CHRISTINA BLACK
Kennewick,WA
Summary
Results-driven, dependable, and hardworking professional with excellent reputation for quality, efficiency, and commitment to quality data abstracting and assigning proper code sets. Seeking career advancement opportunities in the healthcare industry specific to medical coding.
Overview
18
18
years of professional experience
1
1
Certification
Work History
IP Senior Medical Coder
Providence Health & Services
Kennewick, WA
12.2023 - Current
- Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
- Conducted research on various coding topics as needed.
- Monitored quality assurance activities within the department including tracking trends in denials due to incorrect or incomplete coding information.
- Analyzed physician documentation to ensure accuracy of codes assigned in accordance with accepted coding guidelines.
- Verified and abstracted medical data from records to assign appropriate codes for hospital inpatient records.
- Responded promptly to inquiries from internal customers regarding correct application of codes.
- Performed periodic audits of coded data to ensure accuracy and compliance with established standards.
- Resolved complex reimbursement issues related to coding practices.
- Coded IP charts at rate of [Number] per hour while maintaining 97% accuracy rate.
- Partnered with insurance companies to resolve denials or appeals associated with coding discrepancies.
- Assigned patients to diagnosis-related groups using appropriate computer software.
- Compiled and coded patient data using standard classification systems.
- Maintained positive working relationship with fellow staff and management.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Verified proper coding, sequencing of diagnoses and accuracy of PCS procedures.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
Senior Medical Coder
Optum
Kennewick, WA
01.2023 - 10.2023
- Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
- Monitored quality assurance activities within the department including tracking trends in denials due to incorrect or incomplete coding information.
- Analyzed physician documentation to ensure accuracy of codes assigned in accordance with accepted coding guidelines.
- Conducted research on various coding topics as needed.
- Verified and abstracted medical data from records to assign appropriate codes for hospital inpatient records.
- Responded promptly to inquiries from internal customers regarding correct application of codes.
- Performed periodic audits of coded data to ensure accuracy and compliance with established standards.
- Coded IP charts at rate of 3 per hour while maintaining 97% accuracy rate.
- Maintained current knowledge of industry changes related to ICD-10 and CPT codes by attending seminars and webinars.
- Verified accuracy of claims prior to submission for payment ensuring compliance with payer requirements.
- Collaborated with clinicians, billing staff, administrators and other stakeholders regarding coding matters.
- Maintained high accuracy rate on daily production of completed reviews.
P/T IP APR DRG Peer Review Auditor
KEPRO
- Retrospectively Audited and Validated high dollar IP APC DRG
- Auditor report creations
Remote Certified Medial Coder- Outpatient
HIMAGINE solutions
- Abstracts medical records for assignment of correct ICD-10 and CPT (modifiers), and HCPCS code sets
- Charts Abstracted: Same Day Surgery, Interventional Radiology, Observation, Emergency Department, Pediatrics Emergency Department, Wound Care, Pain Clinic, ER/OBS, Diagnostics, Ancillary, Recurrent
- Querying Physicians for correct documentation
Remote Certified Medical Coder
LifePoint Health
03.2016 - 03.2022
- Reviews and interprets medical information, physician treatment plans, courses, and outcomes to determine appropriate ICD/CPT codes for diagnoses and procedures
- Acts as a mentor for others
- Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report
- Keeps informed of the changes/updates in the ICD/CPT by attending appropriate training, reviewing coding clinics and other resources and implements these updates in their daily work
- Coding Labor Productivity: Meets and/or exceeds Conifer's coding productivity guidelines
- Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
- Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for Outpatient encounters
- Such as, ER, SDS, OBS, Ancillary, Recurring, I&I, IVT
- Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures
- Extracts required information from source documentation and enters into encoder and abstracting system
- Utilizes technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD9-CM and/ or ICD-10 CM, CPT with Modifiers and HCPCS diagnoses and procedures codes
- Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Collaborated with physicians, nurses, other healthcare professionals to resolve questions regarding code selection or documentation requirements.
Health Data Analyst - Certified Medical Coder
Lourdes Health Network
Pasco, WA
04.2018 - 02.2019
- Abstract clinical health information from, outpatient notes, ED charts, and GI procedures
- Abstracted proper Diagnosis for the assignments of ICD-10-CM for Ancillary
- Assigned CPT-4, HCPCS and ICD-10-CM outpatient clinics - Urology, ENT, Internal Medicine, General Surgery and GI clinics
- Assigned ICD-10-CM, IC-10-PCS, Pro Fees to Emergency Department, Hospital coding
- Inform HIM of Charge Master Updates
- Assigned ICD-10-CM, ICD-10-PCS and CPT-4 to GI procedures, Same Day Surgery's
- Queried Physician and/or Clinical Supervisors for clarification of documentation
- Met coding productivity requirements
Medical Records Assistant - Diagnostic Coder
Prestige Care, Inc. / Richland Rehabilitation Center
Richland, WA
03.2016 - 03.2018
- ICD-10 diagnoses, medical codes while admitting utilizing Matrix Software to document demographics, Diagnosis, Medication and Physician Orders
- Read and interrupt H&P's and Physician Orders for proper documenting on admit
- Clarifying and inputting Physician order into Matrix for nursing staff
- Build and maintain hard copy charting
- Assign ICD-10 medical codes to services and procedures for billing purposes
- Schedule hospital follow ups, procedures and Imaging
- Arrange transportation for patient to and from appointments
Customer Service Representative
CRF
Pasco, WA
02.2013 - 09.2015
- Checked to ensure that appropriate changes were made to resolve customers' problems
- Completed contract forms, prepare change of address records, or issue service discontinuance orders, using computers
- Conferred with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints
- Contacted customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments
- Determined charges for services requested, collect deposits or payments, or arrange for billing
- Kept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken
- Ordered tests that could determine the causes of product malfunctions
- Referred unresolved customer grievances to designated departments for further investigation
- Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills
Administrative Assistant/Secretary
USR, Washington Group
Umatilla, OR
03.2006 - 11.2010
- Answered telephones and gave information to callers, took messages, and transferred calls to appropriate individuals
- Served as first point of contact, routing telephone calls, greeting visitors, and responding to customer and vendor inquiries
- Provided company information in person as well as via e-mail, telephone, and radio; verified visitor identity and arranged escorts
- Performed wide-ranging office functions such as updating and managing schedules for training and physicals, composing correspondence, and maintaining proprietary database and filing
- Complete training of the TRAC System
- Data entry 45 wpm and 250 KMP, 10 key
- Coordinated calendars, prioritized corporate meetings, and made travel arrangements
- Created documents, charts, spreadsheets, and presentations and edited documents and prepared them for approval
- Recorded information, updated files or paperwork, and maintained documents such as correspondence or other material
- Set up and managed paper or electronic filing system
Education
Master of Science - HIM
Rasmussen College - Topeka
Topeka, KS07-2020
Skills
- Data entry (experience using 10-key number pad)
- Data inventory (organizing, recording, storing, or saving information)
- Reviewing, evaluating, and improving processes
- Adapting to a new environment
- Trustworthy
- MS Office
- MS Excel
- MS Word
- MS PowerPoint
- Records Management
- Workflow Management
- Data security procedures
- Medical Terminology
- Coding Error Resolution
- Clinical Documentation
- IP coding
- Patient data identification
- HIPAA Compliance
- Anatomy and physiology
- Pharmacology
Certification
AHIMA Certification CCS
Education Certification
- WGU, BS Health Information Management, 10/2023, Fully Accredited CHAHIIM
- Rasmussen College, Associates of Health Information, 06/2020, Graduated with Honors, Fully Accredited CHAHIIM
- Ultimate Medical Academy, Diploma - Medical Billing and Coding, 02/03/2017, Graduate with Honors, Fully accredited
Professional Medical Skills
- Coded outpatient services for Teaching (600+ beds), Ambulatory, Critical Access, Rehabilitation Hospitals:
- Same Day Surgery
- IP
- DRG peer review
- Interventional Radiology
- Observation
- Emergency Department, Pediatrics Emergency Department
- Wound Care
- Pain Clinic
- Diagnostics
- Ancillary
- Recurrent
- Outpatient Specialist: OBGYN, Urology, ENT, Internal Medicine, General Surgery and GI, Rheumatology, Dermatology, UC, Urology, Otho, including all OP procedures and IP consults and surgeries.
- Software: EPIC, Paragon, 3M, 3M 360, OneContent, Meditech 2012, 2017, Clintegrity, SN charts, Nosology, And more
Sitting For Exam
RHIA in January 2024
Awards
- UMA First, Second and Third Quarter Dean's list - Graduating GPA 4.0
- Rasmussen College 2019-2020 GPA 3.332
Timeline
IP Senior Medical Coder
Providence Health & Services
12.2023 - Current
Senior Medical Coder
Optum
01.2023 - 10.2023
Health Data Analyst - Certified Medical Coder
Lourdes Health Network
04.2018 - 02.2019
Remote Certified Medical Coder
LifePoint Health
03.2016 - 03.2022
Medical Records Assistant - Diagnostic Coder
Prestige Care, Inc. / Richland Rehabilitation Center
03.2016 - 03.2018
Customer Service Representative
CRF
02.2013 - 09.2015
Administrative Assistant/Secretary
USR, Washington Group
03.2006 - 11.2010
P/T IP APR DRG Peer Review Auditor
KEPRO
Remote Certified Medial Coder- Outpatient
HIMAGINE solutions
Master of Science - HIM
Rasmussen College - Topeka