Destiney Fontenot
Splendora,TX
Summary
Dynamic HIM Coder with a proven track record at Baystate Health, adept in ICD, CPT, and HCPCS coding, and skilled in resolving billing discrepancies. Excelled in abstracting patient data and maintaining a 95%-100% accuracy rate. Brings expert knowledge of medical coding systems and outstanding communication abilities, ensuring efficient and accurate medical documentation. With my expertise in CPT and ICD-10-CM coding systems.
Overview
5
5
years of professional experience
1
1
Certification
Work History
HIM Coder
Baystate Health
01.2022 - Current
- · Assigns ICD, CPT and HCPCS coding classifications based on clinical documentation and/or physician orders.
- Reviews and resolves system edits, MUE’s, NCCI edits, status indicators, modifiers.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Generated reports to identify coding trends and discrepancies.
- Followed up with medical staff regarding missing information in patient records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Medical Coder
Accurate Reimbursement Solutions
11.2021 - 11.2022
- Abstracting patient cart applying ICD 10 CM codes
- Auditing Physician ED E/M Level charges and NCCI and LCD edits
- Coded profee accounts to include Urology, Cardiology, Pediatrics, OBGYN, Chemotherapy, Oncology, Injections, and Infusions, Pathology, Labs, Radiology, Family Medicine
- Placed on specific project for strictly coding profee charts for Oncology and Radiology
- · Maintained an accuracy rate of 95%-100%
Billing Specialist
Accurate Reimbursement Solutions
08.2019 - 11.2021
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Prepare and submit claims to insurance companies for reimbursement
- Follow up on unpaid or denied claims and resolve any billing discrepancies
Education
No Degree - Criminal Justice
Southern University And A & M College
Baton Rouge, LAHigh School Diploma -
Washington Marion Magnet High School
Lake Charles, LA05.2020
Skills
- Knowledge of medical terminology, anatomy and physiology, pathophysiology
- Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively
- Proficient data entry skills, displaying both speed and accuracy
- Knowledge in Microsoft Office Products, including Word and Excel
- 3m 360 and Epic experience
- Expert knowledge in CPT (Outpatient Procedure Coding), and ICD-10-CM (Outpatient Diagnosis Coding) classification systems
- Knowledge of governmental and commercial payer guidelines
Certification
- Basic Life Support Certification (BLS)
- Advanced Cardiac Life Support Certification (ACLS)
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Timeline
HIM Coder
Baystate Health
01.2022 - Current
Medical Coder
Accurate Reimbursement Solutions
11.2021 - 11.2022
Billing Specialist
Accurate Reimbursement Solutions
08.2019 - 11.2021
No Degree - Criminal Justice
Southern University And A & M College
High School Diploma -
Washington Marion Magnet High School
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