Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
18
18
years of professional experience
Work History
Coding Auditor
Guidehouse
05.2023 - Current
Conducting thorough audits and identifying discrepancies in documentation for both CPT & ICD-10 diagnosis codes
Evaluation of documentation and providing recommendations for improvement
Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards
Denial audits
Medical Coder
Harmony Healthcare (on Contract At Guidehouse)
11.2021 - 03.2023
Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes
Utilized electronic medical record systems to store, retrieve and process patient data.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Verified signatures and checked medical charts for accuracy and completion.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
Medical Coder
MTBC (Polyclinic)
09.2020 - 09.2021
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Researched and resolved medical record discrepancies.
Verified accuracy of patient information in medical records.
Utilized electronic medical record systems to store, retrieve and process patient data.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed records and interpreted documentation to identify diagnoses and procedures.
Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
Contributed to revenue growth by identifying undercoded services for proper reimbursement.
Medical Coder
Aerotek (on Contract At Polyclinic)
03.2020 - 09.2020
Researched and resolved medical record discrepancies.
Utilized electronic medical record systems to store, retrieve and process patient data.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.
Claim edit resolution
Education
Certification - Medical Insurance Billing And Coding
Everest College
Renton, WA
07.2007
Skills
Denial review
Internal audits both physician and coding team-Multispecialty
Abstract coding
SX/Profee coding
Proficiency in EMR systems to include EPIC
Process development and improvement
AR reconciliation
Electronic claims submission
Staff training
Provider education
Timeline
Coding Auditor
Guidehouse
05.2023 - Current
Medical Coder
Harmony Healthcare (on Contract At Guidehouse)
11.2021 - 03.2023
Medical Coder
MTBC (Polyclinic)
09.2020 - 09.2021
Medical Coder
Aerotek (on Contract At Polyclinic)
03.2020 - 09.2020
Certification - Medical Insurance Billing And Coding