Farah Müller
Detroit,MI
Summary
With 19 years of experience as a Medical Coding Specialist, I have honed my skills in optimizing healthcare documentation practices to ensure compliance and enhance revenue integrity. Expertise lies in conducting comprehensive chart reviews and providing actionable feedback to healthcare providers for effective documentation improvement. Proficient in diagnosis coding, analytical thinking, communication, and revenue cycle management, setting me apart as a dynamic coder and process improvement specialist. Thrives in a team atmosphere, enjoys collaborating with management, physicians, and staff, always eager to contribute to the organization's success.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Outpatient Medical Coder
Michigan Medicine
01.2022 - Current
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Time management skills were utilized effectively to balance competing priorities under tight deadlines.
- Contributed to the growth of the organization by consistently meeting or exceeding productivity targets while maintaining high-quality standards.
- Collaborated with healthcare providers to ensure accurate documentation to support the appropriate level of specificity for diagnoses and treatments.
- Upheld strict confidentiality policies regarding sensitive patient information while adhering to HIPAA requirements.
- 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, HCC diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Complex Outpatient Coder
Henry Ford Health Systems
09.2004 - 01.2022
- Determining accurate codes for diagnoses, procedures and services performed by physicians and recognized licensed non-physician providers in physician-based settings
- These services include reviewing operative notes as well as evaluation and management
- Maintain knowledge of medical compliance and reimbursement policies, such as medical necessity issues and correct coding issues
- Periodically perform and monitor various internal auditing duties related to physician practice management and coding to maintain compliance with payer reimbursement policies and Medicare/CMS guidelines
- Providing training in coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis
- Provide physicians, residents, and staff with up-to-date coding information from reliable, accurate sources
- Orient new physicians and non-providers to include medical practice guidelines for to the practice
- Implement new coding guidelines in a timely manner within the practice
- Updating encounter forms on an annual basis with respect to diagnostic and procedural code changes as well as updating other patient information forms as necessary from time to time
- Review explanations of benefits from payers, evaluating denied claims and filing appeals for denied claims
- Mentor and educate coding and clinic staff on coding and CMS guidelines.
Patient Accounting Representative
Rehabilitation Institute of Michigan (DMC)
02.2003 - 09.2004
- Bill claims using Web-Denis Blue Cross Blue Shield system, Hap system and PPOM to ensure claims are processed correctly
- Perform claims follow-up for status and payment using various tracking tools to maximum reimbursement
- Coordinate with auto claims adjusters and Insurance representatives to process account payment within 30 –60 days.
Education
University of Michigan
Ann Arbor, MI05.1994
Regina High School
Harperwoods, MI06.1990
Skills
- ICD-10/ICD-9 Coding (HCC)
- E/M Coding
- Communication
- Clinical Documentation
- HIPAA Compliance
- HCPCS Coding
- Medical record review
- Reimbursement
- Medical Payor Policy
- Epic Trained
- CPT Coding ( Specialty: Neurosurgery)
- Problem Solving
- Time Management
- Claim Follow-up
- Revenue Cycle
- Medical Terminology
Accomplishments
- Coder Specialty -Neurosurgery
- Review and code neurosurgical documentation utilizing CPT and ICD-9/ICD-10 diagnosis guidelines. Provide specialty reports to management, physicians, and site associates; facilitates communication and provides on-going coding reimbursement education in the specialty area. Resolve complicated HCC diagnosis/ procedure coding issues with insurance carriers providing accurate supporting documentation. Proficient in Epic and 3M. Completed special projects and reports as assigned by Department Administrator, Chairman, and physicians.
- Manage and maintain patient accounts, while collecting past due and disputed balances owed by BCBS, Auto Insurers, PPOM, & Medicare. Identify and resolve problems or discrepancies on claims billed to Insurance provider. Corresponded with insurance provider’s regarding patient eligibility and coordination of benefits. Assist external sites with patient insurance coverage inquiries.
- Appeal claims on patient’s behalf to insurance providers
Certification
Certified Professional Coder, American Academy of Professional Coders, Salt Lake City, UT 2005
Timeline
Outpatient Medical Coder
Michigan Medicine
01.2022 - Current
Complex Outpatient Coder
Henry Ford Health Systems
09.2004 - 01.2022
Patient Accounting Representative
Rehabilitation Institute of Michigan (DMC)
02.2003 - 09.2004
University of Michigan
Regina High School
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