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Work Background
MedKoder, LLCDirector of Physician Coding Operations
Oct. 2023Louisiana, United States
MedKoder, LLCManager of Physician Coding Operations
Aug. 2019 - Oct. 2023Louisiana, United States
MedKoder, LLCTeam Lead Coder
Aug. 2018 - Aug. 2019Louisiana, United StatesServing as a subject matter expert and point of contact for multiple clients and team members. Responsible for training, educating, quality assessment (QA) auditing, evaluating productivity, reporting, and monitoring of multi-specialty work queues to ensure proper coder allocation in relation to queue benchmarks.
MedKoder, LLCPhysician Coder III
Dec. 2015 - Aug. 2018Louisiana, United StatesCoded for multi-specialty professional services including evaluation and management, diagnostics, and procedures in compliance with applicable Medicare, Medicaid, and third party payer guidelines while maintaining quality and productivity standards. Main focus included peds/adult HemOnc (E/M, various clinic procedures, chemo/therapeutic drug administration), Palliative care, and PM&R (E/M, injections/aspirations, OMT), specifically for peds/adult TBI clinic, congential conditions, and peds/adult sports clinic.
Cooley Dickinson HospitalPatient Accounts Generalist
Jun. 2011 - Nov. 2015Northampton, MAIn 2011, I cross trained to learn coding for our various specialties in order to provide coverage as needed for other analysts' charges and A/R. I also trained to cover and assist for all other departments including payment posting, credits, patient accounts, and electronic claim submission while maintaining my monthly A/R alpha split (averaging 900-1100 claims) for our group. My main responsibilities as of 2012 were entering charges for our interventional spinal specialist/PM&R (E/M and procedures), our cardiology office (non-invasive), and charges for our podiatrist (E/M, procedures, and DME). I also provided coverage entering charges for HemOnc as needed (E/M, chemotherapy). I handled A/R (averaging 500 claims a month) for all commercial and government insurances for these specific accounts, which included insurance and patient credits. I maintained the duty of paper claim billing and A/R of all Veterans Affairs claims group wide, and continued to assist my team in all areas when needed. I became ICD-10 certified in August 2015.
Cooley Dickinson HospitalAccounts Receivable Analyst
Jun. 2009 - May. 2011Northampton, MAHandled A/R (averaging 900‐1100 claims per month per patient alpha split) for all insurances and all providers/specialties in our group. I was responsible for statusing claims monthly using Excel, including reporting payer trends and fee schedule discrepancies. I assumed the group's A/R duties for Tricare, Champva, and the VA, and became responsible for paper claim billing of all Veterans Affairs claims. I also was the editor of the monthly newsletter for our multi‐specialty group spotlighting topics such as OIG trends and ICD-10 coding tips.
Cooley Dickinson HospitalCharge Entry Analyst
Mar. 2009 - May. 2009Northampton, MAI entered charges off paper encounters for one large family practice using eClinicalWorks (eCW); providing proper CPT, HCPCS, ICD-9 coding, and modifier assignment. Handled A/R for two insurances for all providers/specialties in our group (300 claims per month).
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