Healthcare coding professional with proven track record in outpatient and inpatient coding, ensuring precise and compliant medical record documentation. Known for strong collaborative skills and commitment to achieving accurate results. Reliable team player with flexibility to adapt to changing needs, proficient in ICD-10, CPT, HCPCS and PCS coding systems.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Hospital Outpatient Coder
Kode Health
02.2021 - Current
Reduced claim denials by ensuring accurate assignment of appropriate ICD-10 codes to diagnoses and CPT codes to procedures.
Maintained strict confidentiality with sensitive patient data in accordance with HIPAA regulations, safeguarding personal health information.
Enhanced efficiency in the coding process by staying up-to-date with industry trends and changes in regulatory requirements.
Participated in continuing education opportunities to maintain professional growth and stay current with best practices in outpatient coding.
Demonstrated proficiency in working with specialized outpatient coding software systems, ensuring seamless integration of coded data into billing processes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
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.
Sr Coding & Reimbursement Specialist
Texas Tech Health Science Center of El Paso
09.2016 - 02.2021
Served as a resource for colleagues regarding complex coding situations, offering guidance based on extensive knowledge of industry best practices.
Collaborated with healthcare providers to clarify diagnoses, treatment plans, and other patient information necessary for proper coding and billing practices.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Verified signatures and checked medical charts for accuracy and completion.
Maintained accuracy, completeness, and security for medical records and health information.
Utilized electronic medical record systems to store, retrieve and process patient data.
Assisted in training new staff on medical record processing and filing procedures.
Medical Office Specialist
Cardiology Care Consultants
06.2008 - 02.2016
Facilitated effective communication between patients, healthcare providers, and insurance companies for optimal care coordination.
Established strong rapport with patients through thoughtful listening skills, empathetic communication, and professional demeanor.
Processed payments from patients promptly and accurately while answering any questions regarding their account balances or insurance coverage.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
Trained newly hired administrative staff members on office policies, procedures, and best practices, fostering a supportive team environment.
Received, recorded and filed medical payments by check, cash, and credit card.
Education
Certificate of Completion - Medical Billing And Coding
Western Technical College
El Paso, TX
2008
Skills
ICD-10 proficiency
HIPAA regulations
Continuous learning mindset
CPT coding
Medical terminology mastery
Anatomy and physiology
HIPAA compliance
Training and mentoring
Inpatient records coding
Time management
Attention to detail
Critical thinking
Verbal and written communication
Surgical coding experience
Knowledgeable in 3M and EPIC
Anatomy
Code assignment research
Reliability
Certification
Certified Coding Specialist - Physician Based (CCS-P)
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Interests
Avid Reader
Cooking
Exploring famous landmarks, historical sites, and cultural attractions in a new destination
Gardening
Enjoying the art of baking and pastry-making, experimenting with recipes
Knitting and Crocheting
Hiking
Timeline
Hospital Outpatient Coder
Kode Health
02.2021 - Current
Sr Coding & Reimbursement Specialist
Texas Tech Health Science Center of El Paso
09.2016 - 02.2021
Medical Office Specialist
Cardiology Care Consultants
06.2008 - 02.2016
Certified Coding Specialist - Physician Based (CCS-P)
Certificate of Completion - Medical Billing And Coding
Western Technical College
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