Erica Spears
Macy,NE
Summary
Certified Professional Medical Coder with 14 years of experience providing administrative and patient support in hospital and medical office setting. Knowledgeable in preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offer a background in reviewing, analyzing and managing medical record information to code Professional Fee and Outpatient services utilizing ICD-10 CM, CPT and HCPCS correctly. Knowledgeable in the anatomy, disease process, medical terminology. Hardworking professional who applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Adheres to data confidentiality and privacy rules in all workflows and promotes strong interpersonal skills. I'm an organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Twelve Clans Unity Hospital
04.2009 - Current
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- 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.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Trained and mentored junior coders to support growth and development and apply quality coding practices.
- Followed up with medical staff regarding missing information in patient records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Input data into computer programs and filing systems.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Assisted in training new staff on medical record processing and filing procedures.
- Researched and resolved medical record discrepancies.
- Maintained accuracy, completeness, and security for medical records and health information.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Processed and tracked requests for medical records from external organizations.
- Scanned and uploaded medical records into electronic medical records system.
- Coded APV charts at rate of 15-20 per hour
Medical Records Technician
Twelve Clans Unity Hospital
05.2005 - 11.2009
- Maintained patient records in compliance with security regulations.
- Kept accurate log of requests for medical information and records.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Maintained patient confidence by keeping patient records information confidential.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
- Supported medical staff by providing organized and accurate medical records.
- Maintained patient records systems by archiving, scanning and indexing important documents and files.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
Education
Bachelor of Science - Business Management
Bellevue University
Bellevue, NESkills
- Health Management Information Systems
- Procedural Codes
- ICD-10 Requirements
- Medical Records Security
- Electronic Filing System Organization
- Charting and Clinical Documentation
- Patient Engagement
- Maintain Patient Confidentiality
- Code Assignment Research
- Critical Thinking
- Active Learning
- Diagnosis Clarification
- Data Abstraction
- Medical Release of Information ROI
- 3M Encoder
Certification
- CPC - Certified Professional Coder
- CPMA - Certified Professional Medical Auditor Training - 2021
- CRC - Certified Risk Adjustment Coder Training - 2022
Timeline
Certified Medical Coder
Twelve Clans Unity Hospital
04.2009 - Current
Medical Records Technician
Twelve Clans Unity Hospital
05.2005 - 11.2009
Bachelor of Science - Business Management
Bellevue University
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