Dawn Joneikis
Pittsburgh,PA
Summary
Dynamic Coder with proven expertise in coding accuracy and team leadership at Physicians Immediate Care. Demonstrated adaptability and proficiency in ICD-10, achieving a 95-99% accuracy rate. Skilled in mentoring junior coders and ensuring compliance with HIPAA, while enhancing operational efficiency through effective communication and collaboration.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Multi Specialty Denial Coding Associate II
R1 Rcm
Pittsburgh, PA
02.2024 - Current
- Assigns codes for diagnoses, treatments and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers
- Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.
- Able to accurately abstract information from the medial records into the abstract system, according to established guidelines
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines
- Enters and validates codes, charges and other edits flagged in EPIC for review.
- Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)
- Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity
- with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.
- Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards
- Meet and/or exceeds the established coding productivity standards
Medical Billing Lead and Certified Coder
Physicians Immediate Care
Pittsburgh, PA
08.2013 - Current
- Assigned appropriate medical codes, diagnostic, and modifiers with 99 percent accuracy rate.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Over see 20 Billers in the US and over seas.
- Analyze medical records for missing charges, accuracy, review and verify that documentation supports diagnosis, procedures and treatment results.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes, CPT, and modifiers.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- 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.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Updated patient financial information to guarantee accuracy.
Education
Associate In Specialized Business Degree - Medical Billing And Coding
Career Training Academy
Pittsburgh, PASkills
- Excellent Leadership skills
- Medical Terminology Mastery
- HIPAA Compliant
- ICD-10 proficient
- Adaptability and Flexibility
- Microsoft Office
- Multitasking Capabilities
- Versed in EPIC software
- Medical Coding Expertise
Certification
- CPC - Certified Professional Coder, AAPC
Timeline
Multi Specialty Denial Coding Associate II
R1 Rcm
02.2024 - Current
Medical Billing Lead and Certified Coder
Physicians Immediate Care
08.2013 - Current
Associate In Specialized Business Degree - Medical Billing And Coding
Career Training Academy