Dena Reeves
Outpatient Medical Coder
Mentone,CA
Summary
Detail-oriented medical coder with extensive experience in outpatient coding and billing. Proficient in using EMR systems, coding conventions, and ensuring compliance with federal regulations. Committed to maintaining up-to-date knowledge of coding and billing guidelines.
Overview
10
10
years of professional experience
5
5
years of post-secondary education
1
1
Certification
Work History
Outpatient Medical Coder
Optum360
08.2023 - 03.2025
- Coded ER cases : 80-116 per day.
- Coded Same Day Surgery 46 per day 95% accuracy.
- Used 3M encoder and EHRParticipated in continuous learning opportunities, staying current on advances in medical science and evolving industry standards that impact outpatient coding practices.
- Analyzed complex medical records, extracting pertinent data for accurate diagnostic and procedural code assignment.
- Utilized the electronic health record system to document patient information accurately and efficiently.
- Time management skills were utilized effectively to balance competing priorities under tight deadlines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Outpatient Medical Coder
Optum360 United Health Group
08.2023 - 03.2025
- Reviewing patient encounters for accurate documentation and code assignment.
- Ensuring compliance with coding guidelines and regulations.
- Assigning appropriate ICD-10-CM, CPT, and HCPCS codes to outpatient medical records.
- Maintaining productivity standards for coding accuracy and efficiency.
- Participating in ongoing coding education and training programs.
- Generated and maintained statistical data related to medical records.
Outpatient Medical Coder
Kaiser Permanente
11.2022 - 06.2023
- Assign appropriate ICD-10-CM, CPT, and HCPCS codes to outpatient medical records.
- Review medical documentation and analyze for accuracy and completeness.
- Abstract clinical data to ensure proper reimbursement and compliance.
- Adhere to coding guidelines and regulatory requirements.
- Stay current on industry updates and changes in coding guidelines.
Outpatient Medical Coder
Kaiser Permanente
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 5/23 multiple 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
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 and pre - and post-aftercare.
Outpatient Coder
Northern Inyo Hospital
01.2017 - 12.2021
- Assign appropriate ICD-10-CM and CPT codes to outpatient medical records.
- Abstract clinical data from medical records accurately and efficiently.
- Review provider documentation to ensure accurate code assignment.
- Maintain a high level of accuracy and productivity.
- Stay up-to-date on coding changes and attend continuing education opportunities.
Outpatient Coder
Northern Inyo Hospital
01.2017 - 12.2021
- Assign appropriate medical codes to outpatient encounters.
- Review clinical documentation to ensure accuracy of coding.
- Adhere to all coding guidelines and regulations.
- Maintain up-to-date knowledge of ICD-10-CM and CPT coding principles.
- Meet productivity and accuracy standards for coding assignments.
Contract Coder
Universal Coding Solutions
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
No Degree - Certified Coding Specialist
Loma Linda University
Loma Linda, CA 02.2010 - 02.2012
Associate of Arts - Associate In Arts A.A. HIM With A Concentration In Medical Records
University of Phoenix
05.2010 - 02.2012
Certificate - Certified Coding Specialist
Loma Linda University
Loma Linda, United States 01.1996 - 01.1997
Skills
Same Day Surgery
Pediatrics
Compliance
CPT
Oncology
Room Services
Research
Inpatient coding
Medical record review
HCPCS coding
Procedural coding
Diagnostic coding
HIPAA compliance
Certification
Certified Coding Specialist, AHIMA, C13249, 05/01/01, 12/31/25
Timeline
Outpatient Medical Coder
Optum360
08.2023 - 03.2025
Outpatient Medical Coder
Optum360 United Health Group
08.2023 - 03.2025
Outpatient Medical Coder
Kaiser Permanente
11.2022 - 06.2023
Outpatient Medical Coder
Kaiser Permanente
11.2022 - 05.2023
Outpatient Coder
Northern Inyo Hospital
01.2017 - 12.2021
Outpatient Coder
Northern Inyo Hospital
01.2017 - 12.2021
Outpatient Coder
Northern Inyo Hospital
01.2017 - 12.2021
Contract Coder
Universal Coding Solutions
01.2015 - 01.2017
Associate of Arts - Associate In Arts A.A. HIM With A Concentration In Medical Records
University of Phoenix
05.2010 - 02.2012
No Degree - Certified Coding Specialist
Loma Linda University
02.2010 - 02.2012
Certificate - Certified Coding Specialist
Loma Linda University
01.1996 - 01.1997