Ashley Gibson

  • Greater Detroit Area, US
  • gibson891@gmail.com
Ashley Gibson

Team Lead Coder at Cardiology & Vascular Associates

Summary

I am an ambitious, goal oriented woman striving for success as a Team Lead Coder, with the intent to eventually become a Coding Manager.  I have approximately six years of coding experience in Cardiology and Vascular, E & M, and Oncology services.  Having coded in multiple specialties has given me extensive knowledge of coding.  It has allowed me to work with nurses, physicians, and so forth.  I have served as a coding resource to my colleagues which has granted me the opportunity to train some of them. 

Education

Education
May 2009 - Aug 2009

Certificate of Completion Medical Billing & Coding Training Program

Madonna University

Three month training program that helped prepare students to take the Certified Professional Coder exam via the AAPC.

Sep 2003 - May 2007

Associate of Arts

Henry Ford Community College

Work History

Work History
Aug 2015 - Present

Team Lead Coder

Cardiology & Vascular Associates

-Review records and code at least one or more cardiology and vascular services for multiple hospitals, applying ICD-9-CM/ICD-10-CM and /or CPT-4 (HCPCS) coding methods, while abiding by national coding guidelines for correct coding                                                                            -Verify patient demographics and insurances                                                                                                 -Responsible for charge entry (Next Gen)                                                                                                          -Work closely with Cardio Follow-up/Audit to maintain revenue consistency                                   -Serve as a coding resource for Cardio Follow-up/Audit and Charge Entry Department                                                                                                                                                                    -Oversee all coding to ensure all encounters are coded within two weeks of received date

May 2015 - Aug 2015

Coder I

Anthelio Health Care Solutions Site: Karmanos Cancer Institute

-Analyzed records and coded at least one or more chemotherapy services for Outpatient Day Treatment Area utilizing ICD-9-CM and/or CPT-4 (HCPCS) coding methodologies to include Facility E&M services warranted, while adhering to national coding guidelines for correct coding                                                                                                                                                                              -Resolved coding and compliance issues                                                                                                         -Clarified inconsistent or vague information in the medical record by consulting with the clinical staff
-Performed daily encounter reconciliation process to ensure that encounters are received for all patients seen
-Responsible for charge entry (Cerner/Power Chart Office Computer System, Optum Computer-Assisted Coding System and Eclipsys AMPFM System)
-Ensured that encounter forms are accurate to the record and appropriate for financial reimbursement, research, planning and statistics
-Worked system (Eclipsys AMPFM) to generate lab bill hold edit 
-Supported revenue cycle initiatives
-Sustained a working knowledge of multiple coding and reimbursement systems; ICD-9-CM, CPT-4, HCPCS, OPPS/APC’s, including, compliance policies and procedures, protocols, third party payer requirements and government regulations 
-Preceptor to new coding employees
-Radiology Coding (CT Scans, Ultrasounds, MRIs, Mammograms)

Aug 2011 - May 2015

POS Coding Specialist

Karmanos Cancer Institute

-Analyzed records and coded at least one or more chemotherapy services for Outpatient Day Treatment Area utilizing ICD-9-CM and/or CPT-4 (HCPCS) coding methodologies to include Facility E&M services warranted, while adhering to national coding guidelines for correct coding                                                                                                                                                                              -Resolved coding and compliance issues                                                                                                         -Clarified inconsistent or vague information in the medical record by consulting with the clinical staff
-Performed daily encounter reconciliation process to ensure that encounters are received for all patients seen
-Responsible for charge entry (Cerner/Power Chart Office Computer System, Optum Computer-Assisted Coding System and Eclipsys AMPFM System)
-Ensured that encounter forms are accurate to the record and appropriate for financial reimbursement, research, planning and statistics
-Worked system (Eclipsys AMPFM) to generate lab bill hold edit 
- Supported revenue cycle initiatives
-Sustained a working knowledge of multiple coding and reimbursement systems; ICD-9-CM, CPT-4, HCPCS, OPPS/APC’s, including, compliance policies and procedures, protocols, third party payer requirements and government regulations 
-Preceptor to new coding employees
-Radiology Coding (CT Scans, Ultrasounds, MRIs, Mammograms) 

Feb 2011 - Apr 2011

Coder

TechniMed Inc.

-Reviewed medical record information to identify all appropriate coding 
-Resolved all coding and compliance issues
-Responsible for charge entry
-Utilized resources to code physician documentation accurately
-Handled all procedure coding from operative reports

May 2010 - Nov 2010

Organizational Integrity & Audit Specialist Intern (Paid)

Trinity Health CHE

-Performed chart to claim audits for various departments                                                                        -Assisted the Organizational Integrity Team with data input, coding research                                  -Excel spreadsheet development and work-paper preparation                                                              -Assisted and/or participated in Organizational Integrity department projects

Certifications

Certifications
Nov 2009 - Jul 2016

Certified Professional Coder (CPC) (01121560)

American Academy of Professional Coders

Per the American Academy of Professional Coders website aapc.com, the Certified Professional Coder credential is the gold standard for medical coding in physician office settings.  As a certified CPC, I help maintain compliance and profitability through accurate medical coding and documentation.

Skills

Skills

ICD-9-CM/ICD-10-CM Coding/CPT

Medical Terminology

Ethics and Compliance

HCPCS