Giselle Arnold, Cpc, Cpma, Cpc-I, Canpc, Crc Email & Phone Number

Dallas, Texas, Us

Assign and supervise tasks in daily workflow for a team of 25 Multispecialty Coders Monitor charges to ensure all are captured, coded and billed within respective time frames.Serve as resource to Providers, Clinical Staff and Senior Management on coding and documentation requirements/guidelines.Assist in patient, coder and provider escalations of billing issues and payor denials.Participate in huddles and trainings to disseminate information to my peers that will increase their knowledge and skills.Assist with interviews and training of new hires. Perform annual evaluations and quarterly reviews.Mange staff time off calendar and process payroll Audit staff productivity and quality to ensure company's standards are upheld.Create and execute performance improvement plans.Collaborate with EPIC Application and Revenue Integrity Analyst to ensure codes, guidelines and projects that require production or build are accurate and necessary for all stakeholders.

Dallas, Texas, Us

Anesthesia Dept/Pro Fee Coder Reviewed Providers documentation to accurately code multispecialty procedures performed by Surgeons to cross code to ASA codes and Pain Management Procedures.Guided co-workers in using correct coding principles and guidelines to improve Dept quality.Corrected system and payer coding edits prior to submission of claims by utilizing LCD/NCD, CCI MUEs. Exceeded the goal of 95% overall accuracy rate for the last 2 years.Query provider on any documentation that is unclear or insufficient.

Dallas, Texas, Us

Contracted thru MedPartners/Harmony HealthCorrected NCCI and payer coding edits prior to submission of claims by assigning appropriate modifiers and or diagnosis codes.Corrected coding for various post submission claims that were denied by Insurance Carriers.Coded multi-specialties outpatient facility and pro fee charges.Determined medical necessity by reviewing Local Coverage Determination and payer specific guidelines.Assigned appropriate CPT, HCPCS, ICD-9 and ICD 10 diagnosis codes and enter into Encoder system.Communicated with providers for missing documentation, and guidance for accurate code capture.

Lawrenceville, Ga, Us

Teach material in accordance with learning objectives in over 20 topics related to Health Information Management with expertise in Medical Coding Certifications. Develop course curriculum and Grading Rubrics.Plan and create course syllabus to include lectures, in-class discussions, and assignments.Utilize a variety of instructional strategies in order to engage students.Analyze student surveys and data for additional educational training that may be needed

Gwinnett Technical College Taught students ICD 9-CM, CPT, HCPCS II codes along with Medical Terminology and other basics to become a Medical Biller/Coder. Advised student on how to report codes on CMS-1500 form, Assessed grades for students based on participation, performance in class and examinations.

Alpharetta, Ga, Us

Performed coding and charging responsibilities for Anesthesia/Pain Medicine, Gastroenterology and Plastic Surgery specialties.Audited Providers’ notes for accuracy of co-morbidity documentation and diagnosis capture.Shadowed Anesthesiology Staff to ensure complete documentation being captured for billing.

Oakland, California, Us

Provided assistance and coaching on coding and charting of medical documentation for over multi-specialty providers in over 20 Kaiser Permanente facilities during EPIC go lives for the Northern Region. Audited physicians’ notes for accuracy of assigned level of Evaluation and Management services and diagnosis codes.Accurately assigned CPT and ICD-9 codes to charts from the Ambulatory Surgery Center, Neurology, Family Practice and various other specialties.Audited/reviewed charts for Hierarchical Condition Categories per CMS guidelines.

Managed day-to-day operations of Central Billing Office and staff of 20. Oversaw collections of 8 Urgent Care Centers consisting of 30 providers and over three million dollars of monthly net revenue. Increased collections of Graduate Medical Education program at Atlanta Medical Center - 21 faculty physicians and 97+ residents.Maintained operating budgets.***Coding and Compliance Manager ****Conducted training in coding compliance for Central Billing Office, off site Physicians and staff. Educated employees on processing claims and follow up for third-party reimbursement. Modified office to HIPPA standards. Informed providers and staff on changes in fraud and abuse laws, coding changes, documentation guidelines and insurance carrier requirements.Performed timely updating of internal documents, patient registration forms, billing forms as required by changes in coding or insurance billing requirements. Conducted prospective and retrospective audits.Assigned appropriate Procedure and Diagnosis codes for Physicians assigned to Hospital’s Emergency Department and Urgent Care Facility charts.

Denver, Co, Us

Instructed Medical Billing and Coding classes

Researched and applied knowledge of all insurance rules (government and non government) for major insurance programs in the Southern States Region.Coded and posted charges, to patient accounts.Reviewed insurance payments and EOB forms to ensure correct processing and payment of claims. Researched and prepared appeals for all underpaid, unjustly recoded, or denied claims. HCFA filing with review of ICD-9 and CPT coding. Organized work items and assigned tasks to 7 representatives.