Certified Professional Coder, with additional certifications in Outpatient Coding, Obstetrics and Gynecology Coding, Orthopedic Surgery Coding, and Risk Coding.
Overview
11
11
years of professional experience
Work History
Clinical Condition Documentation Specialist
Trinity Health IHA Medical Group
07.2024 - Current
Evaluate patient charts for upcoming encounters, identify conditions and abstract documentation that supports HCC diagnoses and ICD 10 coding, to assist providers with the upcoming patient visit, and ensure all active conditions are addressed and coded according to guidelines.
Review claims for documentation and HCC coding accuracy, and ensure that all appropriate ICD 10 codes have been captured.
Maintain strict compliance with HIPAA regulations, ensuring the privacy and security of patient information during the coding process.
Ensure compliance with regulatory requirements by diligently updating documentation according to changing guidelines.
Maintain thorough documentation of all assigned codes for future reference and audit purposes, upholding organizational standards for recordkeeping practices.
Manage a high volume of medical records efficiently while maintaining exceptional attention to detail during the coding process.
Enhance coding accuracy by consistently reviewing and updating knowledge of HCC guidelines and regulations.
Resourcefully use various coding books, procedure manuals, and on-line encoders (3M and Codify).
Review patient charts to better understand health histories, diagnoses, and treatments.
Apply official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Review outpatient records and interpreted documentation to identify diagnoses and procedures.
Daily use of EMR system (Epic), as well as various other software programs.
Certified Coding Specialist II
Trinity Health IHA Medical Group
11.2020 - 07.2024
Contributed to overall revenue growth through diligent attention to detail in code assignment, resulting in fewer errors and adjustments needed later on.
Assigned appropriate ICD 10, CPT, and HCPCS codes (pro fee) for surgical cases, labor and delivery, office visits, emergency department, and inpatient encounters, with specialties in OB/GYN, Orthopedic Surgery, and Hand Surgery.
Proactively sought opportunities for professional development through attending webinars, and training sessions, ensuring a strong understanding of current trends and best practices in medical coding.
Stayed current on industry trends and changes in coding standards, adjusting processes accordingly to maintain compliance.
Optimized workflow efficiency through cross-training in multiple specialties, enabling flexibility in task assignments according to team needs.
Achieved a high level of accuracy in code assignment, consistently meeting or exceeding departmental benchmarks for performance.
Collaborated with physicians and clinical staff to ensure accurate documentation for proper billing purposes.
Expedited claim processing times by reviewing medical records thoroughly and assigning appropriate codes efficiently.
Assisted in reducing accounts receivable days outstanding by promptly addressing any billing issues or discrepancies that arose during the coding process.
Enhanced collaboration between departments by establishing clear communication channels for addressing coding discrepancies.
Resourcefully used various coding books, procedure manuals, and on-line encoders (3M and Codify).
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Monitored changes in coding regulations to provide recommendations for compliance.
Utilized electronic medical record systems to store, retrieve and process patient data.
Maintained strict adherence to HIPAA regulations while handling sensitive patient information during the coding process.
Certified Coding Specialist
Trinity Health IHA Medical Group
07.2019 - 11.2020
Contributed to overall revenue growth through diligent attention to detail in code assignment, resulting in fewer errors and adjustments needed later on.
Stayed current on industry trends and changes in coding standards, adjusting processes accordingly to maintain compliance.
Collaborated with physicians and clinical staff to ensure accurate documentation for proper billing purposes.
Maintained strict adherence to HIPAA regulations while handling sensitive patient information during the coding process.
Expedited claim processing times by reviewing medical records thoroughly and assigning appropriate codes efficiently.
Administrative Assistant II
Trinity Health IHA Medical Group
02.2014 - 06.2019
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
Ensured accurate record-keeping with diligent data entry and database management for vital company information.
Organized and maintained schedules for multiple Orthopedic Surgery providers.
Use of EMR (NextGen and Epic).
Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.