Cathy Schneider, Ccs-P

Cathy Schneider, Ccs-P Email and Phone Number

Referral Coordinator @ Kaiser Permanente
Lodi, CA, US
Cathy Schneider, Ccs-P's Location
Lodi, California, United States, United States
About Cathy Schneider, Ccs-P

I have 10 years of progressive Healthcare Revenue Cycle experience. My most recent role at General Dynamics Information Technology involved medical coding with greater than 97% accuracy, exceeding the target of 95%; at or above production requirements to ensure timely processing of records; following client-specific Coding Conventions and department Policies and Procedures to ensure consistent reporting.I earned Certified Coding Specialist – Physician-Based (CCS-P) certification in September 2023. As a CCS-P, I specialize in coding outpatient physician-based services from Emergency Reports, History and Physical documentation, Operative reports, Laboratory reports, Physician orders, and Procedure and Progress notes. I excel at reviewing medical record documentation and accurately assigning codes to the greatest level of specificity.I have demonstrated proficiency in:• CPT• Modifiers• HCPCS Level II• ICD-10-CM• Coding Guidelines• Medical Terminology• Anatomy and Physiology• Disease process• Pathophysiology and Pharmacology• HIPAA privacy and security regulations• National Correct Coding Initiative (NCCI) edits and guidelines• 1997 Documentation Guidelines for Evaluation and Management (E&M) Services in addition to current E&M coding guidelines• Adherence to the AHIMA Standards of Ethical CodingI am successful in both an office setting and remote working using various office machines and phone systems, computer hardware and software, Microsoft Office applications and type over 60 wpm. I am skilled in customer service, helping callers interpret their medical benefits and providing clarification regarding their medical claims. I have proven excellence in ensuring both the provider and patient receive maximum reimbursement and benefits for their medical claims. I achieved high dollar payout clearance through my expertise in Blue Shield of California Policies and Procedures, Medical Management guidelines, and claims software, successfully adjudicating claims out of pended and denied statuses by resolving edits and overriding incorrect auto-adjudication.I have also conducted training and auditing for Customer Service Representatives specializing in medical claims and benefits, mentoring each representative to ensure they understood the material and that they spoke to their callers in a helpful, friendly manner – as if speaking to their grandmother.

Cathy Schneider, Ccs-P's Current Company Details
Kaiser Permanente

Kaiser Permanente

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Referral Coordinator
Lodi, CA, US
Cathy Schneider, Ccs-P Work Experience Details
  • Kaiser Permanente
    Referral Coordinator
    Kaiser Permanente
    Lodi, Ca, Us
  • General Dynamics Information Technology
    Medical Coder
    General Dynamics Information Technology Oct 2023 - Sep 2024
    California, United States
    • Reviewed electronic health reports and assigned procedures and diagnoses into MedDRA medical terms• Followed Coding Conventions specified by the client• Adhered to team Policies & Procedures to ensure consistent reporting of adverse events• Exceeded quality accuracy rate while meeting and exceeding production, supporting peers in the same goal
  • General Dynamics Information Technology
    Medical Coder
    General Dynamics Information Technology Sep 2022 - Apr 2023
    Remote
    • Reviewed electronic health reports and assigned procedures and diagnoses into MedDRA medical terms• Followed Coding Conventions specified by the client• Adhered to team Policies & Procedures to ensure consistent reporting of adverse events• Exceeded quality accuracy rate while meeting and exceeding production, supporting peers in the same goal
  • Blue Shield Of California
    Business Systems Analyst
    Blue Shield Of California Jan 2007 - Jan 2017
    Helped callers in interpreting their medical benefits and clarifying medical claims processing for:• Outpatient hospital services• Outpatient surgery• Emergency services• Laboratory services• Radiology services• Inpatient physician visits• Outpatient physician visits• Physician office visits• Inpatient hospital stays and procedures• Inpatient surgeryExpertise in ensuring maximum reimbursement and benefits for both providers and patients.Achieved high-dollar payout clearance through accuracy and comprehensive knowledge of CPT, ICD, HCPCS, modifiers, Blue Shield of California policies and procedures, medical management guidelines, and claims editing software.Processed pended or denied claims by resolving edits and overriding incorrect auto-adjudications.Responsible for troubleshooting incorrect claim processing based on examples provided by Customer Service Representatives. Provided criteria to IT for pulling claims data for analysis and reviewed the data to identify inconsistencies, errors, or unique circumstances causing incorrect processing. Collaborated with the IT team to resolve these issues.Created test scripts to ensure accurate processing of annual and bi-annual code changes before implementation in the claims adjudication system. These test scripts included variations in CPT, ICD, HCPCS, modifiers, types of service, place of service, and provider types. Worked closely with the system configuration team to address failed test scripts, ensuring 100% accuracy for each implementation over a five-year period.Conducted training and auditing for Customer Service Representatives specializing in medical claims and benefits, mentoring each representative to ensure they understood the material and communicated with callers in a helpful, friendly manner.

Cathy Schneider, Ccs-P Education Details

Frequently Asked Questions about Cathy Schneider, Ccs-P

What company does Cathy Schneider, Ccs-P work for?

Cathy Schneider, Ccs-P works for Kaiser Permanente

What is Cathy Schneider, Ccs-P's role at the current company?

Cathy Schneider, Ccs-P's current role is Referral Coordinator.

What schools did Cathy Schneider, Ccs-P attend?

Cathy Schneider, Ccs-P attended Ahima, San Joaquin Delta College.

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