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Willing to relocate for right opportunity

  1. #1
    Loma Linda
    Thumbs up Willing to relocate for right opportunity
    Medical Coding Books
    I have vast experience in Medical billing, coding and nursing. Have been coding for the past 8 years and doing billing and consulting work for the past 20 years plus. Would like to get out of California. Looking for the ideal job. Passionate about teaching physicians coding and documentation. I have attached my resume.

    Hope to hear from some soon....

    507 S. Euclid Spc 82
    Santa Ana, CA 92704
    (714) 497-7938 (cell)


    Utilize my experience, education and clinical expertise to educate physicians and increase revenue due to inexperience or lack of billing /coding education.


    05/07 to present Bristol Park Medical Group
    Tustin, CA
    Coding Specialist/LVN
    Auditing and coding from EMR ICD9, CPT and HCPCS codes according
    to the contract at Bristol Park Medical group and CPT, ICD9 guidelines.
    Working closely with the Director of Billing Services to capture lost
    revenue based on audits done. Educating the clinical staff and physicians
    on coding guidelines and risk adjustment coding for optimal
    reimbursement. Extracting ICD9 codes for Risk Adjustment sweeps by
    insurance plans. Conducting inservices for all accounts receivable and
    data processing staff on billing issues, coding issues and updated coding
    and billing guidelines as they become effective. Maintaining all Appeal
    letters and collections guidelines in accordance to collections laws.
    Assisting with projects from medical director on physician education for
    proper coding. Member of the Risk Adjustment HCC task force.

    01/06 to 09/06 Physician WebLink/ Monarch Healthcare
    Irvine, CA
    Risk Adjustment Specialist/CPC/LVN
    Chart auditing of all senior members for HCC Codes. Abstracting ICD-9
    codes for risk adjustment. Teach physicians and their staff the
    importance of documentation. Full knowledge of the HCC risk
    adjustment model through CMS. Teach the physicians and their staff in
    proper documentation for patient encounters and to accurately code the
    encounters. Conduct inservices to exclusive providers. Submit the
    encounter data in a timely manner according to the sweep dates by CMS
    and other insurance plans into a spreadsheet for future transmissions.
    Monitor the physician offices risk scores and keeping them updated.
    Conducting audits twice per year. Responsible for all 400 North County
    Physician offices for Monarch HealthCare.

    10/04 to 01/06 ArborMed Corp.
    Orange, CA
    Account Manager
    Manage a team of six employees with a client charge volume of over
    $1,300,000.00 per month. Responsible for work load of each employee, all accounts receivables for the client. Supervise and train new employees in my department. Conduct merit reviews monthly as well as annual reviews for all employees. Following up on all denials, rejections and appealing claims not paid correctly.

    Conduct classes to keep current in all aspects of the billing business. Setting protocols and tracking trends for the client. Maintained credentialing status for all 62 physicians in the practice, updating as needed. Responsible for month end reporting to CFO and Physician administrator.

    06/01 to 9/04 Jamie Kim, M.D. (Continuation from
    previous employer)
    Fountain Valley, CA
    Accurately code all superbills, operative reports in accordance to ICD9
    and CPT guidelines. Enter all patient demographics using Medisoft,
    Ultramed or Medical Manager software, while adhering to the HIPAA
    privacy rules. Billing all open insurance claims as well as billing all
    patient statements. Tracking and working accounts receivable according
    to each insurance contract. Educate physicians on proper coding for
    optimal reimbursement. Conduct in-house audits quarterly for coding
    reimbursement accuracy. Analyze each practice for productivity
    based employees. Educate on HIPAA guidelines and procedures.

    04/00 to 06/01 Doctors of Women Health Centers
    Irvine, CA
    managed the A/R for two offices. Reviewed contracts up for renewal
    and/or new prospective insurance companies requesting provider status.
    Responsible for setting up protocol and tracking all deposits and transfers
    of both offices and balance to day sheets. Responsible for maintaining
    correct codes in computer system annually. Educate physicians and staff
    on any changes/updates in coding or insurance guidelines. Developed
    protocols to increase revenue by auditing productivity losses. Report
    directly to the physician partners monthly. Process all company mail.

    08/98 to 05/00 Orange-Irvine Doctors of Kids and Teens
    Orange, CA
    Billing Supervisor
    Supervise and train employees in billing office. Contract manager
    for nine physicians to insurance companies and hospitals. Management of
    practice revenue resulting from the processing of Third Party insurance
    claims and patient billing statements. Collections of accounts >90 days in
    accordance to the collection laws. Conducting quarterly meetings with the
    physicians and financial officer. Developing educational bulletins relating
    to changes/updates on coding or insurance carrier guidelines. Conducting
    physician education meetings to keep the MD’s apprised of any changes
    as needed. Conduct in house audits to assure policies and procedures are
    followed. Responsible for direction of employees in billing department.


    Licensed Vocational Nurse VN140933
    Certified in Phlebotomy
    Certified Professional Coder CPC


    HIPAA education training
    ICD9 , CPT, HCPCS coding
    American Academy of Professional Coders member
    Risk Adjustment trainer/educator
    Last edited by debi7478; 01-15-2009 at 11:26 PM.

  2. #2
    Milwaukee WI
    Default Private message
    I sent you a private message.

    F Tessa Bartels, CPC, CPC-E/M

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