Theresa M. Bramhall CPC
1640 W ‘A' Street
Lincoln, NE 68522
402-477-0151
E-mail: tbramhall2002@yahoo.com
OBJECTIVE:
• Take part in a team, which is eager to grow as a company as well as individuals.
• Expand on my past experiences as well as using my present experiences and continually learn to go beyond what is asked or expected of me.
QUALIFICATIONS
• About 16 years in the medical field.
• 5 years coding experience.
• Experience with dealing with patients and physicians
• Knowledgeable of Medicare/Medicaid/Rural health Clinic and other insurance guidelines and their respective websites.
EDUCATION
1978 – Graduate of Orangeville High School, Orangeville, IL
1981 – Certificate from the United States Air Force, Chanute, IL
Aerospace Ground Equipment Technician
2002 - Certificate from Practice Management Institute,
Sponsored by: Bryan LGH Medical Center, NE
Certified Medical Coder (CMC)
2005 - Certificate from American Academy of Professional Coders,
Test sponsored by: Clarkson College, Omaha NE
Certified Professional Coder (CPC)
2007- Southeast Community College – Lincoln Campus
Enter into the Business Administration with Marketing Focus
EMPLOYMENT
April 2008- Present
The Physician Network
8055 O Street, Lincoln, NE 68510 (402) 421-0896
Supervisor: Pam Moore MS RHIA CCS
Documentation and Coding Reviewer
(Formerly the Performance Improvement Auditor)
Review the different clinics' dictation for medical necessity of the chosen level by the provider and coder plus make sure all encounters meet documentation guidelines. Review clinics' chart for proper paperwork for the type of insurance the patient has, plus the network require paperwork it properly done. Type up findings of the review and teach the provider of the finding, plus changes in Medicare. Keep current on the Medicare rules; CPT changes and local LCD. I also in involved with Recovery Audit Contractor (RAC) for the network.
March 2006 – March 2008
Saline Medical Specialist
969 E Hwy 33, Crete, NE 68333 (402) 826-3222
Supervisor: Jan Gulbrandson
Certified Medical Coder
Code all transcript reports (E/M; Outpatient Surgeries; ER Visits); bill out all charges, work denials and appeals with all insurances. Know all the rural clinic rules.
June 2007- August 2007
Saline Medical Specialist
969 E Hwy 33, Crete NE 68333 (402) 826-3222
Supervisor: Dale McCluskey
Interim Assistant Supervisor
Assist Dale with all office issues, when he is not able to be at the clinic. Answer office personnel questions, helping with the building renovation.
January 2006 – March 2006
East Lincoln Family Health Center
4545 South 86th Street, Lincoln, NE 68526 (402) 483-7507
Supervisor: Tami Kuhen-Damme
Medical Receptionist
Greet patients coming in and out of clinic, updated medical charts, answer incoming phone calls, scheduled patients appointments, collect all superbills, file patients charts.
December 2005 – March 2006
Parses, Inc
3350 W Buschwood Park Dr #120, Tampa, FL 33618
Attention: Stephanie Jones
Independent Contractor-Auditing
Audit claims that were send to me thru their website. The report and audit tool was scanned into the system. I would go into my assigned que and fill out the audit tool per report. I audited family practice, emergency room, OB, ENT were the main ones.
March 2001- September 2005
Advanced Medical Imaging/Radiology Associates
7601 Pioneers Blvd, Lincoln, NE 68506 (402) 484-6677
Supervisor: Sara Velder
Scheduler/Coder
Answer phone calls from various offices to schedule MRI, CT, US, Mammo, X-ray and Nuc. Meds tests. Then was trained to code all radiology reports; worked closely with billing staff to avoid EOB (Explanation of Benefits) denials due to coding errors. Office programs used were MS Word and MS Excel.
1640 W ‘A' Street
Lincoln, NE 68522
402-477-0151
E-mail: tbramhall2002@yahoo.com
OBJECTIVE:
• Take part in a team, which is eager to grow as a company as well as individuals.
• Expand on my past experiences as well as using my present experiences and continually learn to go beyond what is asked or expected of me.
QUALIFICATIONS
• About 16 years in the medical field.
• 5 years coding experience.
• Experience with dealing with patients and physicians
• Knowledgeable of Medicare/Medicaid/Rural health Clinic and other insurance guidelines and their respective websites.
EDUCATION
1978 – Graduate of Orangeville High School, Orangeville, IL
1981 – Certificate from the United States Air Force, Chanute, IL
Aerospace Ground Equipment Technician
2002 - Certificate from Practice Management Institute,
Sponsored by: Bryan LGH Medical Center, NE
Certified Medical Coder (CMC)
2005 - Certificate from American Academy of Professional Coders,
Test sponsored by: Clarkson College, Omaha NE
Certified Professional Coder (CPC)
2007- Southeast Community College – Lincoln Campus
Enter into the Business Administration with Marketing Focus
EMPLOYMENT
April 2008- Present
The Physician Network
8055 O Street, Lincoln, NE 68510 (402) 421-0896
Supervisor: Pam Moore MS RHIA CCS
Documentation and Coding Reviewer
(Formerly the Performance Improvement Auditor)
Review the different clinics' dictation for medical necessity of the chosen level by the provider and coder plus make sure all encounters meet documentation guidelines. Review clinics' chart for proper paperwork for the type of insurance the patient has, plus the network require paperwork it properly done. Type up findings of the review and teach the provider of the finding, plus changes in Medicare. Keep current on the Medicare rules; CPT changes and local LCD. I also in involved with Recovery Audit Contractor (RAC) for the network.
March 2006 – March 2008
Saline Medical Specialist
969 E Hwy 33, Crete, NE 68333 (402) 826-3222
Supervisor: Jan Gulbrandson
Certified Medical Coder
Code all transcript reports (E/M; Outpatient Surgeries; ER Visits); bill out all charges, work denials and appeals with all insurances. Know all the rural clinic rules.
June 2007- August 2007
Saline Medical Specialist
969 E Hwy 33, Crete NE 68333 (402) 826-3222
Supervisor: Dale McCluskey
Interim Assistant Supervisor
Assist Dale with all office issues, when he is not able to be at the clinic. Answer office personnel questions, helping with the building renovation.
January 2006 – March 2006
East Lincoln Family Health Center
4545 South 86th Street, Lincoln, NE 68526 (402) 483-7507
Supervisor: Tami Kuhen-Damme
Medical Receptionist
Greet patients coming in and out of clinic, updated medical charts, answer incoming phone calls, scheduled patients appointments, collect all superbills, file patients charts.
December 2005 – March 2006
Parses, Inc
3350 W Buschwood Park Dr #120, Tampa, FL 33618
Attention: Stephanie Jones
Independent Contractor-Auditing
Audit claims that were send to me thru their website. The report and audit tool was scanned into the system. I would go into my assigned que and fill out the audit tool per report. I audited family practice, emergency room, OB, ENT were the main ones.
March 2001- September 2005
Advanced Medical Imaging/Radiology Associates
7601 Pioneers Blvd, Lincoln, NE 68506 (402) 484-6677
Supervisor: Sara Velder
Scheduler/Coder
Answer phone calls from various offices to schedule MRI, CT, US, Mammo, X-ray and Nuc. Meds tests. Then was trained to code all radiology reports; worked closely with billing staff to avoid EOB (Explanation of Benefits) denials due to coding errors. Office programs used were MS Word and MS Excel.