Elizabeth Gaines
Coder
College Place,WA
Summary
I have been a member of the American Academy of Professional Coders since 2005. I have 35 years of experience in healthcare. I hold three coding credentials through AAPC. I have my Certified Outpatient Coder (COC), Certified Hematology and Oncology Coder (CHONC), and Certified Professional Coder (CPC) credentials.
I have worked both in a hospital setting and a clinical setting.
I currently work for a contract company where my responsibilities are to assign CPT and ICD-10 codes as well as modifiers for various types of encounters for the Providence Healthcare systems. I have experience with EPIC and 3M coding systems.
Overview
34
34
years of professional experience
3
3
Certifications
Work History
Certified Medical Coder
R1 Revenue Cycle Management
College Place, Wa
07.2024 - Current
- Certified Outpatient Coder (COC).
- Certified Hematology and Oncology Coder (CHONC).
- Certified Professional Coder (CPC)
- Reviewing medical records for accurate coding and compliance regulations.
- Assigning of appropriate codes using ICD-10 and CPT/Modifier coding systems.
- Communication with healthcare providers to clarify documentation discrepancies.
- Continuous meeting productivity standards.
- Maintaining a 95% or more audit rate.
- Staying current on coding knowledge through continuous education and training programs.
- Utilizing electronic health record systems for efficient data entry and management.
- Maintaining confidentiality of patient information in accordance with HIPAA guidelines.
- Maintaining coding credentials through American Academy of Profession Coders.
Medical Coder and Charge Capture
Providence Health & Services
Walla Walla, Washington
12.2004 - 07.2024
- Certified Hematology and Oncology Coder. (CHONC)
- Certified Professional Coder. (CPC)
- Assigned CPT, ICD-10 codes, and modifiers for various encounter types.
- Charge capture for Oncology Infusion Center.
- Consistently met coding productivity standards.
- Consistently maintain 95% or more accurate rate.
- Authorization of medications prescribed by physicians.
- Assisting oncology patients obtain financial assistance for prescribed medications including chemotherapy drugs.
- Experience of capture charges for emergency department/facility.
Biller/Coder
Walla Walla Clinic
Walla Walla, WA
08.1991 - 03.2002
- Coding of evaluation and management codes.
- Collaborated with healthcare providers, and other staff, to ensure accurate coding practices.
- Utilized billing software to generate invoices and track payments.
- Posting of both insurance payments and patient payments.
- Processed patient billing information accurately and efficiently to ensure timely billing, and minimize delays in payments.
- Verified insurance claims and resolved discrepancies promptly.
- Prior authorization for surgical procedures.
- Communicated with patients regarding billing inquiries and payment options.
- Assisting patients with filing Workers' Compensation claims for work-related injuries.
- Receptionist, file clerk, and switchboard operator.
Skills
- Certified Outpatient Coder (COC)
- Certified Hematology/Oncology Coder (CHONC)
- Certified Professional Coder (CPC)
- CPT and modifier coding
- ICD-10 coding
- Time management
- Attention to detail
- Documentation review
- Electronic health records
- HIPAA compliance
- Clinical coding accuracy
Certification
Certified Outpatient Coder (COC)
Timeline
Certified Medical Coder
R1 Revenue Cycle Management
07.2024 - Current
Medical Coder and Charge Capture
Providence Health & Services
12.2004 - 07.2024
Biller/Coder
Walla Walla Clinic
08.1991 - 03.2002