India Burdine CPC
Decatur,GA
Summary
Efficient Certified Medical Coder proudly touting over 24 years' experience in resolving coding errors and observing strict data security practices. Polished professional with a vast medical terminology background. Offering task prioritization expertise in fast-paced environments.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Hospital Coder
Pediatrix
12.2022 - Current
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Verified, coded and added modifiers to diagnoses.
- Delivered timely and accurate charge submissions.
Certified Medical Coder II
Emory Healthcare
10.2000 - 10.2021
- Codes routine diagnoses and treatment of hospital patients and abstract information from patient medical records flowing established methods and procedures.
- Maintains a working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third part payer requirement regarding coding and billing.
- Assists with orientation and training of new staff.
- Adheres to hospital and departmental policies and procedures.
- Maintains Reconciliation of charges, and services billed.
- Specialty- Neurology, Psychiatry, and Sleep.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Responded to coding questions from callers and other internal departments.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
- Verified and abstracted all medical data to assign appropriate codes for outpatient records.
- Entered charge rationale in patient account notes.
Coding Specialist
Emory Healthcare
10.2000 - 04.2016
- Maintain financial records and assist in monitoring budget
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Helped patients obtain health care services by setting up referrals.
- Verified proper coding, sequencing of diagnoses and accuracy of Neurology, Sleep, and Pain management procedures.
- Investigated rejected and denied claims, correcting applicable coding.
- Submitted clean claims to insurance companies electronically to secure payments.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Completed and submitted appeals for denied claims.
Education
Certified Professional Coder -
AAPC
Atlanta, GA04.2016
Skills
- Medical terminology
- Medical billing experience
- Specialty Coder
- Outpatient Coding Expertise
- Inpatient Coding Expertise
- Knowledgeable in EMER
- Reliable and trustworthy
- Critical thinking
- Multitasking
- Coding Error Resolution
Certification
- Certified Coder, AAPC-2016
Timeline
Hospital Coder
Pediatrix
12.2022 - Current
Certified Medical Coder II
Emory Healthcare
10.2000 - 10.2021
Coding Specialist
Emory Healthcare
10.2000 - 04.2016
Certified Professional Coder -
AAPC
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