Alice Dillon, CPC
Roanoke
Summary
Highly capable healthcare industry professional with diverse experience and education. Exemplary work ethic, time management skills, and detail-orientation. Seeking to contribute coding and insurance knowledge in support of a revenue-cycle team.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Physician Forensic Coder
Ensemble Health Partners
09.2024 - Current
- Increase coding accuracy by diligently reviewing medical documentation and applying appropriate CPT, ICD-10-M, HCPCS Level II codes and modifiers.
- Review patient records of cardiovascular and vascular providers, including office visits, emergency department, hospital rounding, procedures and studies.
- Apply official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Complete ongoing regular education to maintain my certification and to expand my knowledge as a coder.
- Strictly adhere to HIPAA requirements and company security policies to maintain patient privacy and protection.
Professional Medical Coder - Cardiology & Vascular
Carilion Clinic
11.2021 - 08.2024
- Improved accuracy of medical coding by thoroughly reviewing outpatient and inpatient patient records and assigning correct codes for diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Maintained current knowledge of coding requirements, through continuing education and certification renewal.
- Exceeded productivity expectations while consistently achieving a high level of accuracy on audits.
Registration Specialist
The Behavioral Health Pavilion Of The Virginias
11.2010 - 05.2020
- Provided front office support for busy multi-provider psychiatric clinic.
- Entered charges with proper procedure and diagnoses codes for the outpatient clinic and, in absence of other staff, the inpatient unit.
- Obtained prior authorizations for treatment of patients with Medicaid, Medicare and commercial insurance plans.
- Investigated and resolved claim denials as assigned by business office.
- EHR maintenance and utilization for records requests and insurance claim support.
- Interacted with staff of physicians, mid-level providers, psychologists, therapists and nurses regarding documentation issues that affected claim processing and insurance authorizations.
- Assisted Director of Outpatient Services as needed with special projects and tasks.
Regional Long Term Care Ombudsman
Legal Aid Of West Virginia
08.2003 - 11.2007
- Advocated for the rights of residents of long-term care facilities, investigating complaints and monitoring facilities in five-county region.
- Advised and represented residents in appeals concerning Medicaid eligibility or involuntary discharge from nursing homes
- Coordinated with Adult Protective Services, Office of Health Facility Licensure and Certification, Bureau of Senior Services and Bureau of Medical Services to address issues affecting residents
Disability Services Coordinator
Concord University
07.1998 - 07.2003
- Coordinated all services for students requesting accomodations under ADA and Section 504 of the Rehabilitation Act, mediated disputes and grievances between college personnel and students with disabilities, provided training on ADA/504 to faculty, staff and student groups.
Learning Center Instructor
West Virginia Wesleyan College
08.1990 - 06.1998
- Taught English courses to students with disabilities, trained and supervised student tutors, and served as a liaison between the Special Support Services Program and the English Department.
Education
Master of Arts - English
Salisbury University, Salisbury, MD
Bachelor of Arts - German
Mansfield University , Mansfield, PA
Skills
- Medical Coding ICD-10-CM, CPT & HCPCS Level II
- Data and Charge Entry
- Insurance Authorizations
- EHR Management and Transition
- Claim Denial Research and Resolution
- Microsoft Office Suite
- Epic, Advanced MD, e-Medsys, Meditech Systems
- Medical Terminology
Certification
- Certified Professional Coder, AAPC - Dec 2020
- Nonviolent Crisis Intervention, CPI - Renewed Jan 2020
- Basic Life Support, American Heart Association - Renewed Jan 2020
Timeline
Physician Forensic Coder
Ensemble Health Partners
09.2024 - Current
Professional Medical Coder - Cardiology & Vascular
Carilion Clinic
11.2021 - 08.2024
Registration Specialist
The Behavioral Health Pavilion Of The Virginias
11.2010 - 05.2020
Regional Long Term Care Ombudsman
Legal Aid Of West Virginia
08.2003 - 11.2007
Disability Services Coordinator
Concord University
07.1998 - 07.2003
Learning Center Instructor
West Virginia Wesleyan College
08.1990 - 06.1998
- Certified Professional Coder, AAPC - Dec 2020
- Nonviolent Crisis Intervention, CPI - Renewed Jan 2020
- Basic Life Support, American Heart Association - Renewed Jan 2020
Master of Arts - English
Salisbury University, Salisbury, MD
Bachelor of Arts - German
Mansfield University , Mansfield, PA