Jennifer Breault
Surprise,AZ
Summary
Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Certfied Surgical Coder
Methodist Health System
Omaha, Nebraska
03.2014 - Current
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Performed audits on coded claims to ensure that all required data elements are included for accurate payment processing.
- Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.
- Identified opportunities for process improvements related to medical coding operations processes and procedures.
- Validated accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.
- Ensured timely resolution of denials due to incorrect code assignments or missing information in the claim form.
- Analyzed data from various sources including electronic health records databases, insurance websites, in order to identify potential errors in the coded data sets.
- Provided feedback on best practice approaches for improving efficiency during the medical coding process.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained high accuracy rate on daily production of completed reviews.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Verified proper coding, sequencing of diagnoses and accuracy of [Type] procedures.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Received, organized and maintained all coding and reimbursement periodicals and updates.
- Categorized health services and assigned specific [Type] code to each one.
- Safeguarded medical records to maintain patient confidentiality.
- Compiled and coded patient data using standard classification systems.
- Maintained positive working relationship with fellow staff and management.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Assigned patients to diagnosis-related groups using appropriate computer software.
- Processed patient admission and discharge documents.
- Mentored junior team members and managed employee relationships.
- Streamlined day-to-day office processes to meet long-term goals.
- Determined and implemented techniques to improve medical records retrieval process.
- Verified record copies before handing each over to check for and remove unnecessary details.
Education
Some College (No Degree) - HIMS
Metropolitan Community College
Omaha, NEAffiliations
Accomplished receiving my Certificates in Coding while caring for my Handicap son.
Certification
CPC and COC
References
References available upon request.
Timeline
Certfied Surgical Coder
Methodist Health System
03.2014 - Current
Some College (No Degree) - HIMS
Metropolitan Community College
CPC and COC