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Category Archives: Cpc Sample Questions

CPC, CCC looking for full time remote coding position

Amber Long, CPC, CCC
Certified Professional Coder

Lake Charles, LA 70611
ambbug18@yahoo.com **Primary Contact
337-853-4766 **Secondary Contact

To obtain remote employment using my medical knowledge, coding/insurance experience
and extensive knowhow of CPT and ICD-10 coding techniques.

WORK EXPERIENCE
2008 to Present- Imperial Health- Lake Charles, LA
Formally know as Imperial Calcasieu Medical Center and Lake Charles Medical and Surgical Clinic

Lead Certified Professional Coder
*Communicate with providers and management regarding any changes in CPT or ICD9 codes
*Code for Pulmonary office/hospital, Gastroenterology office/hospital, Rheumatology office/hospital,
*Cardiovascular office/hospital, and Peripheral studies IVUS/RFA.
* Interventional Radiology Coding, Pacemaker, and Heart Catheter
*In charge of educating 9 coders with pertinent information relating to all specialties.
* Set goals and meetings every month to train with the most up to date information in coding.

Lead Insurance Specialist
*In charge of leading my insurance team through denials and appeals of claims.
*Conduct meetings to review collections from our AR.
*Contact insurance companies on reprocessing claims.
*Advise on appropriate everyday workflow.
*Post payments from insurance companies to patients accounts.
*Review patient records using Medical Coding Procedures.
*Verify patient insurance eligibility
*Check claims for coding errors and perform modifications as needed.
*Update patient records, billing, and registration information

9/2007-3/2008 Dr Ricardo A. Bedoya- Jupiter, FL
Scheduling Coordinator
*Schedule patients for annuals, follow-ups, ultrasounds, and nuclear stress tests
*Verify insurances
*Responsible for calling patients due for appointments
*Answering multi-system phones
*Pulling charts
*Assisting front office with checking in patients, collecting copayments and deductibles

1/2007- 9/2007 Palm Beach Research- West Palm Beach, FL
Front Office Receptionist
*Greet and direct all patients and visitors
*Ensures completion of paperwork and sign-in procedures
*Scheduling patients
*Screening patients for research studies
*Answering multi-system phones
*Filing, faxing, ordering supplies, and organizing front office
*Sorts and routes all incoming and outgoing mail
*Data entry

10/2004 – 01/2007 Gap Inc –Palm Beach Gardens, FL
Assistant Store Manager
*Model a positive customer service spirit
*Worked with team throughout store to achieve brand standards
*Used merchandising guidelines to create inviting merchandising displays
*Provided information and communicated with staff effectively
*Made inform decisions and developed knowledge around policy and procedures
*Responsible for interviews, selecting, and hiring associates to support business needs
*Developed weekly store schedules
*Supervised Cash Office procedures
*Ability to drive sales and gap-cards while managing associates on sales floor

EDUCATION

American Academy of Professional Coders
May 2010 to Present

Vocational in Pharmacy Technician
Penn Foster Career School – Scranton, PA
September 2007 to May 2010

McNeese State University
August 2000 to May 2002

CERTIFICATION
CCC- Certified Cardiology Coder- AAPC April 2016
CPC- Certified Professional Coder AAPC May 2012

References available upon request

Medical Billing & Coding Forum | AAPC

Pathology coding

Can anyone please help with this question?

When a patient has multiple biopsies and 88305 is billed in multiple units and the biopsies are in multiple sites,
do you attach all of the diagnosis to the 88305 x (number of path), or just attach one diagnosis.

the coding class reference book we have on file states to only attach one diagnosis… I feel that all of the them should be attached for correct reporting.

Thanks

Medical Billing & Coding Forum | AAPC

2016 G-Codes, Definitive Drug Testing, G0480, G0481, G0482, & G0483 OPINIONS PLEASE!

When using codes G0480, G0481, G0482, & G0483 it’s my understanding that you do not and can not bill these codes with more than one unit.
I’ve read the description for all codes and that’s the only way I understand it. Please tell me if I am wrong!

UHC has just started denying the old codes and I am sending corrected claims on them, but my supervisor is telling me to bill for 4 units on G0480 because that’s the number of drugs tested for, I explained my thoughts on it but she is not seeing it that way.

Please tell me your thought!! And if I am wrong then why 4 different codes for different amounts of drug classes???

Please give me opinions, I would greatly appreciate them!!!

Medical Billing & Coding Forum | AAPC

CPT 45381 Injection/Tattoo

I’m looking for a DX to link to injection/tattoo to an area of the colon.

Right now, the providers I am coding for often use it to mark an area to keep an eye on that may need more investigation or possible surgery later down the road. Often this happens after the removal of a polyp. I would rather not use the polyp DX as the tattoo is not pointing to the polyp, but rather the tissue around the polyp.

Any suggestions?

Donna Davis

Medical Billing & Coding Forum | AAPC

20552 vs 20553

I am sure that I am overthinking this and making it harder on myself. Our physician states in her note "Left and Right SI joint injection administered to lumbar". I realize that 20552 states 1 or 2 muscles and 20553 states 3 or more muscles. Since the physician stated Left & Right injection I coded this case using 20552-RT, 20552-RT-59. It was denied by carrier. Of course my only other selection left is 20553. I just want to make sure that I am understanding the usage of these two codes as I am thinking lumbar has two separate locations (Left & Right). Thank you in advance for any help with this matter.

Medical Billing and Coding | AAPC Forum

How do you get started ?

Hi everyone,
I would love your input.
I’m curious to know how hard is it to get into this field?
I have no background in working at a medical office.
I come from the animal medicine field. Being a foreign vet.
I’m studying for for CPC which goes pretty well and i like it.
I was just wondering if any one has experience with it, or just know how hard or easy will it be for me to find a job?
I almost feel like i need to take the medical billing class because i never worked in a medical office. even though it seems like something you can learn as you go!?

hope to hear some comments
Thank you

Medical Billing & Coding Forum | AAPC