Florence Marsico 5916 Via Casitas
Carmichael, CA 95608
408.401.8746
Florence.marsico@yahoo.com
Business Manager with CASCC Coding Certification
Education
AAPC CPC-H Certified Professional Coder-Hospital Outpatient
AAPC Certified ASC Specialty Coder (CASCC) 2011-Present
Seminars in healthcare 2000-2014
AHIMA ISP for Health Information Technology (HIT) program
Completed Medical and Nursing assistant programs
SUMMARY
Personally responsible for key and essential services managing day-to-day operations of a high volume Ambulatory Surgery Center consisting of 6 operating rooms and one minor procedure room, supervision of non-clinical staff. Using effective communication with strong
organizational skills meeting weekly with department managers and team members.
Adept at multi-tasking and prioritizing projects and workflow in dynamic environments. Liaison to
residents and families for all issues and concerns with the facility.
Processes extensive multi-specialty coding experience; excellent analytical skills with
meticulous attention to detail while coding high volume freestanding ambulatory records utilizing
CPT, ICD-9, HCPCS codes and appending appropriate modifiers.
Utilizing software Allscripts, Encoder Pro and IDX systems.
Experience in medical record chart abstracting for coding and revenue. completed monthly audits
for charting accuracy according to documentation guidelines, official conventions, coding and
billing compliance.
Solid understanding of the revenue cycle process and analysis of EOB to ensure reimbursement
and revenue based on the contractual agreement. Excuted an effective month-end close process
each month while providing system generated reports and spreadsheets for tracking case mix
and payer trends. Concepts of coding software, and knowledge of Microsoft Office Suite software.
PROFESSIONAL EXPERIENCE 2014-current
Clinic Coder
All’s Well Health Care Services Sacramento, CA
Multi-specialty, Outpatient/Inpatient and Pro Fee coding.Responsible for Orthopedic
inpatient/outpatient cases and Surgical cases coding from EHR’s and review of data for correct
coding and charges for Physician, P.A, other healthcare providers services. Utilizing software
Allscript, Encoder Pro, MSR 4, IDX System.
Coding from Charge tickets for Clinic Outpatient Services, E/M and Procedures.
Knowledge of Coding Convention guidelines, NCCI, HCFA, AMA, NCD, LCD, CMS, and JCAHO
guidelines.
ASC Biller Specialist 2013
Surgical Care Affiliates, LLC Sacrametno, CA
Responsible for billing and follow-up on claims for three surgery centers, Multi-specialty center
(950 -1000 cases per month)
cross trained and support and bill two surgery centers sports center (1200cases) and Endoscopic
(600 case)
Reviewed coding speadsheets and documents from EHR for billing. Maintained Implant log and
contacted vendors for supplies and pricing. Calculated and entered charges for procedures
entered by coder.
Correct Coding Initiative (CCI) compliance. Liaison between providers and staff apprised of
matters regarding charge entry and corrections needed per billing edits and payer
guidelines.Reviewed denials for all Insurance types and re-bill for correct coding and
payment.Billed and entered charges in a high volume setting.Closed month end.
Business Office Manager 2006-2012
Riverside Healthcare- Briarwood Sacramento, CA
Westline Medical Management – Homewood San Jose, CA
Daily functions of Business Office, census, daily cash flow registrar, electronic deposits,
payment posting all payers, bank reconciliation. Residential trust fund. Billing: Preauthorizationauthorization
process, Eligibility and TAR process, common working file (CWF). Re-certifications
for Medical. Billing Medicare, Medical, HMO and Private pay statement and
collections. Aging report follow-up. Check web site for Medicare and Medical, HMO claim status
correct and rebill. Reconciled MDS Medicare logs sheets and therapy logs. Triple check with
IDDT team prior to billing. Maintain financial reports. Month end close process.
Human resources, Benefits, Employee Files, orientation, badge set up, PPD and Labor hours
reporting.Payroll cycle /Timecard Process. Accounts Payable maintain vendor invoices, post
payments and credits.
Facility Development & Management, LLC
Independent Coding Contractor 2003-2006
Orangeburg, N.Y
Remote Coder responsible for 1,000-1,500 cases per month for 3 Multi-specialty Surgi-Centers
with high case mix, Arthroscopic, Pain, Laparoscopic, Orthopedic, Urology and Plastic. Special
projects and backlog assignments for revenue audits and coding issues. Medicare, Medical and
commercial payers. Medical records abstractor outpatient charts.
Stanford Medical Center Hospital Outpatient/ED Coder 2003-2004
Palo Alto, CA
Daily coding of 60-80 Emergency and Outpatient Records/Clinic Visits
Chargemaster and Encounter Coding.CCI Edits, Coding Clinics, Coding guidelines.
Working with multiple coding software, 3M, Encoder, Quadra MED
Florence Marsico
El Camino Surgery Center Business Operations Manager- ASC Coder 1993-2003
Mt. View, CA
Direct oversight and management of all aspects of the Business Office, provided support to the
Executive Director, and the Management team.
Management of non-clinical staff (20). Operations related to scheduling, receptionist, pre-op desk,
admissions, through coding and billing. HR responsibilities included: hiring, employee reviews,
discipline and discharges. Team training, meetings, setting goals and development. Wrote
policies, directives and procedures in accordance with ASC. Physician education in-service on
documentation and billing. CPT, ICD-9, HCPC Coding multi-specialty cases (800-1000).
APG/APC/OPPS . Contract negotiations. Partnered with the billing team to review and bill
Medicare, Medical and HMO. Private statement runs and collections. Set-up cash pay plans and
balance billing. Reimbursement Audits. Medicare guidelines state and federal regulations.
Account receivable and Aging follow-up. EOB review, correct payment and coding. Write-off
process. Month end Close. Annual budget reports. Year-end report for the Board of Directors.
Preparation for AAAHC surveys.
IT Training for system conversion to SIS Clinical/Billing software, trained staff on system.
Coordinated with vendors on DME supplies. Management of transcription outsource service and
medical records offsite storage company
Valley Medical Center-Professional Group Supervisor Business Office/Hospital Coder
Valley Health Center San Jose, CA
7 years? experience with a Teaching Facility/Trauma Center County Hospital Inpatient/Outpatient
and Pro-fee?s/ED Coder Specialty Clinic?s and E/M Coder. Supervisor Coding department staff of
5 personnel. Support to Managers and Administrators.Medical records abstractor. Chargemaster
review and coding of charges. DRG/APC/OPPS. McGraw HILL Fee Structure.Anesthesia Coding.
Medicare/Medical, Commercial payers. Internal chart audits. Coordinated external audits.
Prepared for Medicare state audits. Run aging reports follow up on accounts receivable.
Promotion to Business office manager staff of (30).
References Available Upon Request
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