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I have a Certified Nurse Midwife in our practice and she is still not credentialed to deliver babies in our local hospital. We have an on call provider from a different practice that is helping with our deliveries until she is credentialed. My question is how can I bill for the delivery for her since she will need a "supervising Provider" for the claim? Any help is appreciated.
Thanks,
Veronica
We are currently seeking a full time Certified Coder for Vaughn & Associates Law Firm located in Baton Rouge, LA. Our law firm represents anesthesiologist and chronic pain providers all over the country. This position is on site (NOT REMOTE) with great pay and benefits.
Duties/Responsibilities:
Review CPT, ICD-10, ASA and HCPCS coding on 1500 claim forms
Review anesthesia records for supporting documentation
Review chronic pain records for supporting documentation
Communicate issues and questions to management when appropriate
Maintain strict confidentiality
Performs other clerical duties, such as scanning, faxing, answering phone calls, data entry, etc.
Perform other job duties, as assigned
Qualifications:
Knowledge of CPT, ICD-10 and HCPCS coding
Background in medical terminology
Skills in computer applications such as MS Word, MS Excel and MS Outlook
Skills in verbal and written communication
Ability to work effectively with staff
Must be a team player
Ability to work independently with limited supervision
Must report to work consistently and on time
Communicate well with the public and staff
Education/Training/Experience:
High school graduate or equivalent
Coding experience preferred but not required
Formal training in Coding with certification in good standing. May be a recent graduate of an accredited Coding school or program
Coding certification required
Qualifications
Truly multifunctional having demonstrated on a daily basis flexibility to perform a myriad of duties without difficulty.
Education
AAPC: CPC Certified 2016
Evaluation & Management Class 2016
ICD-10-CM Certified 2016
Medical billing and coding| may 2006: Concord Career Ins
FSCJ: August 2003| GED
Experience
University of Florida Jacksonville Physician | Sept 2, 2008- Aug 21, 2017
Neurology, Neurosurgery, Psychiatry, from 03/01/2016-Aug 21, 2017 (Special Biller/Coder)
Emergency Medicine 08/02/2008-02/28/2015(Charge Follow-up Coordinator)
Ensured Prompt Follow up on unpaid Medicare Replacement Plans, Tricare, VA, Other Contracts and Grants, Jail, and Commercial HMO claims, all payers for Psychiatric claims
Performed adjustments, Registration, and Follow-up and coding on both IDX and EPIC accounts.
Research and take appropriate measures in regards to Refunds, Payer issues, Charge Corrections, etc., with the ability to identify possible issues that may come about.
Able to document insurance phone calls that inquire about claim payments.
Wright appeals with specific information that allows the insurance professionals to accept the claims and place payment.
Follow-up on claims that were wrongfully denied.
Cashier | UF Heath (Shands Hospital) | Jan 2, 2008 August 30, 2008
Pavilion Café
Ensured that customers had needs met to the best of my ability.
Managed checking customers out with speed and accuracy.
The Ability to get multiple tasks done so that day team can start the next day off with a clean café
Hostess| Hospitality Staffing| October 2007 Jan 2008|
Pavilion Café
Ensured that customers had needs met to the best of my ability.
Managed checking customers out with speed and accuracy.
The Ability to get multiple tasks done so that day team can start the next day off with a clean café
Skills
PC Skills, (Microsoft Word, Microsoft Excel), IDX, EPIC, CPT, ICD-9, ICD-10, Med-date, Availity, Humana, United HealthCare, BCBS, Medicare and Medicaid And other payer web portals.
Other Strengths
*Positive Attitude *Desires to learn *Motivated and team player
*Eager for new challenges *Dependable *Proactive
*Medicare Terminology *Medicare Compliance
References:
1. Janis Koerner (Business Group Manager for Emergency Medicine Physician Billing)Professional
Phone: 904-318-2621
Known since 8/2/2008
2. Racheal Tomlinson (Charge Follow-Up Coordinator) Professional and Friend
Phone: 904-7291105
Known since 2012
3. Angela Joyner (Charge Follow-up Coordinator) Professional
Phone: 904-330-3587
Known Since 2015