Joanne Bellinger Camp, Rhit, Ccs Email & Phone Number

Richmond, Virginia Area

Conducts in-depth medical claims coding analysis utilizing ICD-9-CM, ICD-10- CM/PCS, CPT-4, and HCPCS Level II/III coding principles to ensure the claims in review has been coded and paid correctly. Provides electronic documentation of findings and conclusions with determinations of claims coding payment appropriateness in review tool fields. Reviews and completes the required number of claims reviews in accordance with established production standards for the project Communicates internally with all levels of the UPIC program. (Program Integrity, Operations and Medical Review). Participates in QA and IRR monitoring as requested Complies with departmental policies and procedures Complies with Program Integrity Manual (PIM) and Statement of Work (SOW) guidelines and CMS/individual state (Medicaid) directives and regulations pertaining to integrity, fraud, overpayments, and the handling and disclosure of information.

Richmond, Virginia Area

Conducted in-depth medical claims analysis utilizing medical record knowledge and experience in order to implement medical records. Apply knowledge of ICD-9-CM and CPT-4 coding to determine services rendered. Sort and notate medical record layouts, formats, and abstraction for a variety of medical settings. Applies the interpretation of ANSI Reason Codes, Code Revenue, timely MAC edits and Audit codes, and other Medicare billing formats in order to determine appropriate billing submissions and reimbursement. Conducts medical record audits to determine the medical necessity and/or appropriateness of medical treatment using CMS and other national guidelines, as well as national and local coverage decision determinations. Provides electronic documentation of findings and conclusions with determinations of claims payment appropriateness in review tool fields. Reviews and completes the required number of claims reviews in accordance to established production standards for the project. Communicates internally with all levels of CERT. Participates in QA and IRR monitoring as requested. Complies with departmental policies and procedures. Complies with Program Integrity Manual (PIM) and Statement of Work (SOW) guidelines and CMS directives and regulations pertaining to integrity, fraud, overpayments, and the handling and disclosure of information. Attends departmental and required education and training programs.

Richmond, Virginia Area

Representative for Toddlers to Grandparents, LLC., a service facilitating agency for consumer directed Medicaid waivers. Consult and assist families with education regarding technical processes and resources available. Updating of Community Based Care Assessment Report. Apply time management, organizational skills, and interpersonal communication in this role.Function as the point of contact between Agency and clientele.

Charlotesville, Va

Negotiated contracts between pharmaceutical companies and clinical trial sites. Responsible for communication of pharmaceutical company legal requirements to medical professionals. Direct communication with domestic and international clinical trial sites and pharmaceutical companies. Management of contracts for multiple Pharmaceutical Companies (US and International).

Associate Of Arts And Sciences (Aas), Health Information Technology

Paralegal Certification, Legal Studies

Bs, Psychology