Seasoned Medical Coder from OhioHealth Riverside Methodist Hospital, adept in ICD-10-CM and CPT-4 coding and proficient in Epic, CareConnect. Demonstrated expertise in enhancing coding accuracy and compliance, alongside a commitment to continuous education. Excelled in training peers, showcasing a blend of technical skill and ethical standards. Achieved significant reductions in billing discrepancies and claim denials.
Overview
20
20
years of professional experience
Work History
Medical Coder
OhioHealth Riverside Methodist Hospital
Columbus, OH
08.2004 - Current
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Performed audits on coded claims to ensure that all required data elements are included for accurate payment processing.
Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.
Ensured timely resolution of denials due to incorrect code assignments or missing information in the claim form.
Analyzed data from various sources including electronic health records databases, insurance websites, in order to identify potential errors in the coded data sets.
Advised clinicians on appropriate use of codes based on current guidelines and regulations.
Educated staff members about new developments related to medical coding practices.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Updated coding skills and knowledge through continuous education and training.
Educated healthcare staff on coding standards and changes in coding guidelines.
Education
Associate - Medical Coding And Billing
Byrman College
Columbus, OH
08-2004
Skills
Medicare insurance regulations
Ethical standards
Proficiency in Epic, CareConnect
Medical claims coding
Training and mentoring
Home Care Coding
BWC Coding
Record assessment
Continuing education
Affiliations
An Avid Gardener
I shop and run errands for the Aging in my community
Volunteer Lead Alumni Group Facilitator at Lifepoint Health, Columbus SpringsVolunteer Lead Alumni Group Facilitator at Lifepoint Health, Columbus Springs