Codem
Contributor
Carol L. Gutierrez SEEKING POSITION IN RENO, NV
Email: Cgutier119@gmail.com
Experience: Clinical Neurology Specialists Las Vegas, NV October 2010-Present
Title: Director of Billing; Work Comp and Medical Liens - Jan 2015-Present
Responsibilities: Over see billing department of 3 staff; Certified Professional Coder; Billing Compliance, Auditing, Chart Reviews. Staff / Provider Training. Marketing - local law firms and workers? compensation TPAs. Credentialing of 14 providers; Payer Relations, Contract Negotiations A/R; Revenue Cycle Management. Accreditation Projects
Title: Office Manager Dec. 2010 ? Jan. 2015
Responsibilities: Certified Professional Coder; Oversee billing department of 3 staff, oversee
Front office and Eligibility Department. Credentialing. Chart Audits
HIPAA, OSHA, Fraud Waste & Abuse compliance and training
Create Policies & Procedures. Hiring/Annual Reviews and Termination of Employees
Title: Medical Billing Specialist Oct. 2010 ? Dec. 2010
Responsibilities
rimarily handled all self pay and collection accounts; Insurance claim follow-up, post charges / payments.
Meadows Medical Group Las Vegas, NV May 2009 ?
October 2010
Title: Practice Administrator
Responsibilities:Over see all office operations, staff and departments; 15 Staff, 4 Physicians. Revenue Cycle Management. Cost & Revenue Analysis. A/R, A/P, Payroll, Annual Budget Banking, Monthly Accruals. Assists staff as needed with front office operations Check in/out; billing ? assist with charge and payment entry when needed. Hiring/Annual Reviews and Termination of employees.
Concentra ? Advanced Medical Specialists ? Las Vegas, NV
September 2008-May 2009
Title: Practice Administrator
Responsibilities: Over see all office operations, staff and departments; 5 staff 8 Multi-Specialty Physicians (Orthopedic; Ortho-Hand; Physiatry; General Surgery) Patient satisfaction surveys, Implementation of processes to increase patient satisfaction (AMS clinic had the highest patient satisfaction ratings of Concentra Las Vegas market) Marketing, Payer relations, Provider and patient relations. Cost and Revenue monitoring, Revenue Cycle Management.
Novum Pharmaceutical Research Services Las Vegas, NV
December 2007 ? September 2008
Title: Clinical Support Staff Manager
Responsibilities:Manage 20+ clinical staff (RN, LPN, MA) Research Associates, Research Technicians, Phlebotomists. Staff Scheduling for 4 Clinics; Pharmacy Duties: Receipt of Study drugs, Drug Accountability Logs, Dispensing, HR duties, Design training programs for staff, Quality Control, Chart Audits
University Hospitals Home Care Services Warrensville Hts,
OH March 2005 - August 2007
Title: Reimbursement Manager
Responsibilities:Manage reimbursement departments for two separate units, Home Health Care and Specialty Pharmacy-Home Infusion Services. Claim billing for both Home Health and Pharmacy. Assist staff when needed, with, claim follow up, ICD9, CPT/HCPCS coding. Oversee posting of charges/payments, Managed Care contract negotiations. Maintain and communicate managed care contracts to agency staff. Design training programs for reimbursement and intake staff. Cost / Revenue analysis, monthly reconciliation. Prepare and maintain the annual department budget. Process bi-weekly employee time sheets for payroll, staff hiring/terminations. Chart Audits, Accounts Payable, and Maintain system data for 2 billing software systems.
Hackett Medical, Ltd. Mentor, OH July 2000 ? March 2005
Title: Billing Manager
Responsibilities:Supervise the daily operations of billing / collections. ICD9, CPT/HCPCS coding Compliance training of staff and physicians. Chart auditing, Designed company HIPAA compliance program. Report directly to President/Owner- monthly reconciliation, A/R, revenue cycle management. Transcription, Maintain data dictionaries, upgrades, custom reporting for medical software. Medical Assisting / Phlebotomy as needed, Credentialing Process bi-weekly employee time sheets for payroll, Accounts Payable, Banking Deposits
Meridia Physician Network ?Cleveland Clinic
Family Care Associates October 1996 - July 2000
Title: Practice Manager
Responsibilities:Manage 4 multi-specialty medical practices and 1 urgent care consisting of 15 physicians. Manage 38 direct report staff. HR duties, Charge / Payment posting, Responsible for increasing revenues by introduction of new services and marketing. ICD9, CPT/HCPCS coding. Credentialing , Process bi-weekly employee time sheets for payroll
Banking Deposits, Accounts Payable
Education: American Academy of Professional Coders August
2012 - CPC
US Army Reserves May 1981 ? May 1987 Patient Care Specialist / Medic
Mahoning County Joint Vocational School September 1977 ? May 1979 Medical Assistant
Boardman High School September 1978 ? June 1979 Diploma
Memberships: American Academy of Professional Coders (AAPC) 2012 ? present
Certifications: CPC ? Certified Professional Coder 2012 ? present
Medical Assistant 1979
Email: Cgutier119@gmail.com
Experience: Clinical Neurology Specialists Las Vegas, NV October 2010-Present
Title: Director of Billing; Work Comp and Medical Liens - Jan 2015-Present
Responsibilities: Over see billing department of 3 staff; Certified Professional Coder; Billing Compliance, Auditing, Chart Reviews. Staff / Provider Training. Marketing - local law firms and workers? compensation TPAs. Credentialing of 14 providers; Payer Relations, Contract Negotiations A/R; Revenue Cycle Management. Accreditation Projects
Title: Office Manager Dec. 2010 ? Jan. 2015
Responsibilities: Certified Professional Coder; Oversee billing department of 3 staff, oversee
Front office and Eligibility Department. Credentialing. Chart Audits
HIPAA, OSHA, Fraud Waste & Abuse compliance and training
Create Policies & Procedures. Hiring/Annual Reviews and Termination of Employees
Title: Medical Billing Specialist Oct. 2010 ? Dec. 2010
Responsibilities
rimarily handled all self pay and collection accounts; Insurance claim follow-up, post charges / payments.Meadows Medical Group Las Vegas, NV May 2009 ?
October 2010
Title: Practice Administrator
Responsibilities:Over see all office operations, staff and departments; 15 Staff, 4 Physicians. Revenue Cycle Management. Cost & Revenue Analysis. A/R, A/P, Payroll, Annual Budget Banking, Monthly Accruals. Assists staff as needed with front office operations Check in/out; billing ? assist with charge and payment entry when needed. Hiring/Annual Reviews and Termination of employees.
Concentra ? Advanced Medical Specialists ? Las Vegas, NV
September 2008-May 2009
Title: Practice Administrator
Responsibilities: Over see all office operations, staff and departments; 5 staff 8 Multi-Specialty Physicians (Orthopedic; Ortho-Hand; Physiatry; General Surgery) Patient satisfaction surveys, Implementation of processes to increase patient satisfaction (AMS clinic had the highest patient satisfaction ratings of Concentra Las Vegas market) Marketing, Payer relations, Provider and patient relations. Cost and Revenue monitoring, Revenue Cycle Management.
Novum Pharmaceutical Research Services Las Vegas, NV
December 2007 ? September 2008
Title: Clinical Support Staff Manager
Responsibilities:Manage 20+ clinical staff (RN, LPN, MA) Research Associates, Research Technicians, Phlebotomists. Staff Scheduling for 4 Clinics; Pharmacy Duties: Receipt of Study drugs, Drug Accountability Logs, Dispensing, HR duties, Design training programs for staff, Quality Control, Chart Audits
University Hospitals Home Care Services Warrensville Hts,
OH March 2005 - August 2007
Title: Reimbursement Manager
Responsibilities:Manage reimbursement departments for two separate units, Home Health Care and Specialty Pharmacy-Home Infusion Services. Claim billing for both Home Health and Pharmacy. Assist staff when needed, with, claim follow up, ICD9, CPT/HCPCS coding. Oversee posting of charges/payments, Managed Care contract negotiations. Maintain and communicate managed care contracts to agency staff. Design training programs for reimbursement and intake staff. Cost / Revenue analysis, monthly reconciliation. Prepare and maintain the annual department budget. Process bi-weekly employee time sheets for payroll, staff hiring/terminations. Chart Audits, Accounts Payable, and Maintain system data for 2 billing software systems.
Hackett Medical, Ltd. Mentor, OH July 2000 ? March 2005
Title: Billing Manager
Responsibilities:Supervise the daily operations of billing / collections. ICD9, CPT/HCPCS coding Compliance training of staff and physicians. Chart auditing, Designed company HIPAA compliance program. Report directly to President/Owner- monthly reconciliation, A/R, revenue cycle management. Transcription, Maintain data dictionaries, upgrades, custom reporting for medical software. Medical Assisting / Phlebotomy as needed, Credentialing Process bi-weekly employee time sheets for payroll, Accounts Payable, Banking Deposits
Meridia Physician Network ?Cleveland Clinic
Family Care Associates October 1996 - July 2000
Title: Practice Manager
Responsibilities:Manage 4 multi-specialty medical practices and 1 urgent care consisting of 15 physicians. Manage 38 direct report staff. HR duties, Charge / Payment posting, Responsible for increasing revenues by introduction of new services and marketing. ICD9, CPT/HCPCS coding. Credentialing , Process bi-weekly employee time sheets for payroll
Banking Deposits, Accounts Payable
Education: American Academy of Professional Coders August
2012 - CPC
US Army Reserves May 1981 ? May 1987 Patient Care Specialist / Medic
Mahoning County Joint Vocational School September 1977 ? May 1979 Medical Assistant
Boardman High School September 1978 ? June 1979 Diploma
Memberships: American Academy of Professional Coders (AAPC) 2012 ? present
Certifications: CPC ? Certified Professional Coder 2012 ? present
Medical Assistant 1979