Carol Nelms-Macklin
Lubbock,TX
Summary
Dynamic Certified Coder with a proven track record at UMC Physicians, enhancing coding efficiency and accuracy through advanced ICD-10 and CPT expertise. Adept in HIPAA compliance and fostering team collaboration, I excel in problem-solving and maintaining meticulous records, ensuring transparency and accountability in all coding activities.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Certified Coder
UMC Physicians
10.2003 - Current
- Streamlined coding processes by utilizing specialized software to increase efficiency and reduce errors.
- Maintained highest patient confidentiality in accordance with HIPAA guidelines
- Entered codes for Medicare, Medicaid and private insurance providers using office EMR system.
- Reviewed out-patient medical documents of diagnosis and procedures and assigned ICD-10, CPT, and HCPCS according to coding guidelines.
- Maintained detailed records of all coding activities, ensuring transparency and accountability within the department.
- Consulted with physicians on documentation that was incomplete, inaccurate or required further diagnosis specification.
Education
High School Diploma -
Frenship High
Wolfforth, TXAssociate Of Arts And Sciences - History Currently Enrolled
South Plains College
Levelland, TXSkills
- ICD-10 proficiency
- Team collaboration
- HIPAA compliance
- CMS-1500 form completion
- Medical Terminology Familiarity
- Professionalism and ethics
- Electronic medical records
- Insurance verification
- Continuing education commitment
- Denial management strategies
- CPT coding
- HCPCS level II mastery
- Medical terminology
- ICD-10
- Problem-solving capacity
Certification
CPC
Certified Gastroenterology coders exam scheduled August 21, 2025
Timeline
Certified Coder
UMC Physicians
10.2003 - Current
High School Diploma -
Frenship High
Associate Of Arts And Sciences - History Currently Enrolled
South Plains College
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