Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Brandi Williams

East Windsor,NJ

Summary

Certified Professional Coder with over 10 years experience in hospital and medical office facilities. Accurate and detail-oriented with knowledge of multiple record types and specialties. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Coding Consultant

GHR Healthcare
03.2021 - Current
  • Remote position.
  • Coding and abstracting of medical records for risk adjustment purposes that mapped at a unique date of service level.
  • Coding and abstracting of medical records for risk adjustment purposes utilizing full code capture at a date of service level.
  • Evaluated and enhanced risk adjustment coding workflows
  • Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
  • Assigned appropriate medical codes with a 96 percent accuracy rate.
  • Maintained strict patient and physician confidentiality.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
  • Streamlined the coding process for faster project completion through efficient collaboration with cross-functional teams.

Medical Coder

Women's Healthcare Of Princeton
06.2017 - 03.2020
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.

Physician Billing Specialist

Mount Sinai Hospital Center
09.2006 - 11.2015
  • Improved the accuracy of medical billing by diligently reviewing patient records and validating correctness before submission.
  • Developed comprehensive training materials for new staff members, ensuring smooth integration into the billing team.
  • Expedited reimbursements with efficient follow-ups on outstanding claims and negotiating with insurance carriers.
  • Demonstrated commitment to customer service excellence by addressing patient inquiries and concerns promptly, establishing trust and rapport among clients.
  • Assisted patients in understanding their insurance coverage and payment options, promoting a positive customer experience.
  • Enhanced revenue collection by streamlining the claim submission process and minimizing errors.
  • Collaborated with physicians to ensure accurate documentation of diagnoses and procedures for proper billing purposes.
  • Coordinated closely with medical coders to guarantee accurate utilization of ICD-10 codes for timely claim processing.
  • Resolved complex billing issues through thorough research, analysis, and effective communication with relevant parties.
  • Established strong relationships with insurance representatives through clear communication channels fostering collaborative problem-solving approaches when addressing claim disputes or delayed payments.
  • Reduced denied claims by maintaining up-to-date knowledge of insurance guidelines, coding practices, and compliance requirements.

Education

Associate of Applied Science -

Medgar Evers College
New York, United States
02.2010

Skills

  • ICD-10 (International Classification of Disease Systems)
  • Excel, Word, PowerPoint, Access, Publisher, Qudramed, CAO, 3M, Epic, and EMR systems
  • Hospital inpatient and outpatient records
  • Outpatient surgery coding specialist
  • Patient chart auditing ability
  • Excellent problem solver
  • Resourceful and reliable worker
  • Close attention to detail
  • Adept multi-tasker
  • Risk Adjustment Principles
  • Procedural Coding Precision
  • HCC Coding Knowledge

Certification

  • CPC - Certified Professional Coder

Timeline

Coding Consultant

GHR Healthcare
03.2021 - Current

Medical Coder

Women's Healthcare Of Princeton
06.2017 - 03.2020

Physician Billing Specialist

Mount Sinai Hospital Center
09.2006 - 11.2015

Associate of Applied Science -

Medgar Evers College

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