slrollings
Guest
You will see by my resume that I am an experienced CPC, CPC-H, CPCO and CGSC. I live near a major airport and am willing to travel and/or work remotely. I am interested in physician coding/auditing/training opportunities. Please feel free to contact me at 317-690-4482.
Susan L. Mathis, CPC, CPCO, CPC-H, CGSC
10833 Tealpoint Drive
Indianapolis, IN 46229
e-mail: slmathiscoding@yahoo.com
(317) 690-4482
EMPLOYMENT HISTORY
6/12 to Present Consultant
MedPartners HIM
Tampa, FL
Duties: Travel and/or remote coding and billing consultant. Act as a coding and compliance reference and assist with daily accounts receivable follow up. This includes contacting insurance companies, patients and physicians. Doing insurance appeals, refunds, and auditing accounts for proper payment. Remote professional fee coding for a large hospital system. Duties vary upon client needs and assignments.
12/10 to 06/12 Coding & Billing Supervisor
Pediatric Surgical Associates
705 Riley Hospital Dr, Ste 2500, Indianapolis, IN 46202
Duties: Oversee all aspects of coding and billing for nine pediatric general surgeons and residents associated with Riley Children's Hospital and Indiana University School of Medicine. This includes staff of seven, doing registration through collection. Auditing accounts for coding and billing accuracy and compliance and follow up with training. Review of month end reports with physicians, and answer all coding and billing questions for the practice.
06/08 to 12/10 Consultant, Auditor, Coder (part time)
SL Mathis Coding
9104 E. Troy Ave, Indianapolis, IN 46239
Duties: Self employed coding and compliance auditor. Perform audits and remote coding for physicians and out-patient surgery centers. Prepare reports and summaries on findings, Follow up with training and/or questions. Duties vary upon assignment.
11/09 to 12/10 Claims Auditor
MDwise
1200 S. Madison Ave., Ste 400, Indianapolis, IN 46225
Duties: Audit claims for the Healthy Indiana Program for compliance, payment accuracy, coding, etc. Review disputed claims for resolution. Track and report errors and follow up on corrective action.
03/08 to 6/09 Compliance Auditor
Indiana University
550 N. Meridian Street, Suite 330, Indianapolis, IN 46204
Duties: Perform internal audits for all practice plans associated with Indiana University School of Medicine and School of Optometry. Review accounts for coding and compliance with Medicare's Teaching Physician Guidelines. Create reports and summaries of findings and review with department administrators. Instruct physicians and staff of billing protocol, whether one-on-one or group training sessions.
05/04 to 03/08 Billing and Coding Supervisor / Compliance Auditor
AmeriPath, Inc.
(Anatomic Pathology Laboratory)
2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219
Duties: Oversee billing department consisting of 9 certified coders and 12 data entry staff. This includes billing for Indiana, Kentucky, Ohio, Wisconsin, and Mississippi pathology practices, with an average monthly dollar volume of $10 million. Previous to supervisory position, internal auditing of approximately 74 pathology laboratories for billing and compliance, as well as internal auditor of 35 billing employees Coding large volume of in-patient and out-patient pathology reports with CPT and ICD-9 codes, as well as insurance codes, physician codes, and facility codes.
01/00 to 04/04 Lead Billing Data Entry Operator
Mid America Clinical Laboratories
(Clinical Laboratory)
2560 N. Shadeland Ave., Ste. B, Indianapolis, IN 46219
Duties: Assist supervisor in all facets of daily operations, training and supervision of 10 associates to convert diagnoses from written to ICD-9 codes. Auditing of 10% of all outgoing laboratory billing for quality assurance. Auditing of 100% of Medicare claims for ABN compliance. Update and run weekly and monthly statistical reports. Auditing of 70 scan client databases for billing accuracy. Assist in departmental meetings and take minutes.
PROFESSIONAL MEMEBERSHIPS/DESIGNATIONS
Certified Professional Compliance Officer by the America Academy of Professional Coders since 2011
2010 Education Director – Central Indiana Chapter of AAPC
Certified Professional Coder – Hospital since 2008
AAPC approved Professional Medical Coding Curriculum Instructor 2006-2009
Certified Professional Coder by the American Academy of Professional Coders since 2002.
General Surgery Specialty Certification by the American Academy of Professional Coders since 2005.
Managed Healthcare Professional Certification from the Health Insurance Association of America since 1999.
Susan L. Mathis, CPC, CPCO, CPC-H, CGSC
10833 Tealpoint Drive
Indianapolis, IN 46229
e-mail: slmathiscoding@yahoo.com
(317) 690-4482
EMPLOYMENT HISTORY
6/12 to Present Consultant
MedPartners HIM
Tampa, FL
Duties: Travel and/or remote coding and billing consultant. Act as a coding and compliance reference and assist with daily accounts receivable follow up. This includes contacting insurance companies, patients and physicians. Doing insurance appeals, refunds, and auditing accounts for proper payment. Remote professional fee coding for a large hospital system. Duties vary upon client needs and assignments.
12/10 to 06/12 Coding & Billing Supervisor
Pediatric Surgical Associates
705 Riley Hospital Dr, Ste 2500, Indianapolis, IN 46202
Duties: Oversee all aspects of coding and billing for nine pediatric general surgeons and residents associated with Riley Children's Hospital and Indiana University School of Medicine. This includes staff of seven, doing registration through collection. Auditing accounts for coding and billing accuracy and compliance and follow up with training. Review of month end reports with physicians, and answer all coding and billing questions for the practice.
06/08 to 12/10 Consultant, Auditor, Coder (part time)
SL Mathis Coding
9104 E. Troy Ave, Indianapolis, IN 46239
Duties: Self employed coding and compliance auditor. Perform audits and remote coding for physicians and out-patient surgery centers. Prepare reports and summaries on findings, Follow up with training and/or questions. Duties vary upon assignment.
11/09 to 12/10 Claims Auditor
MDwise
1200 S. Madison Ave., Ste 400, Indianapolis, IN 46225
Duties: Audit claims for the Healthy Indiana Program for compliance, payment accuracy, coding, etc. Review disputed claims for resolution. Track and report errors and follow up on corrective action.
03/08 to 6/09 Compliance Auditor
Indiana University
550 N. Meridian Street, Suite 330, Indianapolis, IN 46204
Duties: Perform internal audits for all practice plans associated with Indiana University School of Medicine and School of Optometry. Review accounts for coding and compliance with Medicare's Teaching Physician Guidelines. Create reports and summaries of findings and review with department administrators. Instruct physicians and staff of billing protocol, whether one-on-one or group training sessions.
05/04 to 03/08 Billing and Coding Supervisor / Compliance Auditor
AmeriPath, Inc.
(Anatomic Pathology Laboratory)
2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219
Duties: Oversee billing department consisting of 9 certified coders and 12 data entry staff. This includes billing for Indiana, Kentucky, Ohio, Wisconsin, and Mississippi pathology practices, with an average monthly dollar volume of $10 million. Previous to supervisory position, internal auditing of approximately 74 pathology laboratories for billing and compliance, as well as internal auditor of 35 billing employees Coding large volume of in-patient and out-patient pathology reports with CPT and ICD-9 codes, as well as insurance codes, physician codes, and facility codes.
01/00 to 04/04 Lead Billing Data Entry Operator
Mid America Clinical Laboratories
(Clinical Laboratory)
2560 N. Shadeland Ave., Ste. B, Indianapolis, IN 46219
Duties: Assist supervisor in all facets of daily operations, training and supervision of 10 associates to convert diagnoses from written to ICD-9 codes. Auditing of 10% of all outgoing laboratory billing for quality assurance. Auditing of 100% of Medicare claims for ABN compliance. Update and run weekly and monthly statistical reports. Auditing of 70 scan client databases for billing accuracy. Assist in departmental meetings and take minutes.
PROFESSIONAL MEMEBERSHIPS/DESIGNATIONS
Certified Professional Compliance Officer by the America Academy of Professional Coders since 2011
2010 Education Director – Central Indiana Chapter of AAPC
Certified Professional Coder – Hospital since 2008
AAPC approved Professional Medical Coding Curriculum Instructor 2006-2009
Certified Professional Coder by the American Academy of Professional Coders since 2002.
General Surgery Specialty Certification by the American Academy of Professional Coders since 2005.
Managed Healthcare Professional Certification from the Health Insurance Association of America since 1999.