Accomplished medical coding specialist known for strong analytical skills and a commitment to regulatory adherence. Proven ability to resolve discrepancies and communicate effectively with interdisciplinary teams, driving improvements in coding standards and overall healthcare delivery.
Dedicated cardiovascular coder with expertise in medical claims coding and HIPAA compliance. Committed to maintaining high coding standards and improving processes for efficiency and accuracy.
Work History
Cardiovascular Coder
7 Years 11 Months
Duly Health | 01.2017 - 12.2024
Analyzed medical documentation for coding accuracy and compliance with regulations.
Collaborated with healthcare teams to ensure precise coding of patient records.
Mentored junior coders on best practices and coding standards adherence.
Implemented process improvements that enhanced coding efficiency and reduced errors.
Reviewed and resolved coding discrepancies in collaboration with billing departments.
Developed training materials to facilitate ongoing education for coding staff.
Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
Communicated with insurance companies to research and resolve coding discrepancies.
Generated reports to identify coding trends and discrepancies.
Cardio Coder
5 Years 7 Months
Advocate Health Care | 06.2011 - 01.2017
Developed and maintained coding standards to enhance software quality and efficiency.
Collaborated with cross-functional teams to implement healthcare software solutions effectively.
Analyzed code for defects, ensuring compliance with quality assurance protocols.
Trained junior coders on best practices and coding techniques to improve team performance.
Streamlined workflows by optimizing existing code and reducing processing time in systems.
Led projects focused on integrating new technologies into existing healthcare applications.
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 patient charts to better understand health histories, diagnoses, and treatments.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Verified signatures and checked medical charts for accuracy and completion.
Monitored changes in coding regulations to provide recommendations for compliance.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
Followed up with medical staff regarding missing information in patient records.
Coder
2 Years 10 Months
Womens Health Care | 08.2008 - 06.2011
Developed and maintained coding standards for electronic health records.
Collaborated with clinical staff to enhance documentation accuracy and efficiency.
Conducted training sessions on new coding practices and software updates.
Reviewed claims data to identify discrepancies and ensure compliance with regulations.
Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Maintained accuracy, completeness, and security for medical records and health information.
Input data into computer programs and filing systems.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Processed and tracked requests for medical records from external organizations.
Education
High School Diploma
North Boone High School | Poplar Grove, IL | 05-1979