Lionel Hampton CPCO, CPMA, CPC, CBCS

Experience

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  Brownsville Multi-Service Family Health Center

  Mar 2005 - Jan 2006

  Medical Billing Representative

  Performed Charge entry, A/R entry, Payment postingConverted diagnosis and procedures into ICD9 and CPT4 codesElectronic transmission of HMO & MedicaidProcessed patient statements, and HCFA 1500 claim forms Interfaced with clerical staff and providers to ensure accuracy of billing informationGenerated reports by department to verify collection of all encounters generatedAdjusted self-pay accounts

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  Veterans Association Medical Center

  Jan 2006 - Jul 2006

  Program Support Clerk

  Performed accurate search of veteran's insurance file to determine reimbursable insurancesConverted diagnosis and procedures into ICD9 and CPT4 codesInput correct or missing information into systemdetermine if each case is coded properly using PCERM, and ARMSPerformed Charge entry, A/R entry

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  Premier Healthcare clinic

  Jul 2006 - Aug 2007

  Front desk

  Checked to ensure all necessary information for proper billing is recorded in patient files and any changes updated in the IDX system. Talks to patient regarding account informationEntered charge info from encounter forms after patient visit, properly linking invoice to schedule.Verified patient insurance information and benefits prior to patient scheduling, obtaining any information needed for proper authorization and billing.

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  Weil Cornell Medical College

  Mar 2007 - Feb 2008

  Medical Coder /Charge Entry

  Coded OB/GYN, and Oncology Physicians Operative Report, preparing patients encounters for billing process.Maintain accuracy while assigning diagnostic, procedural codes and modifiers. Consistent with ICD-9 CM, CPT, E/M coding, Medicare, and Medicaid guidelines and regulations Reviewed charge documents/encounter forms for completion by the physician. Notifies supervisor of trendsUtilized IDX's transaction Editing System (TES) to post physician services according to the P.O. service to posting benchmarks. Post required fields including but not limited to the date of service. CPT. ICD, Modifiers, physician-billing area, referring physician and cash, check or credit card payments.Entered time of service payment, may reconcile daily receipt batches and deliver payments to the cashier as needed.Corrected TES edits that appear during charge entry or in daily work files.Utilized New York Presbyterian Hospital system to obtain missing registration data elements where appropriate.Utilized OmniPro or WebMD to confirm insurance coverage when necessary. Contacts physician offices to update insurance and demographic information.Performed charge corrections in IDX as requested by the supervisor.Participated in audits of accuracy and completeness. Talks to patient regarding account informationMedical Billing Rep./C.S.R, Premier HealthCare/Y.A. Visa mindre

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  SUNY Downstate Medical University

  Jan 2008 - Jul 2008

  Medical Coder /Charge Entry

  Responsible for coding daily physician billing. Maintained working knowledge of CPT, ICD-9CM, and E/M coding principles, government regulations, protocols and 3rd party requirements regarding coding and billing documentationProvide weekly follow up on insurance denials and/or E.O.B denials to ensure the timely remittance of payments for the maximization of revenue. Process the transmission of claims on a daily basis. Responsible for the charge posting for all surgical, obstetrical deliveries and ambulatory care services. Responsible for the verification and eligibility of patients commercial and Medicaid insurance for proper billing of patients claims. Visa mindre

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  PLLC, Carnegie Hill Imaging for Women

  Jul 2008 - Sept 2008

  Medical Coder

  Responsible for coding daily physician billing. Provide weekly follow up on insurance denials and/or E.O.B denials to ensure the timely remittance of payments for the maximization of revenue. Process the transmission of claims on a daily basis. Responsible for the charge posting for all surgical, obstetrical deliveries and ambulatory care servicesResponsible for the verification and eligibility of patients commercial and Medicaid insurance for proper billing of patients claims.Maintained working knowledge of CPT, ICD-9CM, and E/M coding principles, government regulations, protocols and 3rd party requirements regarding coding and billing documentation Visa mindre

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  Elmhurst Hospital Center

  Mar 2009 - Jun 2010

  Medical Coder

  Maintained working knowledge of CPT, ICD-9CM, and E/M coding principles, government regulations, protocols and 3rd party requirements regarding coding and billing documentation. Code charge tickets with the appropriate CPT, ICD-9CM and HCPCS codes. Code electronic charts for the Emergency Department and determine the accuracy of documentation requirement for the chart completion. Also code paper charts for the Psychiatry Emergency Department as well as OB paper charts.Maintains daily logs of coded work.Assures Operative reports and other 3rd party regulatory information is pertinent to coding requirements. Visa mindre

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  Kings County Hospital Center

  Feb 2010 - Nov 2010

  Medical Coder

  Maintained working knowledge of CPT, ICD-9CM, and E/M coding principles, government regulations, protocols and 3rd party requirements regarding coding and billing documentation. Code charge tickets with the appropriate CPT, ICD-9CM and HCPCS codes. Code electronic charts for the Emergency Department and determine the accuracy of documentation requirement for the chart completion. Performed E/M levelingMaintain daily logs of coded work.Assures Operative reports and other 3rd party regulatory information are pertinent to coding requirements Visa mindre

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  Various Medical Staffing Agencies

  Nov 2010 - Jul 2011

  Medical Coder

  Maintained working knowledge of CPT, ICD-9CM, and E/M coding principles, government regulations, protocols and 3rd party requirements regarding coding and billing documentation. Code charge tickets with the appropriate CPT, ICD-9CM and HCPCS codes. Code electronic charts for the Emergency Department and determine the accuracy of documentation requirement for the chart completion. Performed E/M levelingMaintain daily logs of coded work.Assures Operative reports and other 3rd party regulatory information are pertinent to coding requirements Visa mindre

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  Various consulting agencies

  Dec 2010 - Aug 2011

  Medical coder

  Outpatient Coder

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  Various staffing agencies

  Dec 2010 - Aug 2011

  Contract medical coder

  Preformed medical coding duties for various NYC healthcare facilities

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  Mt Sinai Hospital Systems

  Dec 2010 - Aug 2011

  Medical coder

  Outpatient coder

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  Axion

  Jul 2011 - Feb 2012

  Contract Medical Coding Specialist

  Maintained working knowledge of CPT, ICD-9CM, and E/M coding principles, government regulations, protocols and 3rd party requirements regarding coding and billing documentation. Code charge tickets with the appropriate CPT, ICD-9CM and HCPCS codes. Code electronic charts for the Emergency Department and determine the accuracy of documentation requirement for the chart completion. Performed E/M levelingMaintain daily logs of coded work.Assures Operative reports and other 3rd party regulatory information are pertinent to coding requirements Visa mindre

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  Contract Medical Coding

  Jan 2013 - Jun 2013

  Medical Coder

  Medical coding/auditingmedical billingdocumentation review, ect

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  Verisk Health

  Jan 2013 - Feb 2014

  Contract Remote HCC Coder

  Identify, collect, assess, monitor and document claims and encounter coding information.Review medical record information to identify all appropriate coding based on CMS HCC categories.Demonstrated knowledge of ICD-9-CM and CPT coding guidelines, medical terminology, anatomy and physiologyDemonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.Will be required to work on flexible projects with variable guidelines.Support and participate in process and quality improvement initiatives.Must be able to achieve and maintain an accuracy standard of 95% and better Visa mindre

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  Piedmont Healthcare

  Jul 2013 - Jul 2014

  Medical Coder

  Multi-specialty pro-fee coding

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  Sutherland Healthcare Solutions

  Jul 2014 - Nov 2014

  Remote Inpatient Coding Specialist

  Multi-specialty facility/pro-fee coding

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  COMFORCE

  Jan 2015 - Nov 2015

  Coding Specialist

  Emergency Department Coding

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  Alliance Spine and Pain Centers

  Jan 2017 - Aug 2018

  Coding Coordinator
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  In Compass Health, Inc

  Mar 2017 - Sept 2017

  Emergency Department Coding Specialist
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  Northside Hospital

  Sept 2018 - Jan 2021

  Practice Coding Specialist
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  Guidepoint

  Aug 2019 - now

  Advisor @ Guidepoint

  As a Healthcare Revenue Cycle/ Coding and Billing Specialist, I offer advice (consultation) and expertise to various global companies/organizations to help improve their business performance in terms of Health law compliances.

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  Morehouse Healthcare

  Jan 2021 - Aug 2021

  Surgical Coder
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  Maxim Healthcare Group

  Jun 2021 - Jan 2022

  Inpatient/Outpatient Coder (Contract)

  • Assigns ICD-10 and/or CPT/HCPCS codes, as appropriate and abstracts pertinent information from patient records

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  Konica Minolta Business Solutions U.S.A., Inc./All Covere

  Sept 2021 - Jan 2023

  Coding and Compliance Analyst
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  Optum

  Jul 2023 - Jan 2025

  Emergency Department Coding Specialist
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  Tutor.com

  -

  Medical Coding and Billing Tutor
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  Addison Group

  Jan 2025 - now

  Coding Auditor