Skilled Certified Professional Coder, adept in HIPAA compliance and ICD-10 proficiency, obtained medical coding accuracy at MyMichigan Health Systems Sault through rigorous validation and continuous education. Leveraging expertise in clinical documentation and educator skills, significantly reduced claim denials, fostering a culture of excellence and collaboration.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
MyMichigan Health Systems Sault
09.2014 - Current
Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
Educated clinical staff on proper documentation techniques and terminology to ensure accurate representation of patient conditions and treatments for optimal coding outcomes.
Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
Participated in quality assurance reviews to assess the accuracy of coded data submitted by peers and provide constructive feedback for improvement when necessary.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
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.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Reduced errors in claims submissions by conducting thorough audits of coded records and providing immediate feedback to correct inaccuracies.
Coded 10-20 charts an hour depending on office/specialty
Middle School Secretary
JKL Bahweting PSA
08.2008 - 09.2014
Collaborated with faculty members to coordinate field trips, extracurricular activities, and special events for enhanced student experiences.
Facilitated smooth transitions for new students by providing registration assistance and preparing orientation materials upon enrollment.
Streamlined office operations for increased efficiency with organized filing systems and electronic records management.
Ensured timely completion of required documentation such as IEPs, 504 plans, and progress reports by providing clerical support to the special education team.
Education
Medical Coding And Billing Certificate - Medical Coding And Billing
Bay Mills Community College
Brimley, MI
05.2005
No Degree - Nursing
Ferris State University
Big Rapids, MI
Skills
Certified Professional Coder (CPC)
HIPAA compliance awareness
Clinical Documentation Review
CPT coding knowledge
ICD-10 Proficiency
Medical Terminology Familiarity
HCPCS Level II Mastery
Procedural Coding Precision
3M Encoder
Medical Billing Processing
Regulatory guidelines
Proficiency in Epic and Meditech 61
Physician Coding Educator
Certification
CPC - Certified Professional Coder
Timeline
Certified Medical Coder
MyMichigan Health Systems Sault
09.2014 - Current
Middle School Secretary
JKL Bahweting PSA
08.2008 - 09.2014
Medical Coding And Billing Certificate - Medical Coding And Billing