Diana Hedrick
Springfield,MO
Summary
Professional with experience entering data by reviewing accounts and applying appropriate codes. Expert at organizing information, correctly applying codes and running reports. Top-ranked in team of several staff for coding accuracy rates.
Overview
24
24
years of professional experience
1
1
year of post-secondary education
1
1
Certification
Work History
Certified Medical Coder
CoxHealth Hospital
Springfield, MO
06.2015 - Current
- Entered charge rationale in patient account notes.
- Accurately assigned codes using software and official print copy of code book.
- Collected documentation and clarified ambiguous patient care statements by contacting providers.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Assigned value codes and modifiers to provide specific information for services provided.
- Tracked and assessed accounts on Discharged Not Final Coded (DFNC) report.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Responded to coding questions from callers and other internal departments.
- Specified service dates by assigning occurrence codes, span codes, and date information.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Utilized coding software and tools efficiently to expedite the coding process.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Patient Registration Specialist
CoxHealth Hospital
Springfield, MO
01.2002 - 06.2015
- Screened patients before and during admissions processes.
- Interpreted physician orders to coordinate appropriate tests and verify compliance with admission criteria.
- Registered patients using proper data entry procedures and fully compliant ICD-10 and CPT codes.
- Verified insurance and collected critical data elements to properly identify and bill patients.
- Prepared patients for departure by coordinating discharge plans and paperwork.
- Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes.
- Supported healthcare applications by monitoring security, performance and reliability.
- Met needs of physicians and other treating team members with timely retrievals of patient medical records.
- Enhanced electronic records management systems to meet new needs and forecasted demands.
- Protected medical information against unauthorized access, loss, or corruption by consistently following security protocols.
- Generated periodic and ad hoc reports outlining statistics, narrative findings or graphical representations of health information.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Recognized by management for providing exceptional customer service.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Maintained updated knowledge through continuing education and advanced training.
- Achieved cost-savings by developing functional solutions to problems.
- Completed day-to-day duties accurately and efficiently.
Education
CPC - Certified Professional Coder
American Academy of Professional Coders
Salt Lake City, UT 10.2023 - 06.2024
Sparta High School
Sparta, MOSkills
- Claims processing efficiency
- HCPCS level II mastery
- Clinical documentation review
- Electronic health records navigation
- Medical billing procedures
- Critical thinking
- Medical coding expertise
- ICD-10 proficiency
- Medical office software utilization
- HIPAA compliance awareness
- Data entry speed
- Diagnostic coding accuracy
- Continuing education commitment
- Records management
- CPT coding
- Data security procedures
- Appeals and adjustments handling
- Procedural coding precision
- Regulatory guidelines adherence
- Coding error resolution
- Organizational growth
- Medical claims coding
- Time management aptitude
- Medical terminology
- Anatomy and physiology
Certification
AAPC
CERTIFIED PROFESSIONAL CODER
JUNE 2024
Timeline
CPC - Certified Professional Coder
American Academy of Professional Coders
10.2023 - 06.2024
Certified Medical Coder
CoxHealth Hospital
06.2015 - Current
Patient Registration Specialist
CoxHealth Hospital
01.2002 - 06.2015
Sparta High School