Dynamic Certified Medical Coder with proven expertise at ABC in enhancing coding accuracy and compliance. Adept at navigating electronic health records and committed to continuous education. Recognized for reducing claim denials through meticulous coding practices and fostering teamwork to improve departmental efficiency. Proficient in ICD-10 and dedicated to maintaining HIPAA standards.
Overview
2023
2023
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
ABC
Learned coding standards and guidelines for accurate medical billing.
Assisted in reviewing medical records for proper code assignment.
Supported the implementation of electronic health record systems.
Adapted to various coding software and tools effectively.
Collaborated with healthcare professionals to ensure coding accuracy.
Maintained up-to-date knowledge of coding regulations and updates.
Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
Verified, coded and added modifiers to diagnoses.
Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
Utilized advanced knowledge of anatomy, physiology, and medical terminology to accurately assign codes for complex or rare diagnoses and procedures.
Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Ensured data integrity by meticulously auditing coded data, verifying its accuracy, and making necessary adjustments as needed.
Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
Enhanced revenue cycle management by identifying under-coded services and submitting accurate claims for reimbursement.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Utilized electronic medical record systems to store, retrieve and process patient data.
Mechanical Maintenance Engineer
United Parcel Services, UPS
02.1991 - 08.2022
Conducted routine inspections and diagnostics on mechanical systems to ensure optimal performance.
Implemented preventive maintenance schedules to minimize equipment downtime and enhance reliability.
Collaborated with cross-functional teams to troubleshoot complex mechanical issues effectively.
Utilized diagnostic tools and software to analyze equipment performance and identify areas for improvement.
Led initiatives to upgrade outdated machinery, enhancing operational capabilities and safety standards.
Streamlined workflow processes by introducing new tools, resulting in increased efficiency in repairs.
Developed training materials for junior engineers on best practices in mechanical maintenance.
Mentored junior staff to foster skill development and improve team competency in maintenance procedures.
Responded to maintenance requests to repair equipment malfunctions.
Performed troubleshooting, diagnosis, and repair of [Type] equipment.
Ensured safety compliance during all maintenance activities, adhering to industry standards and company policies at all times.
Education
Certificate - AI in Medical Coding And Billing Course
AMERICAN ACADEMY OF PROFESSIONAL CODER
ONLINE COURSE
06-2024
CERTIFICATION - AAPC CERTIFIED RISK ADJUSTMENT
COLLEGE UNIVERSITY OF NEW YORK
Staten Island, NY
12-2023
CERTIFICATION - AAPC - CERTIFIED PROFESSIONAL CODER
COLLEGE UNIVERSITY OF NEW YORK
Staten Island, NY
12-2022
Skills
Diagnostic coding accuracy
HIPAA compliance awareness
Clinical documentation review
Continuing education commitment
Electronic health records navigation
Appeals and adjustments handling
ICD-10 proficiency
Medical claims coding
Medical terminology
Claims processing efficiency
Teamwork and collaboration
Multitasking
Time management
Electronic health record specialist
Compliance verification
Accomplishments
Documented and resolved [Issue] which led to [Results].
Collaborated with team of [Number] in the development of [Project name].
Used Microsoft Excel to develop inventory tracking spreadsheets.
Affiliations
AMERICAN ACADEMY OF PROFESSIONAL CODERS
Glens Falls New York Local Chapter
Vice President
Certification
CPC - Certified Professional Coder
CRC - Certified Risk Adjustment Coder
Timeline
Mechanical Maintenance Engineer
United Parcel Services, UPS
02.1991 - 08.2022
Certified Medical Coder
ABC
Certificate - AI in Medical Coding And Billing Course
AMERICAN ACADEMY OF PROFESSIONAL CODER
CERTIFICATION - AAPC CERTIFIED RISK ADJUSTMENT
COLLEGE UNIVERSITY OF NEW YORK
CERTIFICATION - AAPC - CERTIFIED PROFESSIONAL CODER