Donna Price

Medical Coder

Mercy Health System Rogers, AR

03.1999 - 04.2020

Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Enhanced team efficiency with regular training sessions on new coding updates and best practices.
Supported the implementation of electronic health record systems, simplifying the coding process.
Promoted teamwork within the department through effective communication and collaboration on complex cases.
Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
Reduced turnaround time for appeals by preparing comprehensive supporting documentation for denied claims.
Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Boosted coding department efficiency, implementing new electronic health record system for easier access to patient information.
Improved patient privacy protection by strictly adhering to HIPAA regulations during coding and billing process.
Streamlined patient data entry into coding software, optimizing billing cycle and improving cash flow.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
Monitored changes in coding regulations to provide recommendations for compliance.
Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
Generated reports to identify coding trends and discrepancies.
Verified signatures and checked medical charts for accuracy and completion.
Communicated with insurance companies to research and resolved coding discrepancies.
Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
Enhanced revenue cycle performance by identifying and correcting under-coded claims, ensuring maximum reimbursement for services rendered.
Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.

Summary

Overview

Work History

Medical Coder

Education

High School Diploma -

Skills

Timeline

Medical Coder

High School Diploma -

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