20 years experienced Inpatient Coder at Jackson Health System, adept in ICD-10-CM coding and medical record review. Proven track record of enhancing coding accuracy through targeted training and audits. Strong communicator skilled in collaboration with healthcare teams to ensure compliance and optimize reimbursement processes. Committed to upholding ethical standards in all coding practices.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Inpatient Coder
Jackson Health System, JMH
01.2005 - Current
Correctly coded and billed inpatient oncology claims for various hospital and nursing facilities.
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.
Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.
Improved overall coding quality by conducting regular audits, identifying areas for improvement, and providing targeted training to team members.
Acted as a subject matter expert on inpatient coding by consulting with other departments within the organization on code assignments and documentation requirements.
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 outpatient records and interpreted documentation to identify diagnoses and procedures.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
Monitored changes in coding regulations to provide recommendations for compliance.
Communicated with insurance companies to research and resolved coding discrepancies.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Generated reports to identify coding trends and discrepancies.
Verified signatures and checked medical charts for accuracy and completion.
Followed up with medical staff regarding missing information in patient records.
Verified accuracy of patient information in medical records.
Utilized electronic medical record systems to store, retrieve and process patient data.
Input data into computer programs and filing systems.
Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Tracked and monitored requests for medical records release.
Executive Assistant to the Chief Executive Officer and Vice President of Sales at Surgical TheaterExecutive Assistant to the Chief Executive Officer and Vice President of Sales at Surgical Theater