Dina Compton
Johnstown,PA
Summary
Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Observation Coder
Maxim Healthcare Staffing-Gardena CA
08.2022 - 04.2024
- ED charts for facility verify E&M levels, ICD-10CM diagnosis, CPT procedures and injections & infusions
- Used EPIC and 3M for coding and chart review
- Systems used: Cerner, UDS, Soarian
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- 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.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Senior Coding Specialist
Vanderbilt University Medical Center-Nashville TN
01.2023 - 03.2023
- Code facility observation and ED charts with Injections and Infusions
- Input observation time and carve out active monitoring and time estimate for procedures
- Working closely with finance to meet goals
- Accurately entered procedure codes, diagnosis codes and modifiers into billing software
- Systems used: 3M EPIC
ED Coder
Addison Group-Houston TX
08.2022 - 01.2023
- Contract to hire Vanderbilt Hospital
- Coded Emergency Department Accounts for both Professional and Facility.
- Charging for Injections & Infusions, need to be able to code DX, CPT, and E&M
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Ensured compliance with industry regulations and guidelines by staying up to date latest coding changes.
- Systems used: 3M EPIC
Remote ER Coder
Coding & Billing Solutions, LLC - Zionsville PA
06.2011 - 09.2022
- Coded disease and injury diagnoses, acuity of care and procedures in an emergency room setting and experienced in ancillary coding
- Interpreted medical reports to apply appropriate ICD-10, CPT, injection and hydration codes
- Accurately entered procedure codes, diagnosis codes and patient information into billing software
- Provided base level IT support and coding training for injections and infusion to new company personnel
- Coded facility and professional emergency coding at the same time
- Systems used: Power Chart, Cerner, 3M Soft Med, Optum CAC (Computer assisted Coding), EPIC, Nuance, UDS, Care Connect, and others.
Level 1 Coder
Conemaugh Physician's Group
01.2018 - 11.2019
- Responsible for accurate coding of all CPT, ICD-10-CM and modifiers for Internal Medicine, Neurology, and ENT of Conemaugh Physician Group
- Primarily responsible for all Evaluation and Management coding and CPT procedures
- Code professional inpatient, office visits, observation, and emergency room provider services
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- 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.
- Systems used: EPIC, 3M
Senior HIM Representative/ER Coder
Community Health Systems-Easton Hospital
08.2009 - 08.2011
- Coded hospital emergency room, ancillary, and maternal observation charts
- Maintained detailed administrative and procedural processes to improve accuracy and efficiency
- Assisted the medical records department with deficiencies and reanalysis of patient's chart for coding and storage
- Updated patient accounts and information daily
- Managed and processed confidential patient information
- Made copies, sent faxes and managed all incoming and outgoing correspondence
- Recorded and filed patient data and medical records
- Strictly followed all federal and state guidelines for release of information.
Internship
Community Health Systems
05.2009 - 08.2009
- Worked firsthand in the Medical Records department
- Verified the coding/abstracting and DRG assignment sections of the department
- Exposed to quality assurance practices within the department of medical records
- Had an opportunity to visit the departments of quality assurance and utilization review.
- Supported staff members in their daily tasks, reducing workload burden and allowing for increased focus on higher-priority assignments.
- Sorted and organized files, spreadsheets, and reports.
Medical Office Receptionist
St. Luke's Physicians Group North Whitehall Family Practice
05.2008 - 12.2008
- Worked at family practice with 2 doctors
- Answering phones, check in and check out patients, scheduling appointments, procedures, and specialist appointments for patients, posting payments, physician coding, and data entry.
- Improved patient satisfaction by efficiently managing front desk operations and addressing inquiries professionally.
- Increased office productivity by multitasking efficiently during peak hours, handling multiple responsibilities simultaneously.
- Collaborated with medical staff to ensure seamless communication and coordination of patient care.
- Maintained patient databases and updated information in alignment with HIPAA protocols.
- Contributed to a welcoming atmosphere by greeting patients warmly upon arrival and assisting them throughout their visit.
- Reviewed and sent medical records to other physicians upon request.
- Enhanced office efficiency by maintaining organized patient records and scheduling appointments accurately.
- Managed high call volumes, directing calls to appropriate departments while providing accurate information to callers.
- Pulled charts and prepared for nurse and doctor assessment.
- Coordinated referrals for specialist consultations, ensuring timely appointments and proper documentation transfer between providers.
- Filed and retrieved patient records for provider.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
Administrative Assistant
Manpower
08.2007 - 05.2008
- Worked general surgeon's office temporary administrative assistant
- Billing, post payments, physician coding, Schedule office and operative appointments, make deposits, and answer telephones
- Used Lytic system for all Transactions.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
Coding Specialist / Trainee
Lehigh Valley Hospital And Health Network
03.2004 - 08.2007
- Performed ICD-9 and CPT-4 diagnosis and procedure coding
- Abstracted specific demographic data from patient's chart and assigns and sequences the correct ICD-9 –CM diagnosis and pro codes for hospital emergency room services
- Data entry of codes in Last word software
- Monitor Daily Not Final Bill (DNFB) report for emergency room services
- Report to emergency room physician to complete necessary documentation of patient chart to code the account correctly
- Comply with Federal, State and hospital requirements for proper coding procedure
- Worked with PHAMIS, T-system and EHMR
- Trained in emergency room coding (CPT and ICD-9)
- Clerical liaison for remote, in-house coders, and management, monitor productivity reports, assigned coding queues per specialty, arrange meetings and educational programs
- Worked with Windows-based programs, PHAMIS, encoder and Email.
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
Billing/Scheduling Specialist
Lehigh Valley Hospital Network-Muhlenberg Behavioral Health
09.2003 - 03.2004
- Verified mental health coverage, obtaining pre-authorization for mental health services, worked for front and back-office operations, and scheduling
- High pace office with 6 psychiatrists and 15 therapists with large number of patient turn-around throughout the day.
- Acted as first point of contact and set appointments for prospective clients.
- Called customers to coordinate schedules and set appointments.
Administrative Partner
Lehigh Valley Hospital And Health Network
01.2002 - 09.2003
- Facilitated communications, performing all clerical functions for nursing floor, including transcribing physician orders and coordination of bed assignments, charge entry, and data retrieval.
- Collaborated with nurses to maintain appropriate inventory levels of medical supplies, reducing shortage occurrences on the unit.
- Demonstrated adaptability in adjusting work responsibilities based on changing needs or requirements within the medical unit.
- Reduced wait times for patients by promptly answering phone calls and addressing inquiries from families and staff members.
- Maintained a well-organized work environment by filing documents efficiently, enabling easy access to essential information when needed.
- Contributed to multidisciplinary team meetings by compiling data reports on patient progress and presenting insights on potential improvements in treatment plans.
- Expedited physician order processing for timely patient care, streamlining communication between healthcare teams.
Medical Claims Processor
Aetna US Healthcare
08.1999 - 12.2001
- Processed electronic claims while exceeding quality and production standards
- Determined and understood the coverage provided under member's plan
- Utilized multiple Windows-based systems to obtain and retrieve members plan benefits
- Data entry and made claim payment decisions
- Referred claims for cost containment opportunities and follow-up
- Assisted team members to achieve local, regional, and national goals.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Researched and resolved complex medical claims issues to support timely processing.
- Verified patient insurance coverage and benefits for medical claims.
- Paid or denied medical claims based upon established claims processing criteria.
Claims Examiner
Great-West Life And Annuity Insurance
07.1998 - 08.1999
- Processed paper and electronic claims, updated inventory reports, contacted providers, replied to customer service queries determined and retrieved coverage, benefits, discrepancies, cost containment procedures, and followed state
- Mandates
- Used Windows based programs adjudicate claims.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Achieved streamlined communication between departments by collaborating closely with underwriters, agents, and other stakeholders throughout the claims handling process.
Education
Certification - Medical Billing And Coding
The Academy of Health Care Professions
Houston, TX01.1997
Skills
- CPC certified
- Maintains strict confidentiality
- ICD-10 coding
- Relationship and team building
- CPT and HCPCS coding
- Injections and Infusions
- Medical terminology knowledge
- Strong analytical skills
- Extensive ER coding experience
- Excellent critical thinking skills
- Anatomy & Physiology knowledge
- MS Office proficient
- Tech savvy
- Audited ER charts
- HIPAA Compliance
Certification
- CPC - Certified Professional Coder
Timeline
Senior Coding Specialist
Vanderbilt University Medical Center-Nashville TN
01.2023 - 03.2023
Observation Coder
Maxim Healthcare Staffing-Gardena CA
08.2022 - 04.2024
ED Coder
Addison Group-Houston TX
08.2022 - 01.2023
Level 1 Coder
Conemaugh Physician's Group
01.2018 - 11.2019
Remote ER Coder
Coding & Billing Solutions, LLC - Zionsville PA
06.2011 - 09.2022
Senior HIM Representative/ER Coder
Community Health Systems-Easton Hospital
08.2009 - 08.2011
Internship
Community Health Systems
05.2009 - 08.2009
Medical Office Receptionist
St. Luke's Physicians Group North Whitehall Family Practice
05.2008 - 12.2008
Administrative Assistant
Manpower
08.2007 - 05.2008
Coding Specialist / Trainee
Lehigh Valley Hospital And Health Network
03.2004 - 08.2007
Billing/Scheduling Specialist
Lehigh Valley Hospital Network-Muhlenberg Behavioral Health
09.2003 - 03.2004
Administrative Partner
Lehigh Valley Hospital And Health Network
01.2002 - 09.2003
Medical Claims Processor
Aetna US Healthcare
08.1999 - 12.2001
Claims Examiner
Great-West Life And Annuity Insurance
07.1998 - 08.1999
Certification - Medical Billing And Coding
The Academy of Health Care Professions
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