HEATHER SAENZ
Chambersburg,Pa
Summary
Current Certified Professional Coder through AAPC, working to obtain my Certified Coding Specialist through AHIMA. I began my coding journey in behavioral health and substance abuse treatment. I currently code for Fulton County Medical Coding various departments.
Overview
2
2
years of professional experience
Work History
Inpatient Coder
Fulton County Medical Center
10.2024 - Current
- Consistent review of patient records and clinical documentation to assign appropriate ICD-10, CPT, ICD-PCS and HCPCS codes with 98% accuracy for Same Day Surgery, Long Term Care, ER MDM, Cardiopulmonary, Wound Care & Diabetes Education accounts with a 98% accuracy.
- Regularly sent clinical documentation queries to providers to clarify diagnoses and procedures, ensuring accurate and compliant coding.
- Collaborate with physicians, nurses, and billing teams to ensure accurate claim submissions and minimize denials.
- Handle confidential information and documents with discretion and maintain their proper organization in compliance with HIPPA standards.
- Perform audits of coded records to ensure data integrity and reimbursement accuracy.
- Keep up-to-date with changes in medical coding guidelines, payer requirements, and healthcare regulations.
- Utilizing electronic health record & coding software efficiently.
- Assist in resolving claim denials and coding discrepancies.
- Ensure coding accuracy and compliance with insurance policies, federal regulations, and healthcare guidelines.
Inpatient Behavioral Health Coder
Roxbury Treatment Center
09.2023 - 10.2024
- Review of medical records for patients receiving mental health and substance abuse treatment in an inpatient setting through assignment of ICD-10-CM, ICD-PCS, and CPT/HCPCS codes for diagnoses, procedures, and services, ensuring compliance with CMS, Medicaid, Medicare, and private insurance regulations with a 98% accuracy.
- Collaborate with healthcare providers to clarify documentation and resolve discrepancies.
- Regularly sent clinical documentation queries to providers to clarify diagnoses and procedures, ensuring accurate and compliant coding.
- Assist in resolving coding-related denials and participate in audits as needed.
- Utilization of Electronic Health Record & coding software efficiently.
Education
Medical Coding Specialist - Medical Billing And Coding
Harrisburg Area Community College
Harrisburg, PA07.2022
Medical Coding Specialist - Medical Billing And Coding
DeVry University
New York, NYSkills
- ICD-10-CM coding
- Medical record review
- HIPAA compliance
- Healthcare reimbursement
- Claim submission
- Procedural coding
- Patient registration
- Insurance verification
- Denial management
- Medicaid regulations
- Clinical documentation improvement
- Continuing education
- Utilization review
- Revenue cycle management
- Medical billing
- Pharmacology
- Medicare regulations
- Certification maintenance
- Anatomy and physiology
- Private payer guidelines
- Appeals process
- MS-DRG classification
- Charge entry
- Medical necessity
- Encoder software
- Pathophysiology
- Medical record abstraction
- ICD-10-PCS coding
- Charge capture
- Computer-assisted coding
- HCPCS level II coding
- Inpatient coding guidelines
- Data entry
- Medical claims coding
- Medical terminology
- Workflow management
- Document management
- Knowledgeable in EPIC
- Records management
- Performance improvement
- Documentation oversight
- Medical record security
- Patient data compilation
- Coding error resolution
- Data entry and management
- Qualified pain management coder
- Teamwork and collaboration
- Time management
- Problem-solving
- Attention to detail
- Multitasking
- Reliability
- Excellent communication
- Critical thinking
- Organizational skills
- Active listening
- Adaptability and flexibility
- Verbal and written communication
- Electronic health records
Timeline
Inpatient Coder
Fulton County Medical Center
10.2024 - Current
Inpatient Behavioral Health Coder
Roxbury Treatment Center
09.2023 - 10.2024
Medical Coding Specialist - Medical Billing And Coding
Harrisburg Area Community College
Medical Coding Specialist - Medical Billing And Coding
DeVry University