dwight d lavan cca
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Dwight D. LaVan, CCA, CBCS
Houston, TX ~ 832-807-6373E-mail: [email protected]
ProfileExceedingly capable, AHIMA certified coding professional with high standards and adherence to ethical coding practices that will reduce coding denials and promote quicker payer reimbursement of services. Knowledgeable in interventional radiology and pain management, anesthesiology, surgery and ASC coding. Openly seeking a position within a medical organization to utilize my expertise to aide in the company’s success while reaching personal goals for career advancement.
EducationMemorial Hermann School of CodingMay 2014| CCA certified, 10/2018
Skills CPT & ICD Coding Charge Entry Clinical Appeals ICD 10 Proficient Claim Edit Resolution Medical Billing Predetermination Clinical Policy Research Revenue Cycle Precertification HIPAA Compliant MS Office
Software and Systems – RadNet, Allscripts, EMR, GE Centricity Business, IDX-BAR, CARE4, EPIC, RealMed, ZirMed, Emdeon, AdvantX, AdvancedMD, SMS
ExperienceMedicare Risk Adjustment Coder 11/2015 – CurrentHumana Houston, TX
Audit medical records for chronic conditions Capture and report CMS HCC approved chronic conditions to CMS Attain pertinent provider information for reporting
Accomplishments
95% Accuracy rating Exceed production goals
Coding and Billing Specialist 09/2014 – 10/2015US Pain and Spine Surgical Institute Houston, TX
Coded ASC claims with a focus on invasive pain management Resolved claim edit rejections Performed initial medical claim status Clinical appeals based on medical necessity Obtained predetermination of services based on payer clinical policies
Resu
me:
2
Accomplishments
98% clean claim submission accuracy rating
Radiology AR Specialist 06/2013 – 08/2014McKesson, INC Houston, TX
Performed collection activity for all payers Contacted carriers via verbal and written communication Effectively appealed payer denial of services Performed minimal radiology coding related to claim denial
Accomplishments
Successfully met monthly productivity goal
Radiology Coding and Billing Specialist 04/2011 – 06/2013Advanced Diagnostics Houston, TX
Coded interventional radiology services Verified insurance Obtained precertification and authorizations Provided financial counseling