Dena Reeves
Mentone,USA
Summary
Organized and orderly professional with a deep understanding of medical terminology, disease processes, and coding systems. Possesses the ability to prioritize tasks effectively and ensure all codes are correctly assigned following regulatory guidelines. Well-versed in working with physicians, healthcare providers and insurance companies. Focused and analytical individual with vast experience in both inpatient and outpatient coding and billing. Expertise in ICD-10, CPT and HCPCS coding, as well as EMR systems. Demonstrates strong attention to detail and excellent communication and problem-solving skills. Detail-oriented specialist with vast experience in medical coding, filing, and data entry. Possesses comprehensive knowledge of ICD-10 and CPT-4 coding systems and HIPAA regulations. Skilled in quickly and accurately organizing and maintaining records and patient data. Diligent Outpatient Medical Coder with comprehensive background in patient record management, ICD-10 coding, and medical billing. Strengths lie in meticulous coding accuracy, deep understanding of regulatory compliance, and ability to maintain strict confidentiality. Previous work has resulted in enhanced operational efficiency by streamlining the medical coding process and reducing claim denials.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Outpatient Medical Coder
Optum360
Eden Prairie, MN
08.2023 - Current
- Coded ER cases: 80-116 per day.
- Coded Same Day Surgery 46 per day
- 95% accuracy
- Used 3M encoder and Health connect EMR
- 40 hours plus overtime when asked
- Different hospitals are assigned per week.
- Utilized the electronic health record system to document patient information accurately and efficiently.
- Reviewed patient charts for completeness, accuracy and compliance with federal regulations prior to submitting claims for payment
Outpatient Medical Coder
Kaiser Permanente
Los Angeles, CA
11.2022 - 05.2023
- Maintained high level of accuracy when coding complex cases utilizing Coded ER cases 80-116 per day Coded Same Day Surgery 46 per day 95% accuracy Used 3M encoder and Health connect EMR 40 hours plus overtime when asked different Hospitals assigned per week Utilized electronic health record system to document patient information accurately and efficiently. Reviewed patient charts for completeness, accuracy and compliance with federal regulations prior to submitting claims for payment. Contract ended 5/23multiple diagnosis codes.
- Compiled and coded patient data using standard classification systems.
- Performed chart abstraction activities including review of lab results, operative reports, discharge summaries.
Outpatient Coder
Northern Inyo Hospital
Bishop, CA
01.2017 - 12.2021
- Was mandated with coding healthcare claims to facilitate reimbursement from insurance companies & healthcare programs at a critical care hospital, with outpatient diagnostics and clinics - pediatrics, rural health, wound care & pre- and post-aftercare
Contract Coder Outpatient
Universal Coding Solutions
Tampa, Florida
01.2015 - 01.2017
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records
- Resourcefully used various coding books, procedure manuals and on-line encoders
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
- Correctly coded and billed medical claims for various hospital and nursing facilities
- Recognized, initiated and resolved data discrepancies which prohibited data coding
- Key Impact: reviewed all documentation in the medical record in order to capture all relevant diagnoses and procedures
- Maintained accurate daily logs outlining the number and types of records coded and or entered and charged
- Job ended due to the laying off of the Coding and Billing dept
- Understanding of coding to provide remote assistance encompassing emergency room, observation, same day surgery and extended stay cases
- Key Impact: completed a wide range of complex projects from concept through fruition, demonstrating superior skills in oncology, infusions and injections, and series accounts (PT, OT, Speech, Wound care) obstetrics specialty clinics
- Performed both dual coding & ICD-10 PCS/CMS - exhibited expert proficiency in the 3M, Citrix, and Epic
- Trained and audited outpatient hospital and universal coding solutions employees using Icd-10 pcs/cms
Education
Associate In Arts (A.A.) - HIM With A Concentration In Medical Records
University of Phoenix
San Bernardino02.2012
Certified Coding Specialist - Coding
Loma Linda University Health
Loma Linda, CA, US01.1997
Skills
- Medical Terminology
- CPT Code Modifiers
- Outpatient Procedures
- Emergency Room Services
- Reading Comprehension
- Reviewing Patient Information
- Electronic Health Record Applications
- EMR Systems
- Procedural codes
- Protected Health Information
- outpaitent medical coding and abstracting
- Clinical documentation
- Medical software proficiency
- Medical record review
- Anatomy
- Continuing education
- Code assignment research
- Medical record security
Certification
C13249, CCS Ahima
c01332936 AAPC
References
References available upon request
References
References available upon request.
Timeline
Outpatient Medical Coder
Optum360
08.2023 - Current
Outpatient Medical Coder
Kaiser Permanente
11.2022 - 05.2023
Outpatient Coder
Northern Inyo Hospital
01.2017 - 12.2021
Contract Coder Outpatient
Universal Coding Solutions
01.2015 - 01.2017
Associate In Arts (A.A.) - HIM With A Concentration In Medical Records
University of Phoenix
Certified Coding Specialist - Coding
Loma Linda University Health
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