Carlee Russell Osterday
Miamisburg,OH
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Medical Billing and Coding Specialist with 5 years of advanced knowledge of private insurance processes and codes. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
5
5
years of professional experience
Work History
Medical Coder
Change Healthcare
02.2019 - 03.2024
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Verified signatures and checked medical charts for accuracy and completion.
- Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
- Achieved reliable classification consistency among coders via participation in regular code review sessions.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Input data into computer programs and filing systems.
Education
High School Diploma -
Sinclair Community College
Dayton, OHHigh School Diploma -
Franklin High School
Franklin, OH05.2016
Skills
- Medical Terminology
- Anatomy knowledge
- HIPAA Compliance
- HCPCS Coding
- Medical Billing
- Insurance Verification
- Teamwork capabilities
- Data Entry
- Insurance coding (ICD-9 and CPT)
- Medical claims coding
- Regulatory guidelines
- Knowledgeable in all Microsoft Office Programs
- Knowledgeable in PHI Compliance and Regulations
- Document Management
- Procedural Coding
- Diagnostic Coding
- Training and mentoring
- Nonemergency, and emergent coding
- Workflow Management
- Data Verification
- Proficiency in Microsoft, Excel, Powerpoint, and Access
- Medical record security
- Coding Error Resolution
- Continuing education
- Physiology Understanding
- Patient data compilation
- Performance Improvement
- Data security procedures
- ICD-10 Coding
- Medical billing code accuracy
- EMR Systems
- Billing Procedures
- ICD-9 Coding
- Patient Information Verification
- Electronic Health Record Applications
- Patient Health Information Access
- Word Processing Software
- Demographics Information
- Attention to Detail
- Microsoft Excel
- Clerical Functions
- Records Review
- Customer Service
Timeline
Medical Coder
Change Healthcare
02.2019 - 03.2024
High School Diploma -
Sinclair Community College
High School Diploma -
Franklin High School
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