Lisa Martin Resume

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Lisa S.

Martin, CPC, CPC-I


1077 East Emerson St, Morton, IL 61550 309-648-8182 lisa.martin5@itv-
3.com

PROFESSIONAL PROFILE
The CDM position was an outstanding fit for me personally, allowing me to
apply my years of hands-on billing, coding and teaching experience with my
desire to stay current with the trends in coding. It was also excellent
preparation for my current auditing position, which is a challenging, but
rewarding position. I love helping clients identify revenue opportunities.
Certified AAPC Coder with 25+ years of AAPC certified in ICD-10 proficiency
experience Knowledge Source Administrator for
AAPC Certified Coding Instructor MedAssets
AAPC Certified Internal Medicine Coder Professional Coding Speaker &
(passed certification but did not renew Contributing Source to national coding
due to limited opportunity for CEUs) publications
Proficient in Microsoft Office Extensive experience with HCPCS coding
Experience with multiple EMRs, including & supplies
Epic and Cerner Compliance Background
Chargemaster & Charge Capture reviews Extensive auditing experience
New client assessment audits
PROFESSIONAL EXPERIENCE
Zirmed, Chicago, IL
Senior Auditor, Revenue Integrity
March 2016 to Present
Achievements:
Working with team performing New Client Assessments and Implementations
Manage audit team for 2 different clients, including a world-renowned teaching
hospital
Able to successfully overturn client rejections and provide compliant billing
opportunities

Auditor, Revenue Integrity


July 2014 to March 2016
Achievements:
Selected to perform new client assessment audits (primarily done by
leadership/management)
Greater than 80% client agreement rate for missing charge verifications
Responsibilities:
Audit hospital accounts for missing charges, overcharges, and coding variances
Review client rejections and dispute if necessary
Provide coding support to other auditors
Identify global/system opportunities for clients

OSF Healthcare, Peoria, IL


Lisa S. Martin, CPC, CPC-I
Page 2

Chargemaster Specialist
to July 2014

Achievements:
Was able to oversee day to day functions associated with the CDM for 8 hospital
system.
Managed all associated EPIC fee schedules (6 hospitals on EPIC at the time).
Accurately implemented end of year coding changes and evaluated the need for
changes to the CDM, including updating preference lists.
Completed EPIC CDM training.
Responsibilities:
Created new charge codes & fees for all new chargeable items and assigning
correct HCPCS/CPT codes.
Reviewed chargeable status for all items added to PeopleSoft across the system.
Coordinated and conducted monthly CDM meetings across the system.
Provided oversight regarding hospital data reporting and research and resolve
errors.
Provided coding and compliance support to each OSF facility.

Revenue Cycle, Inc., Austin, TX


Medical Oncology Consultant

Achievements:
Performed operational assessments for clients and assisted in implementing
changes.
Performed chargemaster reviews for clients, identifying risks and opportunity.
Conducted successful on-site educational seminars as well as representing
Revenue Cycle at industry specific events.
Responsibilities:
Traveled to regular client sites to perform periodic audits, and during exit
interviews with clients, provided client with an action plan regarding
audit/review findings and how best to implement changes.
Assisted the Radiation Oncology consultants with any Medical Oncology issues.

Unfortunately, I had no choice but to leave this position voluntarily due to


health reasons. I became ill with H1N1 with pneumonia while in New Mexico.
The physical strain of constant travel, combined with assignments primarily
in the Southwest and exposure to environmental allergens, left me with
severe respiratory illness, which eventually resolved after a few months at
home.

K-Force, Tampa, FL
Coding Consultant

This was a single assignment which ended and there were no other assignments in
my specialty available at the time.
Lisa S. Martin, CPC, CPC-I
Page 3

Achievements:
Assisted world-renowned Childrens Hospital in identifying integral medical
oncology procedures missing from their chargemaster to ensure correct coding
and compliant billing.
Responsibilities:
Chart Auditing
Educated physicians regarding rules for billing Residents services in a Teaching
Hospital
Education for coders & billing office regarding CCI edits, LCDs, and other
governmental payer guidelines

Midwest Technical Institute


Medical Billing and Coding Instructor

Achievements:
Implemented successful medical billing and coding certificate program at new,
local technical college

Responsibilities:
Instructed students in Medical Terminology, Anatomy & Physiology, and Medical
Billing and Coding.
Interviewed staff at potential externship sites and obtained agreements for
coding students to perform externships.
Matched student abilities to externship sites and monitored students success
during their externship or determined need to move student to alternate site.
Reviewed educational materials and revised as necessary, based on students
ability to learn.

Illinois Cancer Care, Peoria, IL


Team Leader, Charges

Achievements:
Lowered missed/lost charges to less than 0.1% of total gross charges
Supervised up to 8 certified coders
Was able to implement medical record review program to ensure compliant
billing while consistently billing charges within 3 days of date of service
Responsibilities:
Accurate charge capture for medical oncology services, including E & M
services, drug charges, administration, and DMERC billing for ambulatory
infusion pumps and oral drugs
Successful transition to new billing system (Centricity)
Maintained internal and external provider files
Ensured compliant billing of insurance for all medical oncology services
Lisa S. Martin, CPC, CPC-I
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Reviewed denials for corrective action


Audited work of coders and provided constructive feedback

PRIOR EXPERIENCE (1990 2001)


Billing Compliance Specialist for Multi-Specialty Group
Coding, Billing & Administrative experience at large orthopedic practice
Accounts Receivable Manager for 2 separate smaller physician practices
Coding & Billing for the Departments of Surgery & Anesthesia for large academic
medical center (MUSC)
Licensed Realtor, Customer Service Certified

EDUCATION

Attended The University of TN, Knoxville, TN 08/1982-12/1982


Attended East TN State University, Johnson City, TN 01/1984-04/1985
Attending Clermont College University of Cincinnati, majoring in Health Information
Technology, 01/2015 to present. Currently on the Deans List with 4.0 average.
Based on semester hours attended and CLEP tests, I have the equivalent hours of an
Associates Degree. I am taking 1-2 classes per semester while working full time and
will be eligible for RHIT certification upon completion (5 classes and practicum
remaining).

REFERENCES
Peggy Paddock, Director of ICD-10 & CDI, OSF Healthcare
Cell phone: 217-855-3277
email: [email protected]

Additional references provided upon request

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