Jamise Butler

• Resolved coding discrepancies and denials to maximize reimbursement.
• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
• Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
• Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
• Managed coding for multiple specialties, ensuring specific codes are accurately applied.
• Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.

●Audit vendor coders and auditors, including offshore staff
●Conduct auditor peer review audits as requested
●Utilize available encoder, grouper software, and other coding resources to
determine the appropriate ICD-10-CM diagnosis codes mapped to HCCs
●Maintain accurate knowledge of coding compliance and reimbursement
procedures related to top Medicare Risk Adjustment HCC’s.
●strong knowledge of diagnostic coding and HCC documentation
requirements
●Ensure diagnosis codes are supported by the documentation per coding
guidelines.

• Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
• Accurately assigned codes using software and official print copy of code book.
• Perform chart reviews, aimed at identifying missed diagnosis in all applicable healthcare settings
• Ensure diagnosis codes are supported by the documentation per coding guidelines
• Maintained high accuracy rate on daily production of completed reviews.

• Analyze provider documentation to assign or verify the appropriate E/M code, ICD 10, HCPCS Codes.
• Coded diagnoses and procedures from patient medical records using ICD-10-CM, HCPCS and CPT-4 codes.
• Maintained up-to-date knowledge of coding changes, updates, and new rules.
• Assigned patients to diagnosis-related groups using appropriate computer software.
• Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.

• Analyze provider documentation to assign or verify the appropriate E/M code
• Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
• Ensuring documentation of diagnosis met the requirements set forth by CMS coding guidelines
• Maintained up-to-date knowledge of coding changes, updates, and new rules.
• Validated accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.

• Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
• Abstract all necessary information and assign codes which most accurately describe each documented diagnosis
• Abstract all necessary information from health records to identify secondary complications and co-morbid conditions
• Performs a comprehensive review of the records to assure patient and record identification, signatures and dates where required.