STACEI R. STANFORD, CPC

16 CHELMSFORD CT.

BALTIMORE, MD. 21220 443/610-7382
Stacei96@gmail.com

CAREER PROFILE

Certified Coding position in the healthcare field making sure coding and compliance guidelines are followed with correct coding abstraction to ensure constant financial revenue.

EMPLOYMENT HISTORY

Kirk Army Health Clinic, Aberdeen Maryland Contract

Coder

Proficient in DOD Guidelines, Verifies and assigns diagnosis and procedure coding according to ICD-10 cm cpt and hcpcs guidelines with a high degree of accuracy. Contacts physicians and other healthcare providers to clarify dx and procedures, sequencing codes accurately for optimal reimbursement. Provides education to physicians and ancillary staff on appropriate documentation needs for coding.

Brightwood College

Instructor Billing/coding Adjunct Current

Teaching the billing, coding and health information management materials outlined in each courses curriculum. Prepares and grades all class/lab assignments and exams, maintains attendance records for each student.

MedStar Harbor Hospital

Specialist Physicians Billing 11/16-05/18

Prepares and submits clean claims electronic and paper to various insurance companies. Inpatient and outpatient ICD 10, CPT and HCPCS code abstraction from medical record documentation. Audits provider charts for proper documentation, provides physicians with education on proper documentation. Surgical posting, authorizations/pre certifications for Endocrine, Cardiology, Obstetrics and Primary care, maintains physicians calendars for surgeries, office hours, meetings and appointments.

Orthopaedic Specialty Center, Baltimore Maryland

Front Office Manager: 07/05-03/16

Primary responsibilities include managing three office Locations, overseeing office operations, implementing crucial changes in work flow, managing office staff including payroll, recruitment, performance management training and development. Providing the required leadership, support and direction for office initiatives and special projects.

Team Leader Billing:

Primary responsibilities include training and assisting new employees of the billing department. Monitoring claim volume in Edit/

error management, updating procedures and diagnosis tables, creating custom edits in our EDI submission system. Resolve or assist in the resolution of claims processing or payment disputes. Responsible for processing

refunds and resolution of credit balances, establish monthly and quarterly financial productivity reports and goals. I also provide feedback to management and the billing staff regarding process flow on capturing charges and accounts receivables.

I am also on the EMR Committee.

Prior Duties Included Charge Entry billing: Charge entry and E&M leveling of professional billing, cpt/dx assignments for surgical procedures and cpt assignments for ancillary services This requires above average knowledge of ICD-9 and CPT coding basics and use of both level I (CPT) and level II (HCPCS/National) modifiers to assure that the claim was billed correctly before approving to the insurance carrier. I consistently meet month-end demands in reconciling charges.

EXTERNSHIP

Overlea Personal Physicians, Parkville Maryland 160 hours

Patient registration, answering multi line phone system, all front desk general office duties.

EDUCATIONAL BACKGROUND

Medix School, Towson Maryland Graduated

Medical Office Administration Program

Essex Community College 2002

Accounting/Business Administration

Woodlawn Senior High Graduated

General Studies

AAPC Coding Classes Certified

SPECIAL SKILLS

Microsoft Word, Excel

Knowledge of both Medical and Dental terminology Medical Transcription

Knowledge of computerized billing software: CCE, Ahlta, CHCS, Centricity, Medical Manager/Mastermind Familiar with electronic health records program: SRS, Version 8, Athena, and Phresia.