- I do different creative activities; like Cross-Stitch, Crochet, and Sewing quilts Nora Roberts
- I also like to read Stephen King, JD Robb along with several other authors
Deborah Corlis
Albuquerque
Summary
Hardworking professional applies official CPT and ICD-10 coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services for medical services pursuing full-time role that presents coding opprotunities.
Overview
35
35
years of professional experience
1
1
Certification
Work History
EW Coder II
Presbyterian Healthcare Services
12.2012 - Current
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Knowledge sharing within the team by attending regular code reviews, training sessions, and workshops on relevant topics.
- 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.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Input data into computer programs and filing systems.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Communicated effectively with staff and providers by email and telephone.
- Followed up with medical staff regarding missing information in patient records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Supported the implementation of electronic health record systems, simplifying the coding process.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Learned and adapted quickly to new technology and software applications.
Patient Accounting Coordinator
Eye Associates of New Mexico
11.1989 - 10.2011
- Coordinated and monitored department workflow to maintain efficiency.
- Established key relationships with team members, upper management, customers, and partners through well-developed communication and interpersonal skills.
- Collaborated with internal departments to resolve discrepancies, fostering strong cross-functional relationships.
- Provided exceptional customer service while resolving billing disputes or payment discrepancies with clients.
- Reviewed accounts, resolved coding areas, and /or improper insurance reimbursement.
- Excellent communication skills, both verbal and written.
- Audited Medicare patient accounts for proper reimbursement against Medicare fee schedule..
- Worked as a go between for patient accounting and the IT department.
- Was member of the conversion team for 3 practice management programs.
Education
Associate of Science - Data Processing
Technical Vocational Institute
Albuquerque, NM06-1984
High School Diploma -
Sandia High School
Albuquerque, NM05-1982
Skills
- Medical terminology
- HIPAA compliance
- HCPCS coding
- Medical billing
- Data entry
- Insurance coding (ICD-9 and CPT)
- Clinical documentation
- Medical claims coding
- Regulatory guidelines
- Knowledgeable in [software]
- Procedural coding
- Diagnostic coding
- Child and Adolescent Behavioral, Adult-Intensivists, Hospitalist and OB/GYN coding
- Workflow management
- Data verification
- Inpatient records coding
- Proficiency in Microsoft Word, Excel, OneNote and Outlook
- Proficiency in EPIC and 3M
- Coding error resolution
- Continuing education
- Certification maintenance
- Anatomy
- Data entry and management
- Code assignment research
- Medical coding
- Medicare insurance regulations
- Attention to detail
- ICD-10 coding
- Certified professional coder (CPC)
- EMR systems
- ICD 9 coding
- 3M encoder
Affiliations
- American Academy of Professional Coding
Certification
Certified Professional Coder [ CPC ]
Certified OB/GYN Coder [ COBGC ]
Interests
Timeline
EW Coder II
Presbyterian Healthcare Services
12.2012 - Current
Patient Accounting Coordinator
Eye Associates of New Mexico
11.1989 - 10.2011
Associate of Science - Data Processing
Technical Vocational Institute
High School Diploma -
Sandia High School
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