Christen Birch

Medical Coder / Medical Billing Coordinator /Prior Authorization Specialist

Tribal Diagnostics

Oklahoma City, OK

07.2023 - Current

Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
Assisted in the development of coding guidelines and policies.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
Prepared reports summarizing coding trends or areas where additional training is needed.
Ensured timely resolution of denials due to incorrect code assignments or missing information in the claim form.
Analyzed data from various sources including electronic health records databases, insurance websites, in order to identify potential errors in the coded data sets.
Advised clinicians on appropriate use of codes based on current guidelines and regulations.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained high accuracy rate on daily production of completed reviews.
Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
Provided guidance to providers regarding the prior authorization process.
Assigned ICD-10 codes to diagnoses and CPT codes to services rendered based on medical documentation.