Conscientious Compliance Specialist known for maintaining high productivity and efficiently completing tasks. Skilled in regulatory compliance, risk assessment, and policy development, adept at navigating complex regulatory environments. Possess strong analytical skills, problem-solving abilities, and communication expertise, ensuring effective implementation of compliance strategies and fostering organizational integrity.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Medical Coding Compliance Specialist
Community Healthcare Alliance
Tacoma, WA
12.2023 - Current
Provided support to department by assisting with special assignments and projects.
Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
Kept abreast of updates and changes in coding guidelines and reporting requirements.
Participated in meetings with physicians and other healthcare providers regarding coding compliance standards.
Resolved coding discrepancies and denials to maximize reimbursement.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Provided administrative support including filing documents, preparing correspondence .
Adhered to HIPAA regulations when handling confidential patient information.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Set up patient charts and documented information in various company software.
Handled incoming calls and directed callers to appropriate department or employee.
Transmitted information or documents to customers through email, mailings or facsimile machine.
Participated in coding team meetings to discuss challenges and best practices.
Updated coding skills and knowledge through continuous education and training.
Medical Coding and Billing Specialist
The Delta Resource Group
Tacoma , WA
09.2007 - 04.2021
Streamlined day-to-day office processes to meet long-term goals.
Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
Kept abreast of updates and changes in coding guidelines and reporting requirements.
Participated in meetings with physicians and other healthcare providers regarding coding compliance standards.
Conducted audits to ensure compliance with federal and state regulations.
Resolved coding discrepancies and denials to maximize reimbursement.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Provided administrative support including filing documents, preparing correspondence .
Adhered to HIPAA regulations when handling confidential patient information.
Compiled and coded patient data using standard classification systems.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Monitored and analyzed coding error trends to improve coding accuracy.
Collaborated with healthcare providers to verify necessary documentation for coding accuracy.
Handled incoming calls and directed callers to appropriate department or employee.
Transmitted information or documents to customers through email, mailings or facsimile machine.
Participated in coding team meetings to discuss challenges and best practices.
Updated coding skills and knowledge through continuous education and training.
Quickly responded to staff and client inquiries regarding CPT codes.
Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
Reviewed patient records and assigned accurate codes for diagnoses and procedures.
Education
Medical Billing And Coding - Medical Billing And Coding
Bryman College
Tacoma, WA
06-2005
Skills
Compliance
Information gathering
Documentation skills
Documentation review
Internal auditing
Industry awareness
Certification
Certified Professional Coder as recognized by AAPC
Timeline
Medical Coding Compliance Specialist
Community Healthcare Alliance
12.2023 - Current
Medical Coding and Billing Specialist
The Delta Resource Group
09.2007 - 04.2021
Medical Billing And Coding - Medical Billing And Coding
Urgent Care Registered Nurse - Travel Contract at Community Healthcare AllianceUrgent Care Registered Nurse - Travel Contract at Community Healthcare Alliance