Jennifer Smith
811 Sherman Ave ,MS
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Community Health Systems, CHS
05.2023 - Current
- Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
- Provided comprehensive training for junior coders, resulting in increased productivity and skill development.
- Served as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Medical Coder
Merit Health River Region
09.2021 - 05.2023
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- 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.
- Used Software to assign procedure and diagnostic codes to patient records for billing purposes.
Medical Claims Representative
Merit Health River Region
08.2016 - 09.2021
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Managed large volume of medical claims on daily basis.
- Responded to correspondence from insurance companies.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Reviewed provider coding information to report services and verify correctness.
- Checked documentation for accuracy and validity on updated systems.
- Generated, posted and attached information to claim files.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained confidentiality of patient finances, records and health statuses.
Education
High School Diploma -
Warren Central High School
Vicksburg, MSCPC - Medical Coding
AAPC
Skills
- Medical History Recording
- Diagnostic Codes
- Reviewing Patient Information
- Client Inquiries
- Insurance Billing
- Patient Data Coding
- CPT Code Modifiers
- Certified Professional Coder
- Word Processing Software
- Reading Comprehension
- Complex Problem-Solving
- Paperwork Processing
- EMR Systems
- Protected Health Information
- ICD-10 (International Classification of Disease Systems)
- Doctor Communication
Certification
- CPC - Certified Professional Coder
Timeline
Certified Professional Coder
Community Health Systems, CHS
05.2023 - Current
Medical Coder
Merit Health River Region
09.2021 - 05.2023
Medical Claims Representative
Merit Health River Region
08.2016 - 09.2021
High School Diploma -
Warren Central High School
CPC - Medical Coding
AAPC
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