Lillian Lewis Ccs-P, Cpc, Cdeo

Lillian Lewis Ccs-P, Cpc, Cdeo Email and Phone Number

Provider Auditor SR, SIU (Elevance) @ Elevance Health
Lillian Lewis Ccs-P, Cpc, Cdeo's Location
Baton Rouge, Louisiana, United States, United States
About Lillian Lewis Ccs-P, Cpc, Cdeo

Highly analytical and performance-driven certified Medical Coder with substantial expertise in healthcare administration, SIU/Fraud, and a concentration on coding and auditing in a multi-specialty setting. Skilled in manipulating vast volumes of data, developing audit analyses, generating audit reports, and presenting outcomes. Knowledge of medical coding compliance, insurance, reimbursement/billing/relations, diagnostic and procedural analysis, and risk adjustment to identify risks and opportunities for clinical recording, improvement, and training. Recognized for excellent analytic and investigative abilities, with a successful track record of auditing 40 to 70 daily claims with 95% accuracy. .

Lillian Lewis Ccs-P, Cpc, Cdeo's Current Company Details
Elevance Health

Elevance Health

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Provider Auditor SR, SIU (Elevance)
Lillian Lewis Ccs-P, Cpc, Cdeo Work Experience Details
  • Elevance Health
    Clinical Provider Sr
    Elevance Health Apr 2017 - Present
    Work From Home
  • Education Corporation Of America-Vc Of Baton Rouge
    Medical Billing And Coding Adjunct Instructor
    Education Corporation Of America-Vc Of Baton Rouge Jan 2016 - May 2017
    Baton Rouge, Louisiana
     Teaches the depth and scope of class materials as outlined in the syllabus and catalog and relatesthe instruction to careers and employer expectations Develops the syllabus for each course assigned based on accreditation and department criteria.The syllabus is to include learning objectives expressed in behavioral terms Distributes the syllabus to the Academic Dean, the Program Director and to each student at thefirst scheduled class session Prepare and grades examinations based upon course objectives and published exam schedule andreturns all assignments in a timely manner Implements evaluation for outcomes assessment, and achieves established results whilemaintaining college standards of student satisfaction
  • Insight Global
    Fraud Waste And Error Clinical Investigator
    Insight Global May 2016 - Feb 2017
    Remote/Telecommute
     Work collaboratively with the Coding and Clinical Teams in development of training tools Perform analysis and provide formal feedback of clinical documentation and coding deficiencies Examine, assess, and document business operations and procedures to ensure data integrity, datasecurity and process optimization Investigate, recover, and resolve all types of claims as well as recovery and resolution for healthplans, commercial customers, and government entities Investigate and pursue recoveries and payables on subrogation claims and file management
  • The Csi Companies
    Sr. Medical Coder- Hcc
    The Csi Companies Jul 2015 - Jan 2016
    United Health Group Franklin Tennessee
    • Audited and coded Patient Assessment Form (PAF) visit encounters, HCC & RX HCC Risk Categories reviewing early diagnoses, provider documentation, management of chronic conditions and medications.• Applied ICD-9 and ICD-10-CM codes based on treatment plan/assessments• Utilized coding guidelines to ensure accurate code assignments for inpatient, surgical procedures, and outpatient encounters• Audited for inconsistencies in dates of service, face to face encounters and for inappropriate provider signature requirements.
  • God’S Way Project Excel-Mbc
    Adjunct Instructor Part-Time/Medical Billing And Coding
    God’S Way Project Excel-Mbc Oct 2014 - Aug 2015
    Baton Rouge, Louisiana
    • Responsible for providing quality instruction to students through well prepared course assignments, with clear documentation of student progress. Ensured course and program learning outcomes were defined by the course syllabus. Adequately prepared all course material lesson plans.• Developed, evaluated, revised and taught lesson plans and laboratory instructions related to Medical Billing and Coding program, to assigned students.• Selected and utilized quality resources and educational materials needed to meet course requirements, within allocated budget.• Evaluated, tracked and documented students’ learning progress through practical tests, theory exams, and classroom observations.• Provided regular feedback and academic advice to students to improve their academic learning progress.• Louisiana State Board Approved Instructor
  • Baton Rouge General Hospital/Physicians
    Senior Coding Specialist-Multi-Specialty Group
    Baton Rouge General Hospital/Physicians Jan 1988 - Jul 2015
    Baton Rouge, Louisiana
    • Assigns ICD-9 and/or CPT/HCPCS codes, as appropriate and abstracts pertinent information from patient records • Abides by the Standards of Ethical Coding as set forth by AAPC and AHIMA, as well as, HIPPA compliance• Maintain a coding accuracy rate of 95%; ensuring clients production and quality expectations are met.• Analyzed medical records to ensure completeness and accuracy with Official Coding Guidelines, CMS policies and regulations, and procedures• Perform responsibilities of analyzing and collecting patient payment and posting payments• Responsible for ensuring correct claims payments through confirmation from EOB or remittance advice• Ensured reimbursement of all claims in compliance with CMS policies and procedures submission to minimize claim denial• Communicated professionally and effectively when providing educational sessions for Physicians, Clinicians, and office staff • Implements medical centers providers query process when code assignments are not straight forward or documentation in the medical record is inadequate, ambiguous, or unclear for coding purpose• Resolved deficient and delinquent denial issues • Demonstrated effective time management skills by completing assgnments within time constraints and calendar schdule

Lillian Lewis Ccs-P, Cpc, Cdeo Education Details

  • Copiah Lincoln Jr. College
    Copiah Lincoln Jr. College
    3.5
  • Copiah Lincoln Jr. College
    Copiah Lincoln Jr. College

Frequently Asked Questions about Lillian Lewis Ccs-P, Cpc, Cdeo

What company does Lillian Lewis Ccs-P, Cpc, Cdeo work for?

Lillian Lewis Ccs-P, Cpc, Cdeo works for Elevance Health

What is Lillian Lewis Ccs-P, Cpc, Cdeo's role at the current company?

Lillian Lewis Ccs-P, Cpc, Cdeo's current role is Provider Auditor SR, SIU (Elevance).

What schools did Lillian Lewis Ccs-P, Cpc, Cdeo attend?

Lillian Lewis Ccs-P, Cpc, Cdeo attended Copiah Lincoln Jr. College, Copiah Lincoln Jr. College.

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