Efficient hospital coder with robust background in medical coding. Proficient in accurately coding patient records and ensuring compliance with healthcare regulations. Demonstrated expertise in utilizing coding software and maintaining detailed documentation.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Hospital Medical Coder II
Core Specialty Hospital
08.2019 - Current
Select, assign and sequence accurate and appropriate ICD-10 Diagnosis, CPT, HCPCS, ICD-10 PCS (inpatient only), and Modifiers to patients’ procedures according to sequencing guidelines for optimal reimbursement for hospital outpatient and inpatient, as well as laboratory and radiology
Responsible for charge entry for accurate anesthesia, recovery, and implant(s) used in procedure
Comprehend the medical records to identify all diagnosis, operations, and procedures relevant to the current documentation and orders in the electronic medical records
Contact the appropriate department or provider if there is inadequate documentation in a medical record to query the responsible provider
Review and correct any claims that are rejected or denied due to coding issues
Remote
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.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Charge Entry Specialist
The Orthopedic Clinic Association
11.2018 - 08.2019
Review medical charts for accuracy of providers documentation
Select, assign, and sequence accurate and appropriate ICD-10 Diagnosis and CPT (Evaluation and Management) codes for patients’ clinical visit with provider
Select, assign, and sequence accurate and appropriate ICD-10 Diagnosis codes for diagnostic radiology performed in clinic
Review and correct any claims that are rejected or denied due to diagnosis coding issues
Ensured compliance with billing guidelines by staying current on relevant regulations, policies, and procedures.
Reduced errors in charge capture by maintaining up-to-date knowledge of CPT, ICD-10, and HCPCS codes.
Improved charge entry accuracy by diligently reviewing and verifying patient demographic information.
Developed strong working relationships with physicians, nurses, and office staff to promote collaboration on complex cases requiring additional assistance or clarification on charges entered.
Increased efficiency by identifying and addressing discrepancies in coding and charge entries promptly.
Maintained strict adherence to HIPAA regulations, protecting patient privacy and ensuring the confidentiality of sensitive information .
Enhanced revenue cycle management through timely and accurate charge entry for medical procedures and services.
Captured and entered professional charges.
Medical Scribe
Scribe America
01.2016 - 05.2018
Accurately document history, physical, examination, laboratories, medication, and radiology notes as verbalized by the patient and provider
Assist physician with reviewing any medical records in electronic health records
Accompany the provider into the exam room to document provider/patient interactions
Manage and sort medical documents in the EMR system
Transcribe dictated information form the provider into the medical record for multiple specialties, e.g., adult cardiology, pediatric neurology, orthopedic, genetics, plastic surgery, endocrinology
Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
Increased overall productivity of clinical staff by providing real-time scribing support during high-volume shifts, enabling better focus on direct patient care.
Ensured compliance with HIPAA regulations by consistently maintaining patient confidentiality and protecting sensitive information during documentation processes.
Demonstrated confidentiality in dealing with sensitive information or records to comply with HIPAA guidelines and regulations.
Advanced understanding of complex medical terminology through consistent application in daily tasks, ensuring accuracy in all written communications.
Supported physicians with comprehensive chart documentation, assisting in the reduction of administrative burden.
Attended patient appointments and wrote narrative account of events using proper abbreviations, grammar, and spelling.
Facilitated smoother billing process by accurately coding procedures and diagnoses in medical records.
Education
Certification - Certified Professional Coding
Phoenix College
Skills
Three years hospital/facility setting experience to include general office skills and computer experience
Demonstrated proficiency working with Centricity, Epic, and Healthland EMR
Strong computer skills, including Microsoft Office
Demonstrated proficiency in spelling, grammar, and medical terminology
Demonstrated organizational skills and working closely with others
Excellent verbal and written communication skills and can function under pressure of daily requirements
Medical terminology
HIPAA compliance
HCPCS coding
Medical billing
Inpatient records coding
ASC coding
ICD-10 coding
Certified professional coder (CPC)
Procedural coding
Certification
Certified Professional Coder, CPC
Certified Professional Medical Auditor, CMPA
Certificate in medical coding and medical terminology, 2017, Phoenix College
Affiliations
AAPC Accreditation current
Timeline
Hospital Medical Coder II
Core Specialty Hospital
08.2019 - Current
Charge Entry Specialist
The Orthopedic Clinic Association
11.2018 - 08.2019
Medical Scribe
Scribe America
01.2016 - 05.2018
Certification - Certified Professional Coding
Phoenix College
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