Crystal Brown
Temperance,MI
Summary
Hardworking professional applies 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. Pays close attention to detail to ensure accuracy and maintain compliant documentation.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
HCA Healthcare/Parallon
03.2023 - Current
- Review and code clinical notes and operative reports for multiple cardiologists throughout the U.S.
- Coordinate and reconcile multiple schedules to ensure complete charge capture
- Enter ICD 10 CM and CPT codes into billing systems in a timely manner
- Work in conjunction with the A/R team on follow up and resolution of coding related denials and rejections, including recommendation of new/updated coding edits
- Maintain current knowledge of coding guidelines and relevant federal regulations through pertinent materials.
- Maintain strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information is protected at all times.
- Manage high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Conduct thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Utilize computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
- Participate in regular performance evaluations and provide constructive feedback for continuous improvement within the team.
- Optimize revenue cycle management with timely and precise code assignment for various medical procedures.
- Reduce claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
- Maintain up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- Participate in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
- Verify signatures and check medical charts for accuracy and completion.
- Resourcefully use various coding books, procedure manuals, and on-line encoders.
- Review, analyze, and manage coding of diagnostic and treatment procedures contained in outpatient medical records.
Certified Professional Coder
ProMedica Physicians Cardiology
12.2020 - 02.2023
- Reviewed and validated accuracy of charges, including dates of service, services provided, location, patient identification, and provider signature
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Verified, coded and added modifiers to diagnoses.
- Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
- Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
- Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
- Conducted ongoing self-audits to identify areas requiring additional education or resources in order to maintain a high level of coding accuracy and proficiency.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness to services rendered and assign additional codes and modifiers in support of existing codes
- Accurately entered procedure codes, diagnosis codes and patient information into Epic EMR system.
- Stayed up to date on all coding and general changes and maintain highest confidentiality of medical record information
- Made sure assigned codes meet legal requirements.
EMR Clerk / Medical Records
ProMedica Physicians Cardiology
02.2020 - 12.2020
- Responded to requests in a timely manner, abstracted, scanned and faxed documents and records
- Received notes from other offices and hospitals in preparation for appointments
- Made outbound calls to various medical offices to speak with personnel from the Medical Records Department
- Maintained and adhered to HIPAA confidentiality guidelines.
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
- Improved customer satisfaction by promptly answering inquiries and providing accurate information.
- Ensured confidentiality of sensitive documents through proper storage methods and restricted access control implementation.
- Inputed data into spreadsheets and databases.
- Reviewed files, records and other documents to obtain information to respond to requests.
Receptionist
Northwest Ohio Gastroenterology Associates
01.2015 - 01.2016
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Checked patients in, verified insurance eligibility, and collected and entered demographic information
- Ensured strict adherence to security and confidentiality guidelines as outlined in HIPPA.
- Confirmed appointments, communicated with clients, and updated client records.
- Kept reception area clean and neat to give visitors positive first impression.
- Responded to inquiries from callers seeking information.
- Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Handled sensitive information with discretion while maintaining strict confidentiality standards.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.
- Maintained confidentiality of information regarding clients and company.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Collected payments, processed transactions and updated relevant records.
Aircraft Armament Systems Specialist
U.S. Air Force - Nellis AFB
02.2003 - 05.2005
- Loaded weapons onto bomb racks and missile launchers of F-15E fighter jets in strict accordance with military policies/procedures
- Performed numerous quality assurance tests regarding gun system, maintaining responsibility for inspecting weapons prior to loading and assisting in launch and recovery
- Actively contributed to the achievement of team and organizational goals.
- Assisted in reducing operational costs by implementing preventative maintenance measures for armament systems.
- Enhanced aircraft safety by meticulously inspecting and maintaining armament systems and components.
- Demonstrated adaptability under pressure, seamlessly transitioning between different platforms as required by changing mission demands.
- Supported mission objectives through expertly managing aircraft ammunition inventory and ensuring proper storage conditions.
- Maintained compliance with safety regulations by diligently adhering to established guidelines for handling explosives and hazardous materials.
- Reduced maintenance downtime by efficiently troubleshooting and repairing aircraft armament malfunctions.
- Ensured mission readiness through rigorous testing of weapons release systems and related equipment.
- Documented all inspection and maintenance actions in aircraft forms, IMDS, and FERMS.
- Assisted with aircraft and equipment transport and movement.
Education
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
Online01.2014
Associates in Applied Science Degree – Legal Studies -
Ferris State University
01.2013
Skills
- Charge Entry Competence
- CPT coding knowledge
- ICD-10 Proficiency
- HIPAA compliance awareness
- Diagnostic Coding Accuracy
- Medical Terminology Familiarity
- Continuing Education Commitment
- Medical Coding Expertise
- Surgical Coding Experience
- CPC registration
- E and M Coding Proficiency
- Cardiology Coding Expertise
- Modifiers Application Expertise
- Telehealth Coding Experience
- Data Entry
- Medical Terminology
- Medical claims coding
- Performance Improvement
- Continuing education
- Inpatient records coding
- Medical record security
- EMR Systems
- Problem-Solving
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking Abilities
- Reliability
- Excellent Communication
- Organizational Skills
- Active Listening
- Adaptability and Flexibility
- Decision-Making
- Microsoft Excel
- Self Motivation
- Interpersonal Skills
- Analytical Thinking
Certificatesofcompletion
- CPC
- CMS 1500
- Medicare Fraud & Abuse Prevention, Detection & Reporting
- Uniform Billing (UB)-04
Key Qualifications
- Medical Terminology
- Medical Billing
- Medical Coding
- HCPCS
- CPT
- ICD-10-CM
- Healthcare Claim Cycle
- Anatomy & Physiology
- HIPAA Compliance
- Government Payers
- Medicare
- Medicaid
- TRICARE
- Third-Party Payers
Certification
- CPC - Certified Professional Coder
Languages
Spanish
Native or Bilingual
Timeline
Certified Professional Coder
HCA Healthcare/Parallon
03.2023 - Current
Certified Professional Coder
ProMedica Physicians Cardiology
12.2020 - 02.2023
EMR Clerk / Medical Records
ProMedica Physicians Cardiology
02.2020 - 12.2020
Receptionist
Northwest Ohio Gastroenterology Associates
01.2015 - 01.2016
Aircraft Armament Systems Specialist
U.S. Air Force - Nellis AFB
02.2003 - 05.2005
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
Associates in Applied Science Degree – Legal Studies -
Ferris State University
- CPC - Certified Professional Coder
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