Accomplished and dedicated Coding QA Specialist/Pro-Fee ED Coder offering over 13 years of proficiency with all aspects of medical records review and ICD-10-CM, CPT and HCPS code assignment.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Certified Medical Coder/Auditor
Ventra Health/Formerly DuvaSawko
Dallas, TX
09.2012 - Current
Review ED charts and assign E/M level using the new 2023 guidelines for MDM. Utilize the latest 2024 split/shared guidelines to assure proper Practitioner assignment to E/M and procedures. Proficiency in proper billing of Residents, Students, Mid-levels, and Scribes.
Assign appropriate ICD-10-CM and CPT codes based on documentation and current coding guidelines. Assign appropriate modifiers ensuring CCI edits are reviewed and documentation is compliant.
Maintain 35-40cph for many different ED facilities while maintaining at least a 97% accuracy rate, many times at 100%.
Experience with ED Observation coding as well as proficiency with Urgent care pro-fee coding.
Audit charts and add feedback to the coder.
Navigation of Epic, Cerner, Allscripts and MediTech EMR.
Use of Select Coder encoder, 3M, Microsoft Word, Excel, One Drive and Teams instant messenger.
Certified Medical Coder
SymMetric Revenue Solutions/Formerly Apollo
Fort Myers, FL
05.2011 - 09.2012
Pro-fee ED coding. Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
Assigned Providers to E/M and procedures accurately.
Maintained 25-30 CPH with a 97% accuracy rate.
Education
Applied Technology Diploma - Medical Coding
Cape Coral Technical College
Cape Coral, FL
01-2010
Skills
Coding QA Specialist
ED and Urgent Care Pro-fee coding
ED OBS coding
ICD-10-CM coding
CPT-4, HCPS coding
Medical Terminology/A & P Proficiency
Select Coder, 3M, Microsoft Word and Excel
Epic, Cerner, Allscripts, MediTech
Certification
Certified Professional Coder and member in good standing with the American Academy of Professional Coders.