Angela Mabe, Cpc Email & Phone Number

Tulsa, Oklahoma, United States

Conducted anesthesia coding and billing responsibilities in office, ensuring compliance with CMS guidelines and achieving a coding accuracy of 95%. Apply appropriate ASA code and modifiers commonly used in anesthesia cases. Review concurrency, physical modifiers, and procedure times. Accurately enter procedure codes, diagnosis codes and patient information into billing software. Collaborate effectively with managers and billing team members to resolve coding and billing discrepancies promptly. Investigate and appeal claim denials to ensure maximum reimbursement. Identify trends in denials and work with the team to prevent future issues.Successfully process and submit over 600 anesthesia claims monthly in office, utilizing EHR systems and billing software. Experience with Connect Back Office, Cerner and Epic.

Reviewed inpatient and outpatient medical charts and identified support to correctly capture codes that risk adjust.Abstracted appropriate medical codes with a 95% accuracy rate.Maintained updated knowledge of coding requirements through continuing education, training, test and certification renewal. Concisely reviewed medical record information to identify appropriate coding based on CMS HCC categories and ICD 10 guidelines. Ensured that the diagnosis code for each HCC condition has been captured and submitted within the permitted time frame. Resourcefully used an online encoder and other approved methods to accurately perform duties.Worked multiple projects meeting different client needs and meeting or exceeding timelines and prioritizing workload accordingly.

Ensures correct CPT code selection for the level of service billed for 8 chiropractic offices.Responsible for correcting initial coding errors in the Chiropractic EHR System and reviewing patient medical health records and claims.Review and understand pertinent information from health records and physician notes including medical terminology and human anatomy. If a question arises, query the provider to resolve documentation concerns for a resolution.Submit daily reports to the supervisor to track any patterns of errors or problems that need special attention.Responsible for electronically submitting claims at the end of the day to be processed.Access Change Healthcare to review any rejected claims and correct issue/ reprocess claims.Maintaining HIPAA guidelines and the required CEUs needed for the CPC credential. Daily use and familiarity with Microsoft Office, Slack, and Google documents.Assist supervisor with the training and support of new claims auditors and assist in answering questions as needed.

Remote

Accessed remote VPN/ CPSI and performed timely follow up on all of assigned claims as well as attend daily meetings via teleconference. Accessed the critical access hospitals electronic health records and delinquent aging reports to research and review claim status and potential health record errors. Assist in making corrections when appropriate and modify as needed to ensure proper and timely payment. Contacted various commercial insurance companies regarding patient eligibility, claim status, and claim reprocessing.Accurately and thoroughly document the activity performed on patient accounts and worked with coworkers to correct issues to collect payment.Utilized Microsoft Excel spreadsheets to document and track issues with claims and was able to reduce the delinquent amount each month.Monitored claim payment/ denials and identified potential problems through established insurance follow-up activities including reviewing CPT codes and diagnosis codes for errors.Maintained patient and employee privacy and confidentiality according to HIPAA guidelines.

Belton, Texas, United States

Created business plans, managed billing, accounts receivable, daily operations, and marketing, all while creating memorable photography for clients. Specialized in newborn in-home sessions, actively utilizing props, costumes, lighting, and decorations. Established rapport with clients, effectively communicating with a diverse clientele to determine their goals for the session. Described the techniques required to achieve the goals and created beautiful art pieces to treasure. Published on the cover of Names and Numbers directory for Killeen, TX, in 2011, and in Women’s World Magazine in August 2009. Volunteered professional services to two military charities.