Denise Duke

• Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
• Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
• Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
• Served as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
• Utilized advanced computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
• Supported the implementation of new electronic health record systems, providing expert guidance on coding best practices.
• Optimized revenue cycle management with timely and precise code assignment for various medical procedures.
• Participated in regular performance evaluations and provided constructive feedback for continuous improvement within the team.
• Coordinated with other departments to address any discrepancies or issues arising from billing-related matters promptly and professionally.
• Enhanced coding accuracy by implementing quality assurance checks and conducting regular audits.
• Developed and implemented new filing system for medical records to improve efficiency.
• Generated and maintained statistical data related to medical records.
• Sorted and distributed incoming and outgoing medical records.
• Followed exact procedures for handling transfers and other releases of medical records.
• Tracked and monitored requests for medical records release.
• Input data into computer programs and filing systems.
• Scanned and uploaded medical records into electronic medical records system.
• Verified accuracy of patient information in medical records.
• Maintained accuracy, completeness, and security for medical records and health information.
• Reviewed medical records for completeness and filed records in alphabetic and numeric order.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Processed and tracked requests for medical records from external organizations.
• Assisted in preparation of medical reports for external parties.
• Communicated effectively with staff, patients, and insurance companies by email and telephone.
• Followed up with medical staff regarding missing information in patient records.
• Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
• Communicated with insurance companies to research and resolved coding discrepancies.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Verified signatures and checked medical charts for accuracy and completion.
• Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
• Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
• Developed strong working relationships with insurance companies, facilitating smoother communication and quicker claim resolutions.
• Streamlined billing processes for improved efficiency and reduced errors in claims submissions.

Coordinate medical records. All CPT coding for inpatient and outpatient services in hospital settings.

Clinical coding for multi specialty providers