Charley Felter-Clark
Newport
Summary
Inpatient Coder with extensive experience also in SDC and OBS, proficient in ICD-10-CM/PCS and CPT/HCPS coding.
Specialized coding in the following areas:
Neurosurgery
Surgical Oncology
Plastics and Reconstructive Surgery
Pulmonary
General Surgery
Gastroenterology
Gynecological
Orthopedics
Pain Management
Proven resourceful in reducing claim denials and enhancing team productivity through effective training and collaboration. Adept at utilizing encoder software and fostering a positive work environment, demonstrating strong attention to detail and leadership skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Inpatient Coder
Memorial Health System
01.2016 - Current
- Started my coding career in SDC then began helping with Observation accounts, eventually moving into my current Inpatient Coder role.
- Demonstrated expertise in various code sets including CPT, HCPCS Level II, ICD-10-CM/PCS codes .
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Streamlined workflow processes by collaborating with other coders, physicians, and healthcare professionals to ensure accurate documentation while also leading to a more efficient workflow within the coding department.
- Provided comprehensive training for junior coders, resulting in increased productivity and skill development.
- Utilized advanced computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
- Served as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
- Reduced claim denials by proactively resolving billing discrepancies prior to submission, working closely with billing teams when necessary.
Precertification Team Lead
Memorial Health System
08.2011 - 01.2016
- Began in the precertification area contacting insurance companies to obtain prior authorization for various testing and procedures while utilizing correct diagnosis and procedure codes .
- Trained new team members by relaying information on company procedures and policies.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Assisted in recruitment to build team of top performers.
- Developed effective improvement plans in alignment with goals and specifications.
Insurance Customer Service Specialist
Go Heatlh
02.2008 - 07.2011
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Collaborated effectively with internal departments like claims adjusters, underwriting staff, allowing seamless coordination between parties involved in the client relationship management process.
- Developed expertise in various lines of insurance products, offering knowledgeable guidance to customers seeking information on policies.
- Contributed to team success by providing support during peak hours or as needed for overflow assistance.
- Worked closely with sales teams to identify cross-selling opportunities, growing the company''s book of business.
- Assisted clients with policy updates and modifications, ensuring accurate coverage.
Education
High School Diploma -
Frontier High School
New MatamorasSkills
- ICD-10-CM coding
- ICD-10-PCS coding
- CPT/HCPS coding
- Medical record review
- HIPAA compliance
- Anatomy and physiology
- Encoder software
- Medical record abstraction
- Inpatient and Outpatient coding guidelines
- Training and mentoring
- Knowledgeable in Microsoft,3M Encoder, Meditech, Epic
- Electronic health records
Certification
- CPC - Certified Professional Coder -AAPC 2018
Timeline
Inpatient Coder
Memorial Health System
01.2016 - Current
Precertification Team Lead
Memorial Health System
08.2011 - 01.2016
Insurance Customer Service Specialist
Go Heatlh
02.2008 - 07.2011
High School Diploma -
Frontier High School
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