nieshia1
New
Nieshia R. Whetstone, CPC
13148 Alabama Highway 22
Rockford, AL 35136 (256) 626-2996 nrwhetstone@gmail.com
PROFILE
? CPC Certified Professional Coder (AAPC). Over seven years experience as a medical coding professional in a variety of clinical settings.
? Knowledge of medical terminology, anatomy, and physiology
? Broad medical experience also includes billing, reimbursement, HIPPA rules, insurance verification, scheduling, and report creation
? Key strengths: communication, leadership and interpersonal skills; multi-tasking and overall resourcefulness
PROFESSIONAL EXPERIENCE
Billing Specialist / Medical Coder
Dr. Charles Brentnall ~ Sylacauga, AL
2011 - present
? Accurately assign ICD-9-CM and/or CPT-4 code(s) and sequence diagnosis and procedures per patient medical record
? Reconcile clinical notes, patient encounter form, health information for compliance with HIPPA rules
? Provide coding and documentation advice to clinical and professional staff
? Analyze billing to improve coding data accuracy for Medicare compliance reimbursement
? Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse
? Conduct training, in-service and other education regarding diagnosis, procedure code assignment, regulatory requirements, and HIPPA compliance to new employees
? Handle all clinical billing questions and dispute claims to insurance companies
? Coordinate appeals letters for insurance companies
? Post insurance and patient payments to Medisys System
? Attend billing and insurance seminars
? Month end closing of reports and maintaining of Accounts Receivable Reports and chart auditing
Billing Specialist
Urgent Family Care ~ Birmingham, AL
05/2007 ? 11/2010
? Accurately assigned ICD-9-CM and/or CPT-4 code(s) and sequenced diagnosis and procedures per patient medical record
? Handled all clinical billing questions and dispute claims to insurance companies.
? Coordinated appeals letters for insurance companies.
? Posted insurance and patient payments
? Attended billing and insurance seminars
? Month end closing of reports, reconciled Accounts Receivable Reports and chart auditing
? Other Billing Specialist duties as assigned
Medical Assistant
Dr. John S. Houston ~ Alexander City, AL
2005 ? 01/2007
? Performed patient triage (Estimate of 200 weekly)
? Performed patient interview for record information and administered bodily readings for temperature, pulse rate, weight, height, blood pressure, etc.
? Performed patient injections; phlebotomy venipuncture, capillary punctures, and finger sticks
? Scheduled appointments, reviewed patient?s insurance for validity, and obtained pre-authorizations for procedures
? Collected and posted payments
? Maintained the data of the patients and office on the computer and keep the records, billing, transactions, books, etc. up to date
? Coded ICD-9-CM and CPT-4 charts, records for physicians
? Month end closing of reports and maintaining of Accounts Receivable Reports and chart auditing
? Charted office employees sick and vacation time
? Other medical assistant duties as assigned
Medical Assistant
Dr. Runas Powers ~ Alexander City, AL
02/1998 ? 12/2005
? Compiled data from medical records to document patient condition and treatment according to standardized coding specification
? Reviewed medical records and abstracted ICD-9, CPT-4 and HCPCS codes
? Scheduled appointments, answered multi line telephone, validated insurance, filed claims to insurance, and collected past due accounts
? Performed patient interview for record information and administered bodily readings for temperature, pulse rate, weight, height, blood pressure, etc.
? Performed urinalysis, EKG, Holter monitors, and phlebotomy venipuncture.
? Other medical assistant duties as assigned
EDUCATION
Central Alabama Community College
Alexander City, AL
05/2006
LICENSURE/CERTIFICATION
? Certified Professional Coder (CPC), 06/2007
? American Academy of Professional Coders (AAPC), 06/2007
AFFILIATIONS
? American Academy of Professional Coders (AAPC)
? Jefferson County Medical Society
13148 Alabama Highway 22
Rockford, AL 35136 (256) 626-2996 nrwhetstone@gmail.com
PROFILE
? CPC Certified Professional Coder (AAPC). Over seven years experience as a medical coding professional in a variety of clinical settings.
? Knowledge of medical terminology, anatomy, and physiology
? Broad medical experience also includes billing, reimbursement, HIPPA rules, insurance verification, scheduling, and report creation
? Key strengths: communication, leadership and interpersonal skills; multi-tasking and overall resourcefulness
PROFESSIONAL EXPERIENCE
Billing Specialist / Medical Coder
Dr. Charles Brentnall ~ Sylacauga, AL
2011 - present
? Accurately assign ICD-9-CM and/or CPT-4 code(s) and sequence diagnosis and procedures per patient medical record
? Reconcile clinical notes, patient encounter form, health information for compliance with HIPPA rules
? Provide coding and documentation advice to clinical and professional staff
? Analyze billing to improve coding data accuracy for Medicare compliance reimbursement
? Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse
? Conduct training, in-service and other education regarding diagnosis, procedure code assignment, regulatory requirements, and HIPPA compliance to new employees
? Handle all clinical billing questions and dispute claims to insurance companies
? Coordinate appeals letters for insurance companies
? Post insurance and patient payments to Medisys System
? Attend billing and insurance seminars
? Month end closing of reports and maintaining of Accounts Receivable Reports and chart auditing
Billing Specialist
Urgent Family Care ~ Birmingham, AL
05/2007 ? 11/2010
? Accurately assigned ICD-9-CM and/or CPT-4 code(s) and sequenced diagnosis and procedures per patient medical record
? Handled all clinical billing questions and dispute claims to insurance companies.
? Coordinated appeals letters for insurance companies.
? Posted insurance and patient payments
? Attended billing and insurance seminars
? Month end closing of reports, reconciled Accounts Receivable Reports and chart auditing
? Other Billing Specialist duties as assigned
Medical Assistant
Dr. John S. Houston ~ Alexander City, AL
2005 ? 01/2007
? Performed patient triage (Estimate of 200 weekly)
? Performed patient interview for record information and administered bodily readings for temperature, pulse rate, weight, height, blood pressure, etc.
? Performed patient injections; phlebotomy venipuncture, capillary punctures, and finger sticks
? Scheduled appointments, reviewed patient?s insurance for validity, and obtained pre-authorizations for procedures
? Collected and posted payments
? Maintained the data of the patients and office on the computer and keep the records, billing, transactions, books, etc. up to date
? Coded ICD-9-CM and CPT-4 charts, records for physicians
? Month end closing of reports and maintaining of Accounts Receivable Reports and chart auditing
? Charted office employees sick and vacation time
? Other medical assistant duties as assigned
Medical Assistant
Dr. Runas Powers ~ Alexander City, AL
02/1998 ? 12/2005
? Compiled data from medical records to document patient condition and treatment according to standardized coding specification
? Reviewed medical records and abstracted ICD-9, CPT-4 and HCPCS codes
? Scheduled appointments, answered multi line telephone, validated insurance, filed claims to insurance, and collected past due accounts
? Performed patient interview for record information and administered bodily readings for temperature, pulse rate, weight, height, blood pressure, etc.
? Performed urinalysis, EKG, Holter monitors, and phlebotomy venipuncture.
? Other medical assistant duties as assigned
EDUCATION
Central Alabama Community College
Alexander City, AL
05/2006
LICENSURE/CERTIFICATION
? Certified Professional Coder (CPC), 06/2007
? American Academy of Professional Coders (AAPC), 06/2007
AFFILIATIONS
? American Academy of Professional Coders (AAPC)
? Jefferson County Medical Society