carite
New
MS. Christy A Fox
Lawton, OK 73505
Mobile: 5805126061
Email: arite@sbcglobal.net
Work Experience:
HHS - LIHS
1515 NE Tatum Road Lawton, OK 73501
04/2017 - Present
Medical Records Tech/Coder
Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders.
Comanche County Memorial Hospital
3401 W Gore Blvd
Lawton, OK 73505
05/2017 - Present (PRN)
Certified Professional Coder Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain. Responsible for billing of two nursing home facilities and a community health center. Precisely completed appropriate claims paperwork, documentation and system entry. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders. Responded to correspondence from insurance companies. Confidently and adeptly handled claim denials and/or appeals.
Comanche County Memorial Hospital
3401 W Gore Blvd
Lawton, OK 73505
01/2017 - 03/2017
Coder for Hospitalist
Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain. Responsible for billing of two nursing home facilities and a community health center. Precisely completed appropriate claims paperwork, documentation and system entry. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders.
Comanche County Memorial Hospital
3401 W Gore Blvd
Lawton, OK 73505
Coder for Out Patient Physicians
Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain. Responsible for billing of two nursing home facilities and a community health center. Precisely completed appropriate claims paperwork, documentation and system entry. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders. Responded to correspondence from insurance companies. Confidently and adeptly handled claim denials and/or appeals.
Cancer Centers of SW Oklahoma/Comanche County Memorial Hospital
3401 W Gore Blvd Lawton, OK 73505
11/2010 - 12/2015
Radiation Oncology Biller/Coder/Provider Relations Representative
Duties, Accomplishments and Related Skills: Responsible for accurate billing of Radiation Oncology outpatient services diagnoses and conditions, working from the appropriate documentation in the health record of the patient. Performs daily charge audits. Knowledge of medical terminology and impact of accurate coding assignment. Investigate and resolve A/R ledger problems. Answer billing inquiries. Assists in preparation of month-end reports. Research and obtain verification of physician s medical experience, professional references, state licensure, DEA, medical education and institutional affiliations. Prepare and send physician paperwork to insurance companies for contracting, maintain current documentation, research and obtain verifications. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Verified patients\' eligibility and claims status with insurance agencies. Researched questions and concerns from providers and provided detailed responses. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Resourcefully used various coding books, procedure manuals and on-line encoders. Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing. Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations. Responded to correspondence from insurance companies. Identified and resolved patient billing and payment issues. Confidently and adeptly handled claim denials and/or appeals.
Education:
AAPC Salt Lake City, UT
Certifications: Certified Professional Coder - 05/17
Southern New Hampshire University Hooksett, NH
Coursework Completed Major: Health Care Administration
Planned Graduation Date March of 2018
Lawton, OK 73505
Mobile: 5805126061
Email: arite@sbcglobal.net
Work Experience:
HHS - LIHS
1515 NE Tatum Road Lawton, OK 73501
04/2017 - Present
Medical Records Tech/Coder
Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders.
Comanche County Memorial Hospital
3401 W Gore Blvd
Lawton, OK 73505
05/2017 - Present (PRN)
Certified Professional Coder Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain. Responsible for billing of two nursing home facilities and a community health center. Precisely completed appropriate claims paperwork, documentation and system entry. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders. Responded to correspondence from insurance companies. Confidently and adeptly handled claim denials and/or appeals.
Comanche County Memorial Hospital
3401 W Gore Blvd
Lawton, OK 73505
01/2017 - 03/2017
Coder for Hospitalist
Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain. Responsible for billing of two nursing home facilities and a community health center. Precisely completed appropriate claims paperwork, documentation and system entry. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders.
Comanche County Memorial Hospital
3401 W Gore Blvd
Lawton, OK 73505
Coder for Out Patient Physicians
Duties, Accomplishments and Related Skills: Responsible for abstracting and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. Knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain. Knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain. Responsible for billing of two nursing home facilities and a community health center. Precisely completed appropriate claims paperwork, documentation and system entry. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Assigned appropriate medical codes with accuracy. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Resourcefully used various coding books, procedure manuals and on-line encoders. Responded to correspondence from insurance companies. Confidently and adeptly handled claim denials and/or appeals.
Cancer Centers of SW Oklahoma/Comanche County Memorial Hospital
3401 W Gore Blvd Lawton, OK 73505
11/2010 - 12/2015
Radiation Oncology Biller/Coder/Provider Relations Representative
Duties, Accomplishments and Related Skills: Responsible for accurate billing of Radiation Oncology outpatient services diagnoses and conditions, working from the appropriate documentation in the health record of the patient. Performs daily charge audits. Knowledge of medical terminology and impact of accurate coding assignment. Investigate and resolve A/R ledger problems. Answer billing inquiries. Assists in preparation of month-end reports. Research and obtain verification of physician s medical experience, professional references, state licensure, DEA, medical education and institutional affiliations. Prepare and send physician paperwork to insurance companies for contracting, maintain current documentation, research and obtain verifications. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Maintained updated knowledge of coding requirements, through continuing education and certification renewal. Verified patients\' eligibility and claims status with insurance agencies. Researched questions and concerns from providers and provided detailed responses. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Resourcefully used various coding books, procedure manuals and on-line encoders. Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing. Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations. Responded to correspondence from insurance companies. Identified and resolved patient billing and payment issues. Confidently and adeptly handled claim denials and/or appeals.
Education:
AAPC Salt Lake City, UT
Certifications: Certified Professional Coder - 05/17
Southern New Hampshire University Hooksett, NH
Coursework Completed Major: Health Care Administration
Planned Graduation Date March of 2018