Lisa M. Schwartz CPC, CPB, CPC-D
Marlborough
Summary
Seasoned Senior Medical Coder recognized for high productivity and efficiency in task completion. Possess specialized skills in ICD-10 coding, medical billing processes, and compliance with healthcare regulations. Excel in critical thinking, problem-solving, and communication, ensuring accuracy and integrity in coding practices.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Senior Medical Coder
Dermatology Associates of Concord
Concord
11.2016 - Current
- Analyzed physician documentation to ensure accuracy of codes assigned in accordance with accepted coding guidelines.
- Utilized coding software and tools efficiently to expedite the coding process.
- Coordinated with billing department to clarify billing issues related to coding.
- Maintained high accuracy rate on daily production of completed reviews.
- Safeguarded medical records to maintain patient confidentiality.
- Trained new coders on proper use of ICD-10 codes and CPT codes.
- Resolved coding discrepancies and denials to maximize reimbursement.
- Handled incoming patient calls and answered any insurance and billing questions.
- Maintained positive working relationship with fellow staff and management.
- Provided coding guidance and assistance to physicians, nurses and other staff members.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- I earned my CPC-D and CPB to enhance my coding and billing knowledge.
Coding Specialist
Logixhealth
Burlington
07.2015 - 10.2015
- Testing and troubleshooting a new coding platform using the ICD-10 code set
- Ensured all clients were set up properly in the ED PACE coding system for the start date of ICD-10 to ensure a smooth transition from ICD-9
Manager of Coding
Logixhealth
Burlington
12.2014 - 07.2015
- Oversee 3 off site production teams that provide coding for 200 Emergency Department and Urgent Care sites to ensure quality of coding and quantity number of charts per shift
- Implement phases of ED pro/facility coder production to meet client contractual T-Time
- Ensure that all Billing Denials and Charge Entry Edits are worked timely and feedback provided to production partners
- Offer solutions to management to decrease the occurrence of errors/edits
- Responsible for hiring, training, and assigning daily tasks to a team of 4 administrative assistants and 2 coding specialists
- Assign new clients to a coding production team with the correct number of coders based on annual volume and monitor the quality of the coding delivered to the client
- Work with Application Systems Team to improve and develop new reports to improve labor intensive manual processes
Assistant Manager of Coding
Logixhealth
Burlington
08.2013 - 03.2014
- Work with production partners to ensure all clients charts are coded and meet contractual T-times
- Hold weekly touch base calls with production partners to review coding issues
- Ensure that all billing denials and charge entry edits are worked and resolved in a timely manner
- Handle all client facing questions and/or concerns
- Review coder audit results and discuss with partners detailing the results, trending of results and action plans if warranted
- Train new administrative assistants in the company's coding platform, department policies and procedures
- Work various clients scrubber systems daily for any billing edits that could hold up payments
- Sorian Financials, 3M, Athena, Meditech, IDX
Administrative Assistant
Logixhealth
Burlington
08.2012 - 08.2013
- Track coder assignments to ensure all charts are coded, prepare daily coding grid to alert managers if an account is not falling under contractual T-times and/or if there are an excessive number of charts uncoded
- Help with search clients data base for chart information
- Help build and then maintain department SharePoint page
- Assign and track CRM cases
- Review monthly provider outlier reports and make provider changes as needed
- Scheduled policy calls between clients and director of coding
- Update clients coding policy as necessary and inform all managers and partners of new changes
Office Administration
Schwartz Medical Group
Norwood
09.2000 - 09.2010
- Executed daily operations of scheduling patient appointments and sending referrals
- Ordering lab tests, ultra-sound, x-ray, and other out of office testing for office and nursing home patients
- Reviewed records for completeness, accuracy and compliance with regulations
- Compiled and maintained patients' medical records to document that every office and nursing home visit was properly dictated, coded, billed, and paid
- Instrumental in setting up a database of all visiting nurse and hospice patients in order to properly bill for Care Plan Oversight
- Released information to persons and agencies according to regulations
- Planned, developed, maintained and operated a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information
- Processed and prepared business and government forms
- Protected the security of medical records to ensure that confidentiality was maintained
- Prepared monthly reports of nursing home patients who needed ultra sound exams using Medisoft Medical software
- Responsible for sending electronic prescriptions to pharmacies
- Processed nursing homes patient admission and discharged documents
- Reviewed daily lab reports with the Physician and then called patients with new orders or to schedule follow up appointments or new tests
Education
Certified Professional Biller Prep Course - Medical Billing
AAPC Online
Marlborough, MA05-2023
Certificate - 300-hour Certificate Program For Comprehensive Med
Assabet Valley Center For Continuing Education
Marlboro, MA09-2011
Skills
- Microsoft Office
- Modernizing Medicine Practice Management System
- Athena
- Internet research
- Data entry
- Database management
- Critical thinking
- Organizational abilities
- Verbal communication
- Problem solving
- Leadership
- Interpersonal skills
- Customer service
- Listening
- Independent work
- Teamwork
- Integrity
- Task prioritization
- Commitment to professional development
Qualifications Summary
Analyze and abstract key data from clinical documentation and assign diagnostic and procedural codes from ICD-10, ICD-9-CM, CPT-4, and HCPCS, relying on strong knowledge of coding guidelines, medical terminology, anatomy and physiology, and pharmacology, and federal regulations, including HIPAA., Microsoft Office-Word, Excel, Outlook. Outstanding Internet research, data entry, database management skills., Exceptional critical thinking and organizational abilities. Excellent verbal communication, problem solving, and leadership skills. Refined interpersonal and customer service skills, excellent listener. Confident working independently and as a team member with the highest integrity and respect for the HIM profession. Superior ability to efficiently focus on and prioritize tasks. Excited to pursue additional certification opportunities and committed to meeting professional continuing education requirements.
Certification
- Certified Professional Biller - (CPB)
Issued by American Academy of Professional Coders (AAPC) February 2024
- Certified Professional Coder - Dermatology (CPC-D)
Issued by American Academy of Professional Coders (AAPC) March 2018
- Certified Professional Coder - (CPC)
Issued by American Academy of Professional Coders (AAPC) October 2011
References
References available upon request.
Timeline
Senior Medical Coder
Dermatology Associates of Concord
11.2016 - Current
Coding Specialist
Logixhealth
07.2015 - 10.2015
Manager of Coding
Logixhealth
12.2014 - 07.2015
Assistant Manager of Coding
Logixhealth
08.2013 - 03.2014
Administrative Assistant
Logixhealth
08.2012 - 08.2013
Office Administration
Schwartz Medical Group
09.2000 - 09.2010
Certified Professional Biller Prep Course - Medical Billing
AAPC Online
Certificate - 300-hour Certificate Program For Comprehensive Med
Assabet Valley Center For Continuing Education
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