Diane Benson
Westminster,CA
Summary
Dynamic Certified Professional Coder with extensive experience at Aquity Solutions, LLC, excelling in ICD-10 proficiency and documentation review. Achieved significant reductions in claim denials through meticulous coding accuracy and effective team collaboration. Committed to ongoing education and compliance, ensuring adherence to industry regulations and enhancing operational efficiency.
Knowledgeable with comprehensive expertise in medical coding and compliance. Proven track record in ensuring accurate coding practices, contributing to efficient and effective healthcare operations. Demonstrated proficiency in ICD-10-CM and CPT coding, along with strong analytical and problem-solving abilities.
Overview
21
21
years of professional experience
Work History
Certified Professional Coder
AQuity Solutions, LLC
01.2018 - Current
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Followed up with medical staff regarding missing information in patient records.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
Compliance Specialist
UCLA Health Systems
09.2016 - 12.2018
- Analyze billing documentation for 2000+ physicians, NP's, PA's and CRNA's working across 35+ facilities to ensure compliance with all state and federal billing regulations. Reviewed documentation for both the hospital and medical offices. Certified that all coding was correct and properly based on services provided.
- Reduced instances of non-compliance through meticulous monitoring of internal controls and periodic audits.
- Provided expert guidance to colleagues on matters related to regulatory compliance, solidifying company-wide understanding of requirements.
- Conducted periodic compliance audits and reviews to identify areas of improvement.
Professional Billing Compliance Officer
University of California, Irvine, Health Care
07.2004 - 06.2015
- Oversaw daily office operations for the university physicians and surgeons in multiple specialties, working in an academia hospital setting. Provided education to the coding staff on proper code selection (CPT), ICD-10-CM and coding guidelines.
- Maintained the audit schedule for schedule for over 700 providers, including physicians, NP's, PA's, and CRNA's.
- Served on the Forms Committee for Medical Records, the ICD-10 Committee, and Compliance and IT Compliance committee.
Education
CPC - Coding
American Association of Professional Coder (AAPC)
Skills
- ICD-10 proficiency
- HIPAA compliance awareness
- Claims processing efficiency
- Team collaboration
- Diagnostic coding accuracy
- Documentation review expertise
- Continuing education commitment
- CPT coding
- Auditing and quality assurance
- Telehealth coding experience
- E and M coding proficiency
- Oncology coding abilities
Timeline
Certified Professional Coder
AQuity Solutions, LLC
01.2018 - Current
Compliance Specialist
UCLA Health Systems
09.2016 - 12.2018
Professional Billing Compliance Officer
University of California, Irvine, Health Care
07.2004 - 06.2015
CPC - Coding
American Association of Professional Coder (AAPC)
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