TATIANA POTTER COC
Lexington
Summary
Detailed-oriented Certified Outpatient Medical Coder with 9 years experience working remotely and on-site. Currently managing the coding unit at The Pain Treatment Center of the Bluegrass since May of 2019. Seeking a position in management OR as a coding team member involving responsibility, working individually and with others to achieve advancement and growth within the company. Experienced in multiple areas of coding including Physician and Outpatient Hospital E/M, ASC/PSC surgery, Behavioral Health, Radiology, CCM and more. Experienced in coding and billing under a variety of insurances including MCR, MCD, commercial, and W/C. Well-developed communication skills with the ability to effectively multi-task in a fast-paced environment.
Overview
13
13
years of professional experience
Work History
Coding Manager
The Pain Treatment Center of the Bluegrass
05.2019 - Current
- Oversee the daily operations of the coding department including hiring, training, building schedules, assigning workload, performance appraisals, monitoring quality of work and Payroll.
- Maintain communication with department heads and medical staff including Physicians.
- Manage changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
- Conduct coding audits to ensure accuracy and compliance requirements are met.
- Maintain awareness and provide updates of government regulations, changes in CPT, HCPCS, ICD-10, modifiers, NCCI edits, CMS Physician Fee Schedules and health insurance changes.
- Review claim denials and rejections relating to coding and medical necessity issues and make corrections for claim resubmission while also providing training to reduce future errors.
Lead Medical Coder
The Pain Treatment Center of the Bluegrass
08.2015 - Current
- Correctly code and bill medical claims with a focus on E/M and CPT, including assigning appropriate diagnosis and modifiers where needed.
- Proficient in coding areas of Pain management, Behavioral Health, ASC/PSC procedures, Outpatient Hospital, Radiology, Blood and urine panels, CCM.
- Code 85+ charts per day while maintaining an accuracy of 97% or higher.
- Actively maintain current working knowledge of CPT and ICD-9/10 coding principles, government regulation, protocols and third party requirements regarding billing.
- Identify documentation issues in patient records, queried physician for clarification of documentation issues and requested record addendum to complete clarification.
- Train and mentor new incoming employee’s.
- Managed weekly EMR report.
- Provided Backup administrative assistance in eligibility and accounts receivable.
Disability Claims Specialist
Xerox-MetLife
01.2012 - 09.2013
- Filed short-term and long-term disability claims
- Effectively managed a high-volume of inbound and outbound customer calls
- Verified and documented patient information obtained from Dr. Office and patient interviews
- Maintained HIPPA compliance with regular training
Education
Human Anatomy and Physiology Coursework and Medical Terminology -
Spencerian College
Lexington, KYCertification in Outpatient Hospital Coding -
AAPC
06.2015
Training in Hospital Outpatient And ASC Coding -
American Academy of Professional Coder Distance Learning
09.2014
Skills
- Staff supervision
- ICD-9/ICD-10 CPT/HCPCS and Modifiers
- DRG, APC, PFS
- Proficient in data entry and documentation requirements
- Claim denials and corrections
- Detail oriented and deadline driven
- Experience with federal, state, and private insurance
- Excellent communication skills
- HIPPA compliance
- Medical Terminology and anatomy
- Works well independently and with others
- Microsoft word/Excel
Timeline
Coding Manager
The Pain Treatment Center of the Bluegrass
05.2019 - Current
Lead Medical Coder
The Pain Treatment Center of the Bluegrass
08.2015 - Current
Disability Claims Specialist
Xerox-MetLife
01.2012 - 09.2013
Human Anatomy and Physiology Coursework and Medical Terminology -
Spencerian College
Certification in Outpatient Hospital Coding -
AAPC
Training in Hospital Outpatient And ASC Coding -
American Academy of Professional Coder Distance Learning
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