Summary
AHIMA-Certified Coding Specialist (CCS) with 3 years of experience specializing in accurate ICD-10-CM/PCS and CPT code assignment. Dedicated to clinical documentation integrity and compliant revenue cycle management. Skilled in encoder systems with a focus on audit readiness and 95%+ accuracy standards.
Overview
3
3
years of professional experience
Work History
Certified Coding Specialist
MD Connection LLC
02.2023 - Current
- Assigned ICD-10-CM/PCS and CPT codes for inpatient and outpatient records with a consistent 96%+ accuracy rate.
- Validated MS-DRG and APC assignments to ensure compliant reimbursement and optimal Case Mix Index (CMI).
- Collaborated with clinicians through compliant querying to clarify ambiguous documentation and improve chart specificity.
- Consistently met or exceeded daily throughput targets, maintaining a high volume of 35+ outpatient or 12+ inpatient charts per day.
- Applied AHA Coding Clinic and CPT Assistant guidelines to ensure all coding stayed current with federal regulations and NCCI edits.
- Skilled in using 3M encoder logic to streamline the coding workflow and reduce discharge-not-final-billed (DNFB) days.
- Participated in internal quality reviews and assisted in preparing documentation for external RAC and payer audits.
Education
American Health Information Management Association - Certified Coding Specialist
2 2023
Skills
Physician Querying and Clinical Documentation Improvement (CDI)
,AHA Coding Clinic Guidelines, NCCI Edits, and HIPAA Regulations
,Anatomy & Physiology, Medical Terminology, and Pathophysiology
,MS-DRG & APC Grouping, CC/MCC Capture, and IPPS/OPPS
,ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II
Education, Training, and Certification
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Timeline
Certified Coding Specialist - MD Connection LLC
02.2023 - Current
CodeMasters Inc. MD Connections LLC - American Health Information Management Association, Certified Coding Specialist