Marci Barnhart Email & Phone Number

Amarillo, Tx, Us

Amarillo, Tx, Us

Canyon, Texas, United States

Deliver health information management coding and auditing to encourage regulatory compliance for inpatient and outpatient services. Offer coding education and mentoring. Draft Payor Denial letter appeals, driving medical claims process. Notable Contributions:• Educate and train 15+ consultants, assisting them to understand best practices for auditing & consulting support.• Perform ProFee Front-End & Back-End Rejection Edits, strengthening electronic health care claims procedures.• Encourage seamless medical record data analysis & transfers, improving patient healthcare record maintenance.

Canyon, Texas

Facilitate large healthcare provider group, meticulously performing audits for contractual write offs to eliminate inaccurate codes. Strengthen coding objectives, educating and training providers and staff about Current Procedural Terminology (CPT), ICD -10 audits, and modifying audit coding. Encourage proper billing and documentation compliance to improve internal operations and increase revenue in Hand Surgery, Surgery Center, and Wound Care Center. Routinely consult with Critical Access Hospital, improving emergency room and inpatient services billing. Notable Contributions:• Concisely perform accurate account reconciliations to ensure proper insurance payments. • Complete 1,100+ claim denial resolutions and edits monthly.

Improve patient health & safety to combat medical fraud. Carefully review client cases to support compliance. Perform regular physician chart monitoring to evaluate billing reports. Provide physicians with hands-on educational assistance to avoid billing errors. Efficiently communicate findings to TMB staff, pushing for resolution.

Addressed additional claims problems by drafting and submitting final reports to clients. Submitted Medicare & Third-Party Recovery Audit appeals and reconsideration resolutions. Evaluated all applicable data by precisely evaluating inpatient charts. Authored claim determination letters to report decisions to clients. Notable Contributions:• Measured ICD-10 coding processes to drive gastroenterology and pain management.• Audited ambulatory surgery center billing to identify procedure codes for anesthesia & professional diagnosis.

Served dual coding role, reviewing ICD-9 & ICD-10 inpatient diagnosis & procedure codes.

Evaluated ICD-10 coding to audit inpatient, outpatient, & professional diagnosis and procedure codes. Fostered productive client relationships. Delivered final reports to clients, discussing audit findings.

Performed comprehensive audits to identify fraud, waste, abuses, and errors. Provided quality customer service, encouraging loyal customer growth. Managed medical provider operations, drafting provider reports to create coding pricing methods. Audited regional MOU claims. Timely settled 2nd & 3rd level appeals. Evaluated claims to address coding, billing, and reimbursement problems.

Master Of Science (M.S.), Clinical Practice Management

Bs, Psychology