Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Carrie Smith

Walpole

Summary

Medical coding professional with solid track record of accurate medical record interpretation and coding. Known for strong team collaboration and ability to adapt to changing needs. Reliable and results-focused, with excellent attention to detail and analytical skills.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Medical Coding Specialist

Guidehouse
06.2023 - Current
  • Maintained strict adherence to HIPAA regulations by protecting confidential patient information during the coding process.
  • Stayed current on industry trends and advancements through regular participation in professional development courses and seminars, enhancing overall job performance.
  • Enhanced medical coding accuracy by meticulously reviewing patient records and diagnoses.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Resourcefully used various coding books, procedure manuals, and online encoders.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
  • Maintained QA and productivity rates of over 95% while consistently meeting deadlines for claim submissions.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Followed up with medical staff regarding missing information in patient records.

Lead Assistant/Certified Paraoptometric Technician (CPOT)

New England Eyeworks
06.2018 - 11.2020
  • Directed all processes of a successful clinic, including maintaining efficient patient flow, overseeing exam room preparation, chart and database updates, and patient education
  • Supervised a clinic staff of 4, providing direct and indirect support to multi-disciplinary medical team
  • Responsible for complete and accurate coding of medical records while serving as a medical scribe
  • Managed transition to updated EHR and Practice Management Systems, to support seamless patient experience
  • Created exam documentation templates, training staff on proper use, compliance, and complete critical data capture
  • Directed clinic transition following the pandemic, including researching and ordering required PPE, implementing safety policies, and educating staff on new procedures

Certified Paraoptometric Assistant (CPOA)/Medical Scribe

New England Eyeworks
10.2015 - 06.2018
  • Provided clinical care, including obtaining patient histories and vitals, conducting visual acuity measurements, and performing glaucoma screenings
  • Served as a medical scribe during patient exams, supporting complete documentation and compliance with all coding and documentation guideline
  • Coded medical records for the complete and correct assignment of all codes and modifiers, researching coding guidelines as needed to increase knowledge and code to the highest specificity

Insurance Billing Specialist

New England Eyeworks
09.2009 - 10.2015
  • Directed end-to-end billing processes, including confirming charges, auditing payments to identify incorrect payments, submitting corrected claims and denial appeals, and administering clearinghouse reports
  • Served as a liaison between clients and insurance companies, researching information needed to complete claims, obtaining Prior Authorizations, answering billing questions, and resolving insurance related issues
  • Audited patient records to confirm coding accuracy, identify errors, and resubmit claims as necessary
  • Promoted to billing supervisor, updating billing procedures to avoid further insurance payment delays or rejections
  • Received feedback from company leadership that research skills and determination had 'saved the business.'

Education

Bachelor's degree - Psychology, focus on Clinical Psychology, Minor in Sociology

Keene State College
Keene, NH
05.2004

Practicode program -

AAPC
01.2023

Skills

  • Coding Payment Policies
  • CPT
  • Medical Terminology
  • Coding Guidelines
  • Compliance
  • Medicare Parts A,B,C,D
  • Anatomy and Physiology
  • ICD-10-CM proficiency
  • NCD & LCD Edits
  • Proficiency in Indigo IDX & Cerner
  • Fraud/Waste/Abuse Resolutions
  • Advance Beneficiary Notice
  • HCPCS
  • Modifiers
  • NCCI Edits
  • HIPAA Policies & Compliance

Certification

  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).

Timeline

Medical Coding Specialist

Guidehouse
06.2023 - Current

Lead Assistant/Certified Paraoptometric Technician (CPOT)

New England Eyeworks
06.2018 - 11.2020

Certified Paraoptometric Assistant (CPOA)/Medical Scribe

New England Eyeworks
10.2015 - 06.2018

Insurance Billing Specialist

New England Eyeworks
09.2009 - 10.2015
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).

Bachelor's degree - Psychology, focus on Clinical Psychology, Minor in Sociology

Keene State College

Practicode program -

AAPC
Carrie Smith