Daniel Baugh, Cpc

Daniel Baugh, Cpc Email and Phone Number

Director of Coding and Compliance @ Legacy Health LLC
Saint Johns, FL, US
Daniel Baugh, Cpc's Location
Saint Johns, Florida, United States, United States
Daniel Baugh, Cpc's Contact Details

Daniel Baugh, Cpc work email

Daniel Baugh, Cpc personal email

n/a
About Daniel Baugh, Cpc

Certified Professional Coder with 23 years of experience. Formal education in Health Information Management. Strong track record for meeting deadlines, resolving revenue cycle management day to day operations , and ensuring RVU capture. Performs audits on Surgical cases. Trained and certified through American Association of Neurological Surgeons (AANS)• ICD-9-CM, ICD-10-CM, Evaluation and Management, CPT, HCPCS coding• Medical terminology, anatomy and physiology, pharmacology• Electronic health record experience (EPIC, eClinical Works, All scripts)

Daniel Baugh, Cpc's Current Company Details
Legacy Health LLC

Legacy Health Llc

View
Director of Coding and Compliance
Saint Johns, FL, US
Employees:
1350
Daniel Baugh, Cpc Work Experience Details
  • Legacy Health Llc
    Director Of Coding And Compliance
    Legacy Health Llc
    Saint Johns, Fl, Us
  • Florida Medical Clinic Orlando Health
    Coding & Auditing Assoicate Director
    Florida Medical Clinic Orlando Health Jun 2021 - Present
    Zephyrhills, Florida, Us
  • Florida Medical Clinic Orlando Health
    Coding Auditing And Reimbursement Manager
    Florida Medical Clinic Orlando Health Sep 2020 - Jun 2021
    Zephyrhills, Florida, Us
  • Hca Healthcare
    Medical Coding Auditor
    Hca Healthcare Jun 2019 - Oct 2021
    Nashville, Tn, Us
  • Hca Healthcare
    Coder Ii
    Hca Healthcare Jun 2014 - Jul 2019
    Nashville, Tn, Us
    • Abstracts CPT-4, HCPCS II, and ICD-9-CM from medical records for Neurosurgery, Interventional Neurology, and Neurology, General Surgery, Orthopedic Surgery. • Continue education to Doctors and Clinical team on coding guidelines and updates.• Works in conjunction with A/R team on follow up and resolution of coding related denials and rejections.• Perform Audits surgical cases to ensure proper RVU’s are accounted. • Oversee charge entry into billing system in a timely manner on all cases. Working with billing staff to ensure 24 hour turnaround.
  • Beacon Health System
    Educator/ Auditor
    Beacon Health System Nov 2016 - Mar 2018
    South Bend, In, Us
    Coder and physician education auditing and coding
  • Scio Health Analytics®
    Drg Audit Coordinator Ii
    Scio Health Analytics® Aug 2011 - Jun 2014
    Hartford, Ct, Us
    • Verifying and abstracting the medical coding to reflect correct ICD-9 and CPT billing. • Pricing claims for DRG, Per Diem, Case Rate and to confirm claims have paid to contract standards. Requesting medical records and verifying the records are correct to ensure audits can be performed properly and in a timely manner.• Creating invoices to the clients and collection letters.• Validating and correcting the DRG’s mirror the data files and client system.
  • St. Vincent'S Healthcare
    Coding Specialist Ii
    St. Vincent'S Healthcare Oct 2010 - Jul 2011
    Jacksonville, Fl, Us
    • Medical coding of all physician based claims that are on aged revenue cycle multiple specialties by abstracting from Medical Records.. • Analyze claims to ensure medical coding and medical billing precisely in order to meet the highest accounts receivable why meeting CMS/ Commercial Payer guidelines.• Provide customer service to providers’ patient’s inquiries regarding billing and insurance inquires via telephone and written correspondence. • Review Medical records to determine what CPT and diagnosis code would be supported by the clinical records and make appropriate changes and adding addendum’s to medical records.
  • Medical Development International
    Account Reconciliation Specialist
    Medical Development International Jan 2009 - Jul 2010
    • Created a monthly analysis of approximately 1500 – 2000 claims a week and verify appointments for each client.• Utilized internal applications to receive, process, and invoice all claims associated with each appointment.• Analyzed existing claims to ensure medical coding and medical billing precisely in order to meet CMS guidelines. • Appropriately administered CPT codes on an average of 180 claims a day with an accuracy ratio of 95%.• Contacted vendors via phone, fax, or e-mail to request outstanding or corrected claims to over 30 institutions
  • Mayo Clinic
    Patient Financial Representative I
    Mayo Clinic Dec 2005 - Jan 2009
    Rochester, Minnesota, Us
    • Accurately abstracting CPT coding from Medical Records. • Update medical records demographic and insurance information.• Provide client inquiries regarding billing and insurance questions via direct customer contact.• Negotiate authorizations and pre-certifications for patients within the Mayo system.• Confirm insurance and benefits, including source and method of verifications.
  • Hca
    Discrepancy Analyst
    Hca Aug 2004 - Nov 2005
    Nashville, Tn, Us
    Locate types of discrepancies in Medicare and Medicaid claims and assign reason codes. By using grouper software as 3m and webs rate. Corrections of payment and non-payment related discrepancies. Responsible for working over 100 accounts daily for multiple hospitals

Daniel Baugh, Cpc Skills

Hipaa Healthcare Information Technology Medical Coding Revenue Cycle Healthcare Management Medical Billing Medicare Icd 9 Training Microsoft Excel Neurology Medicaid Accounts Payable And Receivable Neurosurgery Orthopedics Accounts Receivable Leadership Auditing Emr Eclinical Works Encoders Cpt Medical Records Ehr Healthcare Medical Terminology Revenue Cycle Management Epic Systems Hospitals Hcpcs Healthcare Consulting Icd 9 Cm Surgery Health Information Management Clinical Research Invoicing Managed Care Inpatient Physician Relations Icd 10 Insurance Informatics Health Insurance Microsoft Word Process Improvement Outlook Customer Service Management Data Entry Current Procedural Terminology

Daniel Baugh, Cpc Education Details

  • Florida Metropolitan University
    Florida Metropolitan University
    Health Information/Medical Records Technology/Technician
  • Florida State College At Jacksonville
    Florida State College At Jacksonville
    Health/Health Care Administration/Management
  • Aapc
    Aapc
    Cpc

Frequently Asked Questions about Daniel Baugh, Cpc

What company does Daniel Baugh, Cpc work for?

Daniel Baugh, Cpc works for Legacy Health Llc

What is Daniel Baugh, Cpc's role at the current company?

Daniel Baugh, Cpc's current role is Director of Coding and Compliance.

What is Daniel Baugh, Cpc's email address?

Daniel Baugh, Cpc's email address is da****@****are.com

What schools did Daniel Baugh, Cpc attend?

Daniel Baugh, Cpc attended Florida Metropolitan University, Florida State College At Jacksonville, Aapc.

What are some of Daniel Baugh, Cpc's interests?

Daniel Baugh, Cpc has interest in Auditing, Children, Education, Health.

What skills is Daniel Baugh, Cpc known for?

Daniel Baugh, Cpc has skills like Hipaa, Healthcare Information Technology, Medical Coding, Revenue Cycle, Healthcare Management, Medical Billing, Medicare, Icd 9, Training, Microsoft Excel, Neurology, Medicaid.

Who are Daniel Baugh, Cpc's colleagues?

Daniel Baugh, Cpc's colleagues are Nadeeshani Vidarshana, Manju Rayappan, Amaan Ahamed, Ishara Vimukthi, Seth Montfort, Esakkiammal M, Jothi Jennifer.

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