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Andrea L. Watson Page 1
Andrea L. Watson, CPC, CPMA, CPC-I
2211 Lake Wind Drive
Houston, Texas 77584
(281) 763-8133
Andrea L. Watson Page 2
• Staff education.
Billing Consultant (contract), 6/2011 – 01...
Andrea L. Watson Page 3
• Worked with vendors to resolve Information Technology-related issues.
• Front desk relief, medic...
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  1. 1. Andrea L. Watson Page 1 Andrea L. Watson, CPC, CPMA, CPC-I 2211 Lake Wind Drive Houston, Texas 77584 (281) 763-8133 SUMMARY OF QUALIFICATIONS: • AAPC Certified Professional Coder (CPC) and Certified Professional Instructor (CPC-I). Certified Professional Medical Auditor (CPMA). 15 years of comprehensive medical billing experience in both a hospital and private practice environment, including charge and payment posting, insurance verification and follow-up, claims and statement processing, and month-end reporting. • Knowledge of insurance rules and regulations including those of Medicare, Medicaid, Workman’s Comp, and commercial carriers. Compiled and presented information for in-person Medicare appeals. • 18 years of overall health care experience with duties including front desk reception, patient admission and checkout, bed control, and medical assisting. • Proficient with standard business and industry software, including Microsoft Windows, Office Suite, and Internet Explorer, Epic, Gateway EDI / PMG software, McKesson Practice Point Manager, Medic, Greenway, IDX, CodeRyte, Clinicstation and Medaptus, McKesson, Allscripts, GE Centricity Business, Care4. • Energetic and results-oriented professional with excellent interpersonal and customer service skills. PROFESSIONAL EXPERIENCE: UT Physicians- Houston, TX Clinical Coding Specialist OB-GYN, 09/02/14 to present • Code Obstetrics and Gynecology procedures for office visits and outpatient or inpatient visits. • Responsible for clearing coding edits from claims system. • Various surgical coding for OB, GYN, UROLOGY and ONCOLOGY. MD Anderson –Houston, TX Sr. Clinical Coding Specialist, 06/2014 to 09/2014 • Code diagnostic testing and laboratory testing. • Code various surgical procedures, mastectomy, vascular access lines, biopsies, and various other surgical cases using CPT and ICD 9 and ICD 10 diagnosis codes. CIGNA – HEALTHSPRING, Houston, TX Medical Records Coder, 9/2013 – 06/2014 • Reviewing of patient charts to ensure the completion of documentation. • Coding for reimbursement, research, and regulatory compliance. • Submission of completed chart to the appropriate vendor / client. NORTHWEST DIAGNOSTIC CLINIC, Houston, TX Senior Coding and Compliance Specialist, 10/2011 – 8/2013 • Coding Specialist for a multi-specialty practice. • Assigning the proper ICD-9 and CPT codes to daily encounters. • Auditing and physician training and education.
  2. 2. Andrea L. Watson Page 2 • Staff education. CARDIONEXUS CORPORATION, Houston, TX Billing Consultant (contract), 6/2011 – 01/2012 • Coding consultant for Panasonic-Japan division as well as the North American division. • Write appeal letters to insurance companies on behalf of providers to get mandatory coverage of HB1290 law (mandates coverage of cardiovascular screening). • Help with lobbying for insurance companies to change policies to pay for mandatory law. CLEAR LAKE ER, Houston, TX Coding / Billing Manager, Credentialing Director, 4/2010 – 6/2011 • Coding, billing, and follow-up for emergency room physicians and facility charges. • Maintained physicians’ credentialing files, contracts with insurance companies, and all other aspects of billing, coding, and credentialing. • Managed daily activities associated with the Billing Office. THE METHODIST HEALTH SYSTEM, Houston, TX Medical Coding Specialist / Auditor, 8/2008 – 6/2010 • Lead coding and billing for the Department of Urology, Methodist Eye Associates, and Physical Medicine and Rehab. • Audited the medical records for 22 different practices within the Methodist Physician’s Organization. • Resolution of billing and compliance issues from various sources. • Worked closely with the Compliance Department on practice education and regulations. CHILDREN OF THE KING’S DAUGHTERS HEALTH SYSTEM, Norfolk, VA Physician Billing Representative 2, 5/2006 – 7/2008 • Daily charge posting for 7 surgical specialty groups, including Pediatric Surgery, Neurosurgery, Urology, Plastic Surgery, Cardiac Surgery, Anesthesia, and Orthopedics and Sports Medicine. • Processing of insurance claims and patient statements, reviewing, voiding, and re-key of all charge entry errors. • Insurance coding, follow-up, and payment posting. • Maintained claims clearinghouse information. • Communicated with the Information Systems Department on issues involving the scanning of charge tickets. • Prepared month-end reports for directors and practice managers. • Training of all new-hires for charge entry. • Successfully reduced charge lag days from 10 to 3 days. • Instrumental in the planning and setup of the current scanning process for charge tickets. COMPLETE WOMEN’S CARE, Virginia Beach, VA Billing Representative, 5/2005 – 5/2006 • Payment and charge posting, follow-up, patient statements, paper claims, month-end reports, surgery posting, and patient liaison for a practice of nine physicians. ATLANTIC FOOT AND ANKLE CENTER, Virginia Beach, VA Lead Billing Representative, 10/2001 – 5/2005 • Supervised the Billing Department in a four physician practice, including charge and payment posting, coding, insurance verification, collections, and workman’s comp accounts. • Compiled and presented relevant information for in-person hearings with Medicare and physicians.
  3. 3. Andrea L. Watson Page 3 • Worked with vendors to resolve Information Technology-related issues. • Front desk relief, medical assistant, and check-out as needed. CHESAPEAKE GENERAL HOSPITAL, Chesapeake, VA Patient Services Representative, 2/2001 – 7/2001 • ER registration, insurance verification, and collection of co-payments. FAMILY MEDICAL PC OF MOBILE, Mobile, AL Insurance Clerk, 2/1999 – 7/2000 • Payment posting and follow-up of all commercial insurance carriers. PRIME HEALTH C/O CLARK PERSONNEL SERVICES, Mobile, AL Financial Assistant, 8/1998 – 2/1999 • Posting of accounts receivable, collections, and claims processing and follow-up. EDUCATION: TIDEWATER COMMUNITY COLLEGE, Virginia Beach, VA • Pursued coursework towards an A.S., Science degree. Other relevant coursework: AAPC ICD-10 2-day Boot Camp, Dallas, TX, 11/2012