Medical Coding Specialist with 10 years of appling official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
CPC Coder Level II
Health West Inc.
11.2020 - Current
Maintain high coding standards by adhering to industry best practices and staying current with emerging technologies, coding an average of 80 encounters per day
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
Resourcefully used various coding books, procedure manuals, and on-line encoders
Communicates effectively with Clinical Staff, Providers and office staff regarding documentation issues, or needs; provide assistance, guidance and support in respectful and courteous manners
Verified signatures and checked medical charts for accuracy and completion
Identified new methods to optimize medical records management
Certified Coding Specialist
Valley Wide Healthcare Systems
12.2017 - 11.2020
Code medical records by following accurate coding procedures
Review charges, manually posted in accordance with correct coding guidelines, averaging 80 claims per day
Communicates effectively with Clinical Staff, Providers, and office staff regarding documentation issues or needs; provides assistance, guidance and support in respectful and courteous manners
Expedited claim processing times by reviewing medical records thoroughly and assigning appropriate codes efficiently.
Stayed current on industry trends and changes in coding standards, adjusting processes accordingly to maintain compliance.
Billing Specialists and Certified Coder
Surgical Partners
01.2017 - 06.2017
Code medical records by following accurate coding procedures
Review charges, manually posted in accordance with correct coding guidelines in Gastroenterology & Urology
Work through Invalid and Rejected claims
Download / Upload Patient Hospital Records into doctors system
Enter patient demographics and updated patient insurance information
Answer patient calls and posted patient payments over phone.
Medical Coder
Diagnostic Center of Medicine
07.2014 - 01.2017
Tasks: Insurance verification, medical chart auditing, accounts receivable, RFI's (return from insurance queries)
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes
Resourcefully used various coding books, procedure manuals, and on-line encoders
Reviewed patient charts to better understand health histories, diagnoses, and treatments
Communicate with site managers to obtain information for billing; communicate with physicians to resolve billing issues
Find correct LCD/NCD Dx codes for procedures and labs, Run missing Encounter Reports
Misc
Education
Medical Insurance Billing & Coding Diploma - Medical Coding
Eagle Gate College
Salt Lake City, UT
08.2012
Medical Coding Program - Medical Coding
College of Southern Idaho
Twin Falls, Idaho
06.2011
Associates of Applied Science Business Administration -
Great Basin College
Elko, NV
05.2010
High School Diploma -
Spring Creek High School
Elko, NV
05.2007
Skills
Diagnostic Codes
Data Integrity
ICD-10 Code Training
ICD-9-CM
Clinical Codes
HCPCS, CPT
Payment Processing
Medical Terminology
Proficient in translating patient information in alphanumeric codes and posting information into medical coding systems
Hands-on experience in preparing and reviewing patient account payments and submitting claims to insurance companies
Maintains confidentially of patient information such as histories and treatments
Patient Access Representative at Resilience Health– West Suburban HospitalPatient Access Representative at Resilience Health– West Suburban Hospital