Results-driven medical coding specialist with over 9 years of experience in coding accuracy and compliance. Proven ability to collaborate with healthcare providers and train staff, enhancing team efficiency and resolving discrepancies effectively.
Overview
11
11
years of professional experience
Work History
Medical Coder
APS Medical Billing
Toledo, OH
11.2021 - Current
Assigned appropriate codes following ICD-10 and CPT guidelines for accuracy.
Assigned necessary modifiers to ensure accurate coding of diagnoses.
Reviewed medical documentation to ensure coding compliance with regulations.
Audited coded claims to verify inclusion of all required data elements for accurate payment processing.
Collaborated with healthcare providers to resolve coding discrepancies, enhancing accuracy of records.
Maintained high accuracy rate on daily production of completed reviews.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained current knowledge of coding regulations and updates to ensure adherence.
Addressed inquiries from staff and clients regarding CPT codes to improve understanding and compliance. Addressed staff and client inquiries regarding CPT codes.
Medical Coding and Billing Specialist
Hubcare Pathology
Hattiesburg, Mississippi
11.2017 - 11.2021
Reviewed patient records to ensure accurate coding and billing compliance.
Utilized coding software to assign appropriate diagnostic and procedural codes.
Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, and HCPCS for supplies and modifiers.
Processed medical claims for healthcare providers, ensuring timely reimbursements.
Managed billing inquiries and resolved discrepancies with insurance companies to enhance claims accuracy.
Monitored changes in regulations to maintain compliance with industry standards.
Trained new staff on coding practices and billing procedures effectively.
Trained new employees on medical coding best practices to support compliance and efficiency.
Adhered to HIPAA regulations when handling confidential patient information.
Academy Director
Southern States Soccer LLC
Hattiesburg, Mississippi
02.2016 - 11.2021
Led strategic planning meetings to set goals for academy growth and player engagement.
Developed training programs for youth soccer players to enhance skills and teamwork.
Coordinated coaching staff schedules to ensure adequate coverage for all training sessions.
Implemented player assessment tools to track development and performance progress.
Managed budget allocations for equipment purchases and facility maintenance needs.
Collaborated with parents to discuss player development and address concerns effectively.
Facilitated workshops for coaches to improve teaching methods and coaching techniques.
Developed and strengthened good relationships with staff, students and families.
Histotechnician
Hubcare Pathology
Hattiesburg, Mississippi
02.2016 - 11.2017
Prepared and processed tissue samples for microscopic examination.
Operated and maintained laboratory equipment for histological analysis.
Stained slides using various histochemical techniques for diagnostic purposes.
Coordinated specimen collection and ensured proper labeling for accuracy.
Conducted quality control checks on prepared slides to ensure consistency.
Collaborated with pathologists to discuss findings and refine processes.
Trained new staff on histology procedures and laboratory best practices.