commercial
 Strong Revenue Cycle Capabilities
 Electronic Coding & EMR Systems
 EPIC, NextGen, IDX & Athena
 Physician In-Servicing
 Policy and Program Development
 Skilled Communicator
 Excellent Organizational Skills
PROFESSIONAL EXPERIENCE
Children’s Hospital Los Angeles Medical Group; - Los Angeles, CA 11/2012 – 02/2015
Pediatric Management Group
Coding Manager
 Provides Physician coding oversight for the largest Pediatric academic multidisciplinary medical
group in the in the United States.
 Responsible for planning, organizing and supervising the coding department to provide optimum
coding in accordance with set procedures, goals and standards; oversees proper CPT and ICD-9
coding on a daily basis; and serves as a liaison between the Coders and the Director of Compliance,
to include communication with appropriate physicians, office managers and staff.
 Responsible for ensuring that diagnoses and procedural codes and all pertinent information on
charge sheets arecorrect for proper coding.
 Serves as a resource to Medical Group Physicians providing answers to complex coding questions
 Codes services that staff are unsure of and reviews proper coding with individuals involved.
 Works closely with the Director of Compliance in communicating and assessing productivity and
results.
 Works closely with numerous departments, CHLA heads and office managers in problem solving
and identifying opportunities for physician revenue enhancement.
 Remains current on all changes in legislative regulations that affect the reimbursement area.
 Participates in professional development activities to keep current with trends and practices in
health care administration.
 Manages daily activities of 11 certified Coders including determining specific employee work
assignments; reviewing employee activities for completeness, accuracy and effectiveness;
monitoring conformity with policies and procedures; and monitoring individual staff
productivity.
 Manages key personnel activities including preparing employee performance reviews;
disciplinary actions, job interviewing and hiring decisions; and recommends raises, promotions,
transfers and terminations
 Competencies in Medicare, Medi-Cal, CCS and Commercial programs

2. Timothy Patrick Look, CPC-P
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Memorial Care Medical Foundation –Tustin, CA 11/2008 – 10/2012
Coding Manager
 Responsible for Coding and Management of Coding team which includes 16 Certified
Coders (Informatics and AR Departments) utilizing both NextGen and Epic platforms
 Coding of; Family Practice, InternalMedicine and Pediatrics (In-Patient & Out-Patient)
encounters for Memorial Hospitals and contracted facilities
 Coding of Pediatric encounters at; Miller Children’s and contracted referrals to CHOC
 Competencies in Medicare, Medi-Cal, CCS and Commercial programs
 Clinical repositories using ICD-9CM and CPT-4 for Medicare Advantage Health plans
 Audit outpatient and Inpatient encounters to ensure documentation and coding are in
compliance with CMS and federal regulations
 Develop policies and procedures necessary to determine areasfor reimbursement improvement
 Identify risk areas and trends based on audit findings
 Implemented HCC/P4P Hedis measures and coding guidelines for physician practice
 Conduct Physician In-Servicing for documentation and coding guidelines
 Instrumental in the development of EMR (NextGen) Physician Documentation Templates
to meet Coding Regulatory Guidelines
LSU Health Care Network – New Orleans, LA 02/2000 – 08/2008
(Medical Network comprised of 400+ Physicians representing 40 different Specialties)
Coding Manager
 Coding and Management responsibilities for multi-specialty Physician encounters which included
both in-patient and out-patient utilizing the IDX platform
 Managed team of 15 Coders (10 in-house and 5 off-site)
 Conducted formal and informal auditing of billing forms and supporting medical documentation
 Created and implemented individual and group education session for faculty and residents
 Review standard billing and service activity reports in order to identify areas of concern with
regard to billing compliance
 Clarified billing rules and regulations for Medicare, Medicaid, and private carriers
 Acted as liaison between Compliance Director and Physician compliance officers
Health Management Systems – New York, NY 05/1999 – 02/2000
Coding Manager
 Managed, directed and monitored reimbursement/coding activities on all medical services for
multi-specialties practice
 Performed regular and ad-hoc research, reporting on Medicare, Medicaid, Commercial insurance
carriers and provider regulations, policy and administrative guidelines for HMS clients
 Managed coding staff of 18 and conducted quality control and performance studies
AdvantageHealth Plan – New Orleans, LA 01/1997 – 05/1999
Claims Trainer
 Plan, organize and coordinate the activities of training and resource material for the claims
department to ensure staff needs and departmental goals are met
 Select appropriate instructional procedures or methods such as individual training, group
instruction and computer based training
 Document and maintain all claims department policies and procedures
 Facilitate overall cross-functional improvement through involvement with all claims production units

3. Timothy Patrick Look, CPC-P
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University of New Orleans – New Orleans, LA 06/1997 – 08/2005
Adjunct Instructor
 Instructed students on the subject of Introduction of Health care Insurance, ICD-9 and CPT-4 coding
systems which included; Medical terminology and Anatomy & Physiology
OchsnerFoundation and Hospital – New Orleans, LA 01/1990 – 01/1997
Coding Specialist
 Ensured optimum reimbursement for medical services delivered through interpretation
of medical records for appropriate ICD-9 and CPT coding systems
 Extensive knowledge of main frame information systems used to track and organizeaudit of
medical documentation.
 Interfaced with medical staff for medical documentation
EDUCATION
University of New Orleans, 1995
Associate of Science Degree
CERTIFICATIONS
Preparation for ICD-10 Certification; Inprogress.
Health Care Compliance Association-CPC-P Coding Certification
American Academy of Procedural Coder (AAPC) Member