CoderRuDe
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DEBBIE RUSSELL, AA, CPC, CPMA, CRCS-I.
Baltimore-Washington Region
PROFESSIONAL SUMMARY
Highly motivated, results-oriented, entry-level medical coder / auditor possessing capabilities that positively impact reimbursement and compliance, seeks to contribute skills to an organization with a dedicated medical coding team. Outstanding communication skills and attention to detail allow for superior work in an office or remote setting.
PROFESSIONAL EXPERIENCE
AQIWO, Inc.: U.S. Dept. of Labor, OWCP National Office, Medical Coder, May 2016 – January 2017
• Provided coding expertise in support of the development, implementation, and modification of system processes.
• Collaborated on projects involving regular updates to billing system of new / deleted codes; max units; ICD 10 CM
crosswalks; pricing status; covered conditions; appropriate code / modifier use; RCCs; CCI edits; and UATs.
Maryland Oncology Hematology P.A., Patient Account Specialist II, November 2014 – May 2016
• Employed billing and coding guidelines, and auditing techniques, in pursuit of accurate and timely payments of unpaid / underpaid insurance and patient balances, effectively reducing accounts receivable by up to $1M in one month.
Howard County General Hospital, Appeals /Collections Analyst, October 2012 – October 2014
• Improved efficiency of the appeals process by working up to 100 ED denials daily while supporting other team members with streamlining correspondence, medical records management, and denials report reconciliation, e.g. RAC denials.
Briggs Chaney Walk-in Clinic, LLC, Medical Billing Specialist, March 2011- December 2012
• Applied medical billing, coding and auditing training to all aspects of revenue cycle management for routine Medical, Urgent Care, Occupational Health, Radiology and Physical Therapy services, resulting in increased practice profitability.
Cardiovascular Consultants, P.A.
Chart Prep Clerk-Medical Records, December 2008 – March 2011
• Integrated paper and electronic data sources of protected health information to promote continuity of care by Cardiac interventionalists and electrophysiologists.
Medical Assistant-Arrhythmia Services March 2007 – August 2008
• Facilitated timely evaluation of heart rhythm abnormalities and cardiac device management.
Washington Adventist Hospital
Charge Capture Coordinator, Cardiac Catheterization Lab, August 2006 – July 2007
Electrophysiology/ Cardiac Catheterization Lab Assistant, June 2005 – August 2006
RELEVANT SKILLS
HIPAA* CPT, ICD 10 CM, HCPCS codes, Modifiers* DME* NCCI* E/M Abstraction *Auditing *EncoderPro * Medical Terminology *Anatomy and Physiology * EPIC * IKnowMed * Data Analytics * CDI* Charge Entry * Billing * Denials Management* Collections * Estate claims *Availity * MS Office* NextGen * MPM * ChargeMaster* Healthport * Meditech*ACS * Morrisey* Medical Records Management* ORMIS* RightFax* MediSoft* Navinet* ImageNow*
EDUCATION AND PROFESSIONAL DEVELOPMENT
American Association of Professional Coders Certified Professional Medical Auditor, 2017
American Association of Healthcare Administrative Management Certified Revenue Cycle Specialist, 2014
American Career Institute, Medical Billing and Coding AAPC Certified Professional Coder, 2011
Montgomery College, Health Sciences A.A. Degree, with Honors
University of the West Indies B.Sc. Chemistry (Incomplete)
Baltimore-Washington Region
PROFESSIONAL SUMMARY
Highly motivated, results-oriented, entry-level medical coder / auditor possessing capabilities that positively impact reimbursement and compliance, seeks to contribute skills to an organization with a dedicated medical coding team. Outstanding communication skills and attention to detail allow for superior work in an office or remote setting.
PROFESSIONAL EXPERIENCE
AQIWO, Inc.: U.S. Dept. of Labor, OWCP National Office, Medical Coder, May 2016 – January 2017
• Provided coding expertise in support of the development, implementation, and modification of system processes.
• Collaborated on projects involving regular updates to billing system of new / deleted codes; max units; ICD 10 CM
crosswalks; pricing status; covered conditions; appropriate code / modifier use; RCCs; CCI edits; and UATs.
Maryland Oncology Hematology P.A., Patient Account Specialist II, November 2014 – May 2016
• Employed billing and coding guidelines, and auditing techniques, in pursuit of accurate and timely payments of unpaid / underpaid insurance and patient balances, effectively reducing accounts receivable by up to $1M in one month.
Howard County General Hospital, Appeals /Collections Analyst, October 2012 – October 2014
• Improved efficiency of the appeals process by working up to 100 ED denials daily while supporting other team members with streamlining correspondence, medical records management, and denials report reconciliation, e.g. RAC denials.
Briggs Chaney Walk-in Clinic, LLC, Medical Billing Specialist, March 2011- December 2012
• Applied medical billing, coding and auditing training to all aspects of revenue cycle management for routine Medical, Urgent Care, Occupational Health, Radiology and Physical Therapy services, resulting in increased practice profitability.
Cardiovascular Consultants, P.A.
Chart Prep Clerk-Medical Records, December 2008 – March 2011
• Integrated paper and electronic data sources of protected health information to promote continuity of care by Cardiac interventionalists and electrophysiologists.
Medical Assistant-Arrhythmia Services March 2007 – August 2008
• Facilitated timely evaluation of heart rhythm abnormalities and cardiac device management.
Washington Adventist Hospital
Charge Capture Coordinator, Cardiac Catheterization Lab, August 2006 – July 2007
Electrophysiology/ Cardiac Catheterization Lab Assistant, June 2005 – August 2006
RELEVANT SKILLS
HIPAA* CPT, ICD 10 CM, HCPCS codes, Modifiers* DME* NCCI* E/M Abstraction *Auditing *EncoderPro * Medical Terminology *Anatomy and Physiology * EPIC * IKnowMed * Data Analytics * CDI* Charge Entry * Billing * Denials Management* Collections * Estate claims *Availity * MS Office* NextGen * MPM * ChargeMaster* Healthport * Meditech*ACS * Morrisey* Medical Records Management* ORMIS* RightFax* MediSoft* Navinet* ImageNow*
EDUCATION AND PROFESSIONAL DEVELOPMENT
American Association of Professional Coders Certified Professional Medical Auditor, 2017
American Association of Healthcare Administrative Management Certified Revenue Cycle Specialist, 2014
American Career Institute, Medical Billing and Coding AAPC Certified Professional Coder, 2011
Montgomery College, Health Sciences A.A. Degree, with Honors
University of the West Indies B.Sc. Chemistry (Incomplete)