Barbara Wells, CCS
London,KY
Summary
Certified Coding Specialist that is detail-oriented and compliant with over 24 years of experience in outpatient coding and edit coding combined. My work experience is exclusively Commonspirit specific work queues. My assigned facilities are located in North Dakota, Minnesota, Kentucky, and Arkansas. I am proficient with Epic and Meditech. I have maintained a 95%+ accuracy rating while meeting a 60 edits per day productivity standard.
Overview
1
1
Certification
25
25
years of professional experience
Work History
Edit Coder
Conifer Health Solutions
Frisco, TX
06.2017 - Current
- Review and verify medical records for proper documentation and code assignment to solve medical necessity edits, medically unlikely (MUE) edits, and procedure to procedure (PTP) edits based on CMS's National Correct Coding Initiative (NCCI).
- Review and verify the medical record to add appropriate modifiers.
- Collaborate with clinical teams to resolve discrepancies
- Resolve POA (present on admission) issues.
- Review and verify medical records to solve discharge disposition issues.
- Analyze coding guidelines to ensure compliance with healthcare regulations.
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Maintained accuracy, completeness, and security for medical records and health information.
Senior Outpatient Coder
Conifer Health Solutions
Frisco, TX
10.2001 - Current
- Coded observation, same day surgery, cardiac catheter/stents/pacemaker placements, oncology and emergency room medical records.
- Coded emergency room levels in Lynx.
- Experience with Epic, Meditech, Mosaiq, Allscripts, Chartmaxx, and ePremis.
- Managed assigned workload efficiently, consistently meeting deadlines without compromising quality of work.
- 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.
Education
Coding Certificate - Health Sciences
Eastern Kentucky University
Richmond, KY2007
Skills
- EHR: Epic, Meditech, Mosaiq, ePremis, Allscripts, and Solventum (3M encoder)
- ICD-10-CM, CPT and HCPCS coding
- Claim denial resolution
- Accuracy and attention to detail
- Emergency Room, surgical, observation and oncology coding experience
- Infusion and injection coding experience
- Up to date and compliant with AHIMA continuing education credits
Certification
- CCS - Certified Coding Specialist | AHIMA
Timeline
Edit Coder
Conifer Health Solutions
06.2017 - Current
Senior Outpatient Coder
Conifer Health Solutions
10.2001 - Current
Coding Certificate - Health Sciences
Eastern Kentucky University