Nina Stephens

Experience

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  SMC Doctors Clinic

  Jan 2004 - Oct 2008

  Medical Insurance Specialist

  Ensures timely and accurate billing of all medical claims to insurance companies for Medicare,Blue Cross, and all other commercial insurance companies.*Corrects all Prebill errors prior to submission of claims electronically.* Corrects all Rebill errors contained in the monthly aged reports I print for myself to ensure thatthe oldest claims are corrected and resubmitted with the correct information as well as the

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  Large Clinic

  Oct 2008 - May 2014

  Biller/Coder
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  Green Clinic LLC

  Oct 2008 - Mar 2012

  Ensures timely and accurate billing of all Medicaid claims to insurance companies for 45doctors associated with Green Clinic.*Corrects all Prebill errors prior to submission of claims electronically.* Corrects all Rebill errors contained in the monthly aged reports I print for myself to ensure thatthe oldest claims are corrected and resubmitted with the correct information as well as theweekly remit errors that come in each week.*Implemented the first payment for nebulizers and crutches that Green Clinic ever received dueto my research and tenacity to find out the correct way to bill these and get the claims paid.*Oversee and train the help I need to get the Medicaid secondary claims ready to go out withthe correct information on each claim along with the correct EOB from the primary insurancecompany.*Help with the Customer service overflow when statements are sent out and the CustomerService personnel are overwhelmed with an influx of calls.*Assisted the Community Care Providers in the main branch of Green Clinic, as well as all theSatellite Clinics with the patients that are assigned to them on their panels and making changesto this panel, sometimes on a weekly basis. Show less *Assign Cpt and ICD-9 codes for operative notes for the 12 physicians that were assigned to mefor their surgery notes.*Audit E/M levels assigned to visits by the physicians assigned to me.*Reported to each physician the monthly productivity report before the end of the month so thatwe could discuss any discrepancies or missing charges.*Assisted each physician in the capture of all revenue due to missed dictation.*Reviewed the production report after the close of the month to correct and establish anycorrections. Show less

  • Medicaid Claims Specialist

    Jun 2009 - Mar 2012

  • Coder

    Oct 2008 - Jun 2009
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  Northern Louisiana Medical Center

  Mar 2012 - May 2014

  Physician Coder

  Assign CPT and ICD-9 codes for E/M levels as well as surgeries performed by our physicians. Complete random audits to insure compliance. Verify Insurance information given by hospital system. Fix and refile denied claims. This is physician professional services using cpt, icd-9, and hcpcs codes.

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  Uasi, inc

  May 2014 - Oct 2014

  Remote Coding Consultant

  UASI-United Audit Systems, Inc.03/2014-05/2014Coding Consultant for Profee Services*Work remotely thru a virtual desktop for the hospital assigned to me by UASI. *Coding and auditing of profee e/m services for Internal Medicine.*Coding and entering charges for EKG's for profee services*Coding and entering charges for same day surgery e/m services for profee side.*Keeping a tracking log of all charge sessions entered and turning that in to my supervisor at the end of the week.*Work closely with the contact person for the hospital I have been assigned to resolve any documentation issues,(ie. missing attestation statements).*Log time in an electronic time program for hours worked and charts coded.Reason for leaving: Laid off, due to finishing contract. Show less

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  IASIS/Glenwood Regiinal Medical Center

  Oct 2014 - Nov 2015

  Coding Specialist
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  Glenwood Regional Medical Center

  Oct 2014 - Nov 2015

  Coding Specialist

  Coding

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  Himagine solutions inc.

  Nov 2015 - Nov 2018

  Remote Physician Coder
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  Adena Health System

  Nov 2018 - Aug 2023

  *Create CPT changes for E/M webinar recording for providers, coders, managers, and billers.*Maintain compliance records for coders’ and providers’ completion of required educational webinars.*Conduct and host weekly live, educational webinars with providers and coders to explain E/M coding guidelines, virtually with recorded sessions.*Create HCC Webinar recordings for HCC diagnosis and Quality measures.*Complete Quality Measure Care Gap Closures in collaboration with the AMG Revenue Cycle team, and submit to payer, with supporting documentation, for additional revenue for Adena, in the range of over $500,000 each year.*Addition to the AMG Compliance Committee/Revenue Cycle Audit Committee to collaborate and include both Pro and Facility auditors.*Work closely with the AMG Compliance Director to formulate, create, then present ongoing training for both providers and coders concerning HCC diagnoses and assist with capturing HEDIS measures.*Develop an accurate way to report to the Compliance Committee coder accuracy rates quarterly.*Audits medical record documentation to identify under coded and up coded services; preparation of Executive Summary reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues.*Provides review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.*Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non -specific documentation.*Support and provide coding and compliance training to physicians, clinical personnel, billing, and/or other client staff.*Establish effective communication with physicians, clinical staff, and/or hospital staff. Show less

  • Quality Education & Auditor

    Oct 2016 - Aug 2023

  • Remote Physician Coder/Auditor

    Nov 2018 - Nov 2021
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  OSU Physicians, Inc. (OSUP)

  Jul 2023 - now

  Compliance Specialist