melmel@yahoo.com
Contributor
Melanie Lewis
________________________________________
20300 E. 8 Mile Rd. Harper Woods Michigan 48225
(313) 459-5161 • mlewis8@hfhs.org
Objective: To obtain a position in a healthcare organization where my skills and abilities can
add to the value of the company.
Certifications: Certified Professional Coder (CPC) by AAPC June 2010
Certified Radiology Coder (RCC) by RCCB November 2006
Certified E&M Coder (CEMC) by AAPC July 2011
Certified Professional Medical Auditor (CPMA) Exam November 2012
Certified Professional Coding Instructor (CPC-I ) by AAPC Exam August 2012
Education: Baker College Clinton Twp., MI
Associate of Applied Science, RHIT 2010-current
Dorsey Business Roseville, MI 6/2002 Medical Billing Specialist, Certificate
PROFESSIONAL EXPERIENCE
Physician Education & Documentation Coordinator August 2010 to Present
Henry Ford Health System
• Round with Acute Care Surgery/ SICU inpatient teams providing communication to Residents, MLP's, and Attending Staff regarding documentation requirements.
• Accountable for increasing revenue per patient by providing face-to-face physician education on E&M documentation policies, guidelines, and quality measures.
• Analyze billing and error data reports to identify revenue opportunities for the Acute Care Surgery and SICU team.
• Attend monthly staff meetings with ACS/SICU Division Head and Revenue Mgr presenting data with revenue findings and physician statistics.
• Liaison support to CDI Nurses by incorporating quality guidelines in my educational process with the providers.
• Provide ongoing education with ICD-9, CPT coding and documentation requirements to ensure compliance with payer regulations.
• Works as a liaison with Professional Fee Audit, Revenue Mgr. providing our department billing and documentation requirements.
• QA monitoring through audits of E&M services for compliance and documentation requirements, teaching physicians the requirements.
Health Systems Management Network July 2012 to Present
Remote Coder- (Contracted)
• Review Medical Record Documentation and related account information for the
accuracy of coding and billing of professional accounts.
• Provide direction for the correction to the accounts and/or direction to write off
• Complete Excel worksheet to document work completed. Responsible for accessing and
looking up appropriate resources as applicable.
BILLING SPECIALIST- Omni Credit Services (Contractor)
Henry Ford Health System June 2008 thru July 2010
• Communicating extensively with insurance companies on the providers behalf to resolve incorrect payments or rejections of services.
• Analyzing any inquiries received from customer service to investigate patient accounts for over/under payment, refunds, credits and patient balances.
• Responsible for billing HMO/Commercial facility and professional claims. Apply
Co-pays, deductibles, contractual and payments to patients accounts.
Eastpointe Radiologists
Radiology Coder /Medical Biller May 2003 thru April 2008
• Analyze and provide a concurrent review of outpatient/inpatient radiology reports to ensure that services receive and meet medical necessity and are supported by documentation for coding.
• Apply procedure codes according to standards by ICD-9CM, CPT third party and regulatory guidelines.
• Attend ICD-9CM and CPT coding seminars for continuing education
• Queried physicians when documentation was inadequate, unclear, or deficient as to follow documentation compliance regulations.
SKILLS AND ABILITIES
ICD9, CPT, HCPCS coding, strong Evaluation & Management coding
Encoder, EMR, EPIC, CPNG, McKesson, Metavision, Medipac, Web Denis, Metavision
Microsoft Word, Excel and Power Point, Access
Knowledgeable of Medicare & Medicaid Managed Care rules and regulations
Teaching Guidelines in Teaching Facility
HMO, PPO, POS, TPA, and Medicaid electronic billing
Strong Networking Skills, Analytical, excellent verbal and written communication skills
________________________________________
20300 E. 8 Mile Rd. Harper Woods Michigan 48225
(313) 459-5161 • mlewis8@hfhs.org
Objective: To obtain a position in a healthcare organization where my skills and abilities can
add to the value of the company.
Certifications: Certified Professional Coder (CPC) by AAPC June 2010
Certified Radiology Coder (RCC) by RCCB November 2006
Certified E&M Coder (CEMC) by AAPC July 2011
Certified Professional Medical Auditor (CPMA) Exam November 2012
Certified Professional Coding Instructor (CPC-I ) by AAPC Exam August 2012
Education: Baker College Clinton Twp., MI
Associate of Applied Science, RHIT 2010-current
Dorsey Business Roseville, MI 6/2002 Medical Billing Specialist, Certificate
PROFESSIONAL EXPERIENCE
Physician Education & Documentation Coordinator August 2010 to Present
Henry Ford Health System
• Round with Acute Care Surgery/ SICU inpatient teams providing communication to Residents, MLP's, and Attending Staff regarding documentation requirements.
• Accountable for increasing revenue per patient by providing face-to-face physician education on E&M documentation policies, guidelines, and quality measures.
• Analyze billing and error data reports to identify revenue opportunities for the Acute Care Surgery and SICU team.
• Attend monthly staff meetings with ACS/SICU Division Head and Revenue Mgr presenting data with revenue findings and physician statistics.
• Liaison support to CDI Nurses by incorporating quality guidelines in my educational process with the providers.
• Provide ongoing education with ICD-9, CPT coding and documentation requirements to ensure compliance with payer regulations.
• Works as a liaison with Professional Fee Audit, Revenue Mgr. providing our department billing and documentation requirements.
• QA monitoring through audits of E&M services for compliance and documentation requirements, teaching physicians the requirements.
Health Systems Management Network July 2012 to Present
Remote Coder- (Contracted)
• Review Medical Record Documentation and related account information for the
accuracy of coding and billing of professional accounts.
• Provide direction for the correction to the accounts and/or direction to write off
• Complete Excel worksheet to document work completed. Responsible for accessing and
looking up appropriate resources as applicable.
BILLING SPECIALIST- Omni Credit Services (Contractor)
Henry Ford Health System June 2008 thru July 2010
• Communicating extensively with insurance companies on the providers behalf to resolve incorrect payments or rejections of services.
• Analyzing any inquiries received from customer service to investigate patient accounts for over/under payment, refunds, credits and patient balances.
• Responsible for billing HMO/Commercial facility and professional claims. Apply
Co-pays, deductibles, contractual and payments to patients accounts.
Eastpointe Radiologists
Radiology Coder /Medical Biller May 2003 thru April 2008
• Analyze and provide a concurrent review of outpatient/inpatient radiology reports to ensure that services receive and meet medical necessity and are supported by documentation for coding.
• Apply procedure codes according to standards by ICD-9CM, CPT third party and regulatory guidelines.
• Attend ICD-9CM and CPT coding seminars for continuing education
• Queried physicians when documentation was inadequate, unclear, or deficient as to follow documentation compliance regulations.
SKILLS AND ABILITIES
ICD9, CPT, HCPCS coding, strong Evaluation & Management coding
Encoder, EMR, EPIC, CPNG, McKesson, Metavision, Medipac, Web Denis, Metavision
Microsoft Word, Excel and Power Point, Access
Knowledgeable of Medicare & Medicaid Managed Care rules and regulations
Teaching Guidelines in Teaching Facility
HMO, PPO, POS, TPA, and Medicaid electronic billing
Strong Networking Skills, Analytical, excellent verbal and written communication skills