Highly proficient and detail-oriented Certified Professional Coder (CPC) with 16 years of experience in clinical settings, including a strong foundation in medical documentation and coding within a specialty clinic. Adept at ICD-10-CM, CPT, and HCPCS Level II coding, with a proven ability to ensure coding accuracy, optimize reimbursement, and maintain compliance. Seeking a challenging Medical Coder position in a hospital environment to leverage expertise in coding guidelines, regulatory requirements, and electronic health record (EHR) systems to support efficient revenue cycle management.
* Oversaw patient workflow and clinical documentation processes, identifying areas for improvement and implementing solutions that enhanced efficiency and accuracy.
* Conducted comprehensive chart audits and reviewed chart documentation to ensure the accuracy and completeness of medical records, resulting in a 12% reduction in coding errors and improved compliance with documentation standards.
* Assigned ICD-10-CM, CPT, HCPCS Level II, and E&M codes for a high volume of patient encounters, demonstrating expertise in coding guidelines and reimbursement methodologies.
* Collaborated with physicians and clinical staff to clarify documentation and ensure accurate code assignment, contributing to compliant billing practices.
* Utilized Next Gen and MDI EMR systems for data entry, retrieval, and reporting, and served as a trainer and superuser for these systems.
* Maintained strict patient confidentiality and adhered to HIPAA regulations.
* Contributed to quality reporting initiatives, including MACRA/MIPS.
* ICD-10-CM, CPT, HCPCS Level II Coding
* E&M Coding
* Coding Auditing
* Reimbursement Methodologies
* EHR Systems (Next Gen, MDI)
* Microsoft Office Suite
**Certified Professional Coder (CPC)**
**CPR Certification**