American Academy of Professional Coders- Salt Lake City, UT
2011
Specialities:
CEMC- Certification Evaluation and Management Coder in Evaluation and Management Coding Physician
Skills
Key Proficiencies and Competencies: ... • in both for-profit and non- profit acade... • HCPCS II Codes • ICD-9-CM • government and regulatory guidelines • managed care contracts • auditing guidelines. Change management • project management • and work flow between all departments to... • coding and billing • and denial management processes; consult... • monitoring and reporting organizational ... • physician Program Directors • leadership team • and Board of Directors. Computer softwa... • Tech- savvy fast learner.
Os2 Texas Hcc Project Feb 2015 - Mar 2015
Remote Hcc Auditor and Coder
Himagine Solutions Inc. Aug 2011 - Jun 2014
Consultant, Physician Healthcare Compliance, Audit and Coding
The Many Faces of Japan on Ruby Lane Aug 2011 - Jun 2014
Owner
The Coding Network Apr 2011 - Aug 2011
E and M Auditor Remote Contract
Peak Healthcare Services, Llc Oct 2010 - Jan 2011
Hcc Auditor- Remote Project Contract
Education:
Texas State University 1991
Skills:
Physician Coding Compliance and Reimbursement Coding Expert With Experience In Over 45 Adult and Pediatric Specialties Coding and Compliance Auditing and Reporting Revenue Cycle Management Medical Data Query and Analysis Hospitals Physician Coding Healthcare Medical Coding Training Software Documentation Invoicing Revenue Cycle Physicians Process Improvement Ehr Program Management Cpt Hipaa Medicare Emr Medical Billing Healthcare Consulting Leadership Healthcare Information Technology Healthcare Management Medical Terminology Icd 9 Medical Records
Interests:
Social Services Our Extended Family Music and Outdoors Economic Empowerment Civil Rights and Social Action Environment Education Animal Welfare Poverty Alleviation Science and Technology Arts and Culture Their God Mother Angel Human Rights Among Others Living In Austin We Are Working To Live The Dog Health
Certifications:
Certified Healthcare Auditor and Educator Cpc- Certified Professional Coder License Effective Date 9/26/11 Cemc- Certified Evaluation and Management Coder Mcs-P: Medical Compliance Specialist- Physician Association of Healthcare Auditors and Educators, License Dropped the Ball on Renewal, Trying To Contact About What I Need To Do To Renew American Academy of Professional Coders Ahima, License Effective Date 9/26/11 Unfortunately Dropped the Ball on Renewal Timeline Mcsp Texas Ahima Trainer Icd-10-Cm/ Pcs, Certificate Holder License Dropped the Ball on Renewal, Trying To Contact About What I Need To Do To Renew License Effective Date 9/26/11 Unfortunately Dropped the Ball on Renewal Timeline
Nov 2013 to 2000 Co-OwnerKforce Healthcare Consulting Tampa, FL Aug 2011 to Jun 2014 Coding Consultant Remote and On SiteCoding Network LLC San Francisco, CA Apr 2011 to Aug 2011 Contract Auditor, Evaluation and Management CodingPeak Healthcare Solutions San Diego, CA Oct 2010 to Jan 2011 HCC Coding AuditorMultiple, See All during date range Austin, TX Oct 2009 to Jan 2011 Contract HCC AuditorThe Coding Source Los Angeles, CA Jul 2010 to Oct 2010 HCC Coding AbstractorRisk Adjustment Management LLC Miami, FL Oct 2009 to Feb 2010 HCC CoderUTMB Austin Medical Programs Austin, TX Jun 2007 to Jul 2009 Manager, Department of Reimbursement and Coding Quality AssuranceAustin Community College Austin, TX 1998 to 2009 Adjunct Faculty, Medical Coding ProgramAustin Medical Education Programs
Jun 2002 to Jun 2007 Coding Compliance Manager, Coding Compliance DepartmentAustin Medical Education Programs- Seton Family of Hospitals
Oct 2000 to Jun 2002 Medical Regulatory Compliance Specialist, Coding Compliance DepartmentReimbursement Department Patient Financial Services- Austin Diagnostic Clinic Austin, TX 1994 to 2000 Reimbursement Specialist III
Education:
American Academy of Professional Coders Salt Lake City, UT 2011 to 2014 CEMC- Certification Evaluation and Management Coder in Evaluation and Management Coding PhysicianMedical Compliance Training Hillsboro, TX 2006 to 2014 MCS-P Medical Compliance Specialist in Medical Compliance SpecialistAmerican Academy of Professional Coders Salt Lake City, UT 1997 to 2014 CPC Certified Professional Coder in Physician Coding CPT and ICD9CMAHIMA 2011 to 2013 AHIMA Certified Trainer ICD-10-CM/ PCS in ICD-10-CM/ PCSTexas State University San Marcos, TX 1991 BAAS in Health Care Administration through WLS Occupational EducationAmerican Association of Healthcare Auditing and Education 2009 CHCA Certified Healthcare Auditor and Educator
Skills:
Key Proficiencies and Competencies: Strong and successful experience in all phases of healthcare business functions for services provided by physicians and other healthcare providers 21 years continuous service in two large multi-specialty organizations, in both for-profit and non- profit academic setting. Physician coding and compliance and revenue cycle. In depth knowledge of multi-specialty: CPT, HCPCS II Codes, ICD-9-CM, government and regulatory guidelines, managed care contracts, auditing guidelines. Change management, project management, and work flow between all departments to efficiently ensure all functions of the coding compliance and revenue cycle are educated and working together. Extensive experience and knowledge of over 46 adult and pediatric specialties. MGMA revenue cycle metrics. Revenue cycle soup to nuts development for charge capture, coding and billing, and denial management processes; consulting with operational and finance teams for related accounts receivable management. Succesful contributing team member frequently exceeding revenue cycle goals. Implementation, monitoring and reporting organizational compliance with carrier payment and regulatory guidelines to providers, physician Program Directors, leadership team, and Board of Directors. Computer software- Multiple, Tech- savvy fast learner.
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