Jeannette Grimmer

• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
• Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
• Enhanced team efficiency with regular training sessions on new coding updates and best practices.
• Promoted teamwork within the department through effective communication and collaboration on complex cases.
• Supported the implementation of electronic health record systems, simplifying the coding process.

Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.

• Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
• Audit Daily Encounters
• Input Charges
• Do Adjustments
• Verify Data
• Work Cardio Inpatient and Out Patient Surgeries
• Check all edits and LCD
• Work Tasking
• Work unbilled
• Work Denial Report
• Work in ARCH and Graybill
• Use Cerner and Encoder
• Work Emails to resolve Denials

• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
• Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
• Communicated with healthcare personnel, including practitioners to promote accuracy.
• Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
• Assigned procedure and diagnosis codes for insurance billing using Allscripts

• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
• Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
• Communicated with healthcare personnel, including practitioners to promote accuracy.
• Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
• Assigned procedure and diagnosis codes for insurance billing using both NextGen and Allscripts
• Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
• Verified proper coding, sequencing of diagnoses and accuracy of [Type] procedures.
• Quickly responded to staff and client inquiries regarding CPT codes.
• Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
• Interpreted medical terminology and pharmacological information to translate information into coding system.

• Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
• Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
• Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Quickly responded to staff and client inquiries regarding CPT codes.
• Interpreted medical terminology and pharmacological information to translate information into coding system.

• Assessed medical codes on patient records for accuracy.
• Expertly assigned clinical notes, patient forms and health information for compliance with HIPAA rules.
• Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
• Accurately processed large volume of medical claims every shift.
• Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
• Handled third-party insurance processing tasks to assist patients.
• Maintained up-to-date understanding of insurance payment practices.
• Verified final claim submissions by comparing account charges with documentation.
• Performed routine quality assurance audits to promote data integrity.
• Compiled and maintained logs, and statistical or research records to locate requested health data.
• Paid Claims
• Reviewed Claims
• Worked Medical, Dental, Vision,Inpatient,OutPatient ER, Workman's Comp and Third Party Claims