Senior Medical Coding Specialist with 18+ years of experience in advanced CPT, ICD-10, and HCPCS coding. Strong focus on HIPAA compliance, multispecialty coding, and denial resolution.
Work History
Patient Registration Specialist
7 Months
New York Eye and Ear Infirmary | 05.2008 - 12.2008
Verified patient demographics and insurance information for accurate registration and billing workflows.
Collected copayments and updated financial records using electronic health record systems.
Scheduled appointments and coordinated patient flow across outpatient eye and ear service lines.
Obtained signatures on consent and privacy forms while maintaining HIPAA compliance.
Trained new staff on registration procedures, documentation standards, and front-desk workflow.
Managed high-volume patient traffic during peak hours, prioritizing tasks to maintain efficient workflow.
Provided exceptional customer service, addressing patient concerns and answering questions promptly and professionally.
Senior Medical Coding Specialist
17 Years 9 Months
New York Eye and Ear Infirmary of Mount Sinia | 12.2008 - Current
Interpreted provider notes to assign diagnoses and procedures aligned with medical necessity requirements.
Reviewed ophthalmology and otolaryngology documentation for ICD-10, CPT, and HCPCS code accuracy.
Audited coded encounters to support compliance with payer rules and federal billing guidelines.
Resolved coding denials by researching claim edits and correcting documentation discrepancies.
Collaborated with billing teams to clarify charge entry issues and reduce claim rework.
Trained staff on specialty coding standards, documentation requirements, and coding workflow updates.
Developed comprehensive reports on coding activities, providing valuable insights for decision-making and strategic planning efforts within the organization.
Facilitated communication between departments, fostering collaboration and improving overall organizational efficiency related to medical billing procedures.
Worked closely with medical records personnel to ensure timely and accurate retrieval of patient information for coding purposes.
Verified signatures and checked medical charts for accuracy and completion.
Education
High School Diploma
Murry Bergtraum High School For Business Careers | New York, NY
Medical Coding And Billing Program Certificate
Roxbury Institute, Medical Coding And Billing | Queens, NY
Patient Registration Specialist at Summit Healthcare Regional Medical CenterPatient Registration Specialist at Summit Healthcare Regional Medical Center