sdomel159
Networker
Sharon N. Andrews, CPC, CEMC
Contact address: P.O. Box 586, Jarrell, Texas, 76537
e-mail : sharonandrews724@gmail.com | 512-809-0353 | 512-439-1932
I have been coding Orthopedics since 2001 and I still learn something new on a regular basis. I enjoy dissecting an operative report and utilizing all available resources to ensure accurate coding. I am familiar with AAOS Code X software, Global Service Data, CPT Assistant and Orthopedic Coding Companions. I also utilize insurance carrier's websites to verify code edits and review medical/reimbursement policies. Coding accurately and with integrity is extremely important. It helps increase reimbursement for the provider and ensures defendable coding. I have been successful in decreasing claim denials and winning appeals for my current employer. Since Medicare has targeted Total Joint Surgeries I have successfully appealed 90% of these surgeries. Furthermore, thru hard work, diligence and effective communication my physicians were successful in reporting PQRS codes and receiving the PQRS incentive bonus annually.
Work Experience
12/13/2004 to present Coder
Texas Orthopedics, Sports and Rehabilitation Associates
4700 Seton Center Parkway
Austin, TX 78759
512-439-1000
Supervisor: Twyla Fuertes
My job duties include the following: coding surgeries using the operative report and charge tickets provided by the physicians, ensuring proper linkage of ICD-9 and CPT codes, inputting charges for the physician and physician assistants, and pre-coding surgeries for authorizations and estimates. I also obtain patient information from physicians and/or hospitals regarding services for ER or inpatient patients. Furthermore, I assist patient account representatives and clinic staff with coding and error resolution. Finally, I perform audits of evaluation and management and physical therapy documentation for each physician and/or therapist to ensure compliance. My job requires extensive knowledge of CPT and ICD-9 coding, medical terminology, anatomy, and coding requirements for Medicare, Medicaid, Workers Comp, and other commercial insurance carriers. I work closely with my supervisor on a daily basis to assist in any capacity.
10/08/2001 to 12/01/2004 Coder
Muskogee Bone and Joint & Sports Medicine Clinic
209 S 36th St
Muskogee, OK 74401
918-682-7717
Supervisor: Katrina McCroskey
I worked in the bookkeeping department as a coder. My job duties include the following: pre-audit medical records to ensure accuracy of Evaluation and Management code selection for four physicians, assign diagnosis code(s) for each patient visit, code minor surgeries, and stay informed regarding code changes along with Medicare policies. I also communicated with the physicians and staff regarding documentation requirements, non-covered procedures, cash estimates for procedures, and coding issues. Furthermore, I posted charges to patient accounts, ensured dictation was done for each visit, and followed up on denied claims when coding may be the cause. Finally, I served as a back up to the patient relations coordinator (scheduling diagnostic tests, surgeries, referrals.) I also helped post payments from insurance companies and patients, answered phones and checked in patients. I enjoyed being challenged with multiple duties on a daily basis.
Academic Qualification
•• Temple Jr College
Basics 1991-1993
• Jarrell High School
High School Diploma 1991
Professional Certifications
• AAPC Certification
CPC & CEMC
Personal References
Twyla Fuertes 512-439-1020
Katrina McCroskey 918-682-7717
Rosanne Capdeville 512-863-3065
Contact address: P.O. Box 586, Jarrell, Texas, 76537
e-mail : sharonandrews724@gmail.com | 512-809-0353 | 512-439-1932
I have been coding Orthopedics since 2001 and I still learn something new on a regular basis. I enjoy dissecting an operative report and utilizing all available resources to ensure accurate coding. I am familiar with AAOS Code X software, Global Service Data, CPT Assistant and Orthopedic Coding Companions. I also utilize insurance carrier's websites to verify code edits and review medical/reimbursement policies. Coding accurately and with integrity is extremely important. It helps increase reimbursement for the provider and ensures defendable coding. I have been successful in decreasing claim denials and winning appeals for my current employer. Since Medicare has targeted Total Joint Surgeries I have successfully appealed 90% of these surgeries. Furthermore, thru hard work, diligence and effective communication my physicians were successful in reporting PQRS codes and receiving the PQRS incentive bonus annually.
Work Experience
12/13/2004 to present Coder
Texas Orthopedics, Sports and Rehabilitation Associates
4700 Seton Center Parkway
Austin, TX 78759
512-439-1000
Supervisor: Twyla Fuertes
My job duties include the following: coding surgeries using the operative report and charge tickets provided by the physicians, ensuring proper linkage of ICD-9 and CPT codes, inputting charges for the physician and physician assistants, and pre-coding surgeries for authorizations and estimates. I also obtain patient information from physicians and/or hospitals regarding services for ER or inpatient patients. Furthermore, I assist patient account representatives and clinic staff with coding and error resolution. Finally, I perform audits of evaluation and management and physical therapy documentation for each physician and/or therapist to ensure compliance. My job requires extensive knowledge of CPT and ICD-9 coding, medical terminology, anatomy, and coding requirements for Medicare, Medicaid, Workers Comp, and other commercial insurance carriers. I work closely with my supervisor on a daily basis to assist in any capacity.
10/08/2001 to 12/01/2004 Coder
Muskogee Bone and Joint & Sports Medicine Clinic
209 S 36th St
Muskogee, OK 74401
918-682-7717
Supervisor: Katrina McCroskey
I worked in the bookkeeping department as a coder. My job duties include the following: pre-audit medical records to ensure accuracy of Evaluation and Management code selection for four physicians, assign diagnosis code(s) for each patient visit, code minor surgeries, and stay informed regarding code changes along with Medicare policies. I also communicated with the physicians and staff regarding documentation requirements, non-covered procedures, cash estimates for procedures, and coding issues. Furthermore, I posted charges to patient accounts, ensured dictation was done for each visit, and followed up on denied claims when coding may be the cause. Finally, I served as a back up to the patient relations coordinator (scheduling diagnostic tests, surgeries, referrals.) I also helped post payments from insurance companies and patients, answered phones and checked in patients. I enjoyed being challenged with multiple duties on a daily basis.
Academic Qualification
•• Temple Jr College
Basics 1991-1993
• Jarrell High School
High School Diploma 1991
Professional Certifications
• AAPC Certification
CPC & CEMC
Personal References
Twyla Fuertes 512-439-1020
Katrina McCroskey 918-682-7717
Rosanne Capdeville 512-863-3065