Amber Nelson
Shelbyville,IN
Summary
Professional coder with robust experience in outpatient and inpatient settings. Skilled in accurately assigning medical codes, ensuring compliance, and optimizing reimbursement processes. Strong focus on collaboration and achieving results, adaptable to changing needs. Known for reliability, expertise in ICD-10-CM, CPT, HCPCS, and proficiency with EHR systems.
Healthcare coding professional with proven track record in outpatient coding, ensuring precise and compliant medical record documentation. Known for strong collaborative skills and commitment to achieving accurate results. Reliable team player with flexibility to adapt to changing needs.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Outpatient Coder
CSI Companies
01.2024 - Current
- Coded and abstracted same day surgery accounts (which included heart caths, vascular surgeries, gastro, ortho, obstetrics, and dental to name a few), observation accounts, emergency room visit accounts.
- Trained new staff on coding standards, software, and best practices for outpatient coding.
- Reviewed medical records to ensure compliance with coding guidelines and regulations.
- Assigned accurate ICD-10 and CPT codes for outpatient procedures and diagnoses.
- Collaborated with healthcare providers to resolve coding discrepancies and enhance documentation quality.
- Conducted audits of coded data to maintain accuracy and improve operational efficiency.
- Mentored junior coders, providing guidance on complex cases and enhancing their coding skills.
- Managed assigned workload efficiently, consistently meeting deadlines without compromising quality of work.
- Increased revenue for the facility by identifying and correcting undercoded services during chart reviews.
- Served as a resource for colleagues seeking guidance on complex or unusual cases requiring specialized expertise in outpatient coding practices.
- Assisted billing department in resolving coding-related issues, expediting payment processing for prompt reimbursement.
- Reduced claim denials by ensuring accurate assignment of appropriate ICD-10 codes to diagnoses and CPT codes to procedures.
- Participated in continuing education opportunities to maintain professional growth and stay current with best practices in outpatient coding.
Medical Coding Specialist II
Quadris Team LLC
02.2023 - 01.2024
- I coded inpatient, observations, same day surgeries, ERs, labs, ambulance runs, and radiology.
- I applied charges on the facility side.
- I also did Charge Capturing for Labor & Delivery.
- Analyzed medical records for accurate coding and compliance with industry standards
- Collaborated with healthcare providers to resolve coding discrepancies and improve documentation practices
- Trained new staff on coding procedures and software applications, enhancing team efficiency
- Implemented process improvements that streamlined workflow and reduced claim rejections
Medical Coding Auditor II
Performant Financial Corporation
05.2022 - 02.2023
- I performed coding audits for client.
- I made appropriate changes to incorrectly billed services.
- I assisted Revenue cycle staff as requested in obtaining documentation.
- I provided documentation feedback to client and or account manager.
- Remote
Certified Professional Coder
Hutchinson Regional Healthcare System
06.2021 - 01.2023
- I coded Same day surgeries, all things Outpatient, Observations, ERs, Radiology, Labs and assisted with Inpatient.
- I also coded Recurring accounts & corrected Discerns.
- Remote
Certified Professional Coder/Abstractor
Major hospital
07.2018 - 05.2021
- I was lead coder for Observations and Same Day Surgeries and I assisted with Inpatient and ERs when needed.
Certified Professional Coder/Abstractor
Hancock Regional Hospital
09.2017 - 07.2018
- Recorded and filed patient data and medical records.
- Carefully reviewed medical records for accuracy and completion as required by insurance companies.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Strictly followed all federal and state guidelines for release of information.
- Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
- Accurately entered procedure codes, diagnosis codes and patient information into billing software.
- Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature.
- Consistently ensured proper coding, sequencing of diagnoses and procedures.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
- Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Coder/ Abstractor
Coder
06.2016 - 08.2017
- Recorded and filed patient data and medical records.
- Carefully reviewed medical records for accuracy and completion as required by insurance companies.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Strictly followed all federal and state guidelines for release of information.
- Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
- Accurately entered procedure codes, diagnosis codes and patient information into billing software.
- Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature.
- Consistently ensured proper coding, sequencing of diagnoses and procedures.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
- Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Education
High school diploma -
EASTERN HANCOCK HIGH SCHOOL
Charlottesville, IN01.2001
Skills
- Accuracy and attention to detail
- Training and mentoring
- Data entry
- Medical terminology
- Workflow management
- Regulatory guidelines
- Continuing education
- Inpatient records coding
- Data verification
- Coding error resolution
- Medical coding and abstracting
- Problem-solving
- Attention to detail
- Multitasking Abilities
- Reliability
- Critical thinking
- Task prioritization
- Self motivation
- EMR systems
- Interpersonal skills
- Strong organizational skills
- ICD-10 proficiency
- HIPAA regulations
- Continuous learning mindset
- Medical coding expertise
- Computer software proficiency
- Surgical coding experience
- CPT coding
- Medical terminology mastery
- Outpatient procedure coding
- Anatomy and physiology
- Ambulatory care coding
- Clinical documentation
Certification
- Certified Professional Coder (CPC)
- Medical Coding Certification
Additional Information
- SKILLS
- Maintains strict confidentiality, Anatomy, Billing, CPT, HIPAA compliance, ICD-10, insurance, Anatomy & Physiology knowledge, Medical Terminology, Patient-focused care, Pathology, Physiology, Coding knowledge, Strong work ethic, Radiology, ICD-10 CPT and HCPCS Coding, Team player with positive attitude, Deadline-driven.
Timeline
Senior Outpatient Coder
CSI Companies
01.2024 - Current
Medical Coding Specialist II
Quadris Team LLC
02.2023 - 01.2024
Medical Coding Auditor II
Performant Financial Corporation
05.2022 - 02.2023
Certified Professional Coder
Hutchinson Regional Healthcare System
06.2021 - 01.2023
Certified Professional Coder/Abstractor
Major hospital
07.2018 - 05.2021
Certified Professional Coder/Abstractor
Hancock Regional Hospital
09.2017 - 07.2018
Coder/ Abstractor
Coder
06.2016 - 08.2017
High school diploma -
EASTERN HANCOCK HIGH SCHOOL