Bridgett Prater
215 Meadowview Lane McMinnville,TN
Summary
Detail-oriented Inpatient Coder with extensive experience in medical coding and compliance. Enhances coding efficiency and upholds data integrity through thorough auditing and correction of errors. Drives revenue recovery by implementing streamlined processes and adapting to evolving clinical terminology.
Overview
1
1
Certification
15
15
years of post-secondary education
13
13
years of professional experience
Work History
Inpatient Coder/Outpatien Coder
Unity Medical Center
Manchester, Tennessee
09.2018 - Current
- Assigned appropriate ICD-10 and CPT codes for various diagnoses and procedures.
- Reviewed inpatient medical records for accurate coding and documentation compliance.
- Collaborated with healthcare providers to clarify coding discrepancies and improve accuracy.
- Performed periodic quality assurance reviews on coded data to ensure accuracy of coding practices.
- Utilized electronic health record systems to extract relevant patient data efficiently.
- Mentored junior coders on best practices and coding updates within the facility.
- Provided feedback on clinical documentation deficiencies that impact accurate code assignment.
- Identified opportunities for improvement in existing processes related to coding functions.
- Investigated denials from payers due to incorrect or incomplete billing information or coding errors.
Inpatient Coder/ Outpatient Coder
River Park Hospital
McMinnville, Tennessee
05.2013 - 08.2018
- Assigned appropriate ICD-10 and CPT codes for diagnoses and procedures to ensure compliance.
- Reviewed inpatient medical records for accuracy in coding and documentation.
- Collaborated with healthcare providers to clarify coding discrepancies and enhance accuracy.
- Investigated payer denials related to billing inaccuracies or coding errors.
- Resolved billing discrepancies through coordination with healthcare providers.
- Monitored claims submissions to guarantee timely processing and reimbursement.
- Managed insurance verification processes for patient accounts efficiently.
- Ensured timely completion of coding assignments for billing processes.
Education
Associate of Science -
Motlow State Community College
Tullahoma, TN 08.1992 - 12.2007
Skills
- ICD-10 coding
- CPT coding
- Quality assurance review
- Clinical documentation improvement
- Claims management
- Electronic health records
- Documentation compliance
- Procedural coding
- ICD-10-pCS coding
- Charge entry
- Training and mentoring
- Inpatient records coding
- Coding appeals
Certification
- AAPC Certified Outpatient Coder
Timeline
Inpatient Coder/Outpatien Coder
Unity Medical Center
09.2018 - Current
Inpatient Coder/ Outpatient Coder
River Park Hospital
05.2013 - 08.2018
Associate of Science -
Motlow State Community College
08.1992 - 12.2007