Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

CARIN PFEIFFER

Lockport,IL

Summary

Certified Medical Coder with over 21 years of experience specializing in ProFee surgical coding. Proficient in ICD-10 and well-versed in commercial and private insurance carriers. Seeking a role in physician coding. Skilled coding professional with a comprehensive understanding of medical coding, billing processes, and healthcare regulations. Known for ensuring accuracy and compliance, leading to optimized revenue cycles. Emphasizing team collaboration and adaptability to evolving requirements. Recognized for reliability, thoroughness, and effective communication in fast-paced settings.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Certified Professional Coder

Omega Healthcare
07.2018 - Current
  • Analyzed medical records to ensure accurate coding and compliance with regulatory standards.
  • Collaborated with healthcare providers to clarify documentation for optimal coding accuracy.
  • Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
  • Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
  • Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
  • Utilized advanced computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
  • Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
  • Analyzed medical records to ensure accurate coding and compliance with industry regulations.
  • Reviewed complex cases for accurate diagnosis and procedure coding, ensuring adherence to payer requirements.
  • Followed up with medical staff regarding missing information in patient records.

Certified coder

Loyola University Medical Center
10.2007 - 04.2018
  • Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
  • Interpreted medical reports to apply appropriate ICD-10, CPT-4 and HCPCS codes. Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
  • Received, organized and maintained all coding and reimbursement periodicals and updates.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Quickly responded to staff and client inquiries regarding CPT codes. Consistently ensured proper coding, sequencing of diagnoses and procedures.
  • Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature.
  • Analyzed and coded medical records using ICD-10 and CPT coding systems.
  • Ensured compliance with healthcare regulations and coding guidelines.
  • Collaborated with clinical staff to clarify documentation for accurate coding.
  • Reviewed and corrected discrepancies in coded data to maintain integrity.
  • Implemented quality assurance measures, enhancing overall accuracy of coded records.
  • Participated in continuing education courses, staying up-to-date on the latest industry changes and coding guidelines.
  • Streamlined coding processes by utilizing specialized software to increase efficiency and reduce errors.
  • Consulted with physicians on documentation that was incomplete, inaccurate or required further diagnosis specification.
  • Maintained strict adherence to HIPAA regulations, safeguarding patient information during all aspects of the coding process.
  • Entered codes for Medicare, Medicaid and private insurance providers using office EMR system.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
  • Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
  • Utilized advanced computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
  • Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
  • Analyzed and assigned accurate medical codes for diverse diagnoses and procedures.

Education

Certificate of completion - Medical Billing and Coding / Terminology

Advanced Technical Training Center
Midlothian, IL
01.1994

Skills

  • CPT and HCPCS coding, ICD-10 Coding
  • Experience in Colorectal, Urology, General Surgery, Pediatric, Trauma, Bariatric surgery and Surgical Oncology
  • Surgical coding experience
  • Certified coding specialist

Certification

CCS-P Certification (AHIMA)

Timeline

Certified Professional Coder

Omega Healthcare
07.2018 - Current

Certified coder

Loyola University Medical Center
10.2007 - 04.2018

Certificate of completion - Medical Billing and Coding / Terminology

Advanced Technical Training Center

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