Certified Medical Coder with 17 years of experience in ICD-10-CM, CPT, and HCPCS Level II coding systems. Demonstrated ability to enhance productivity and efficiency in billing processes through advanced EHR software skills. Strong time management and adaptability to regulatory changes ensure accuracy in coding. Recognized for a solid work ethic and exceptional interpersonal skills in independent work environments.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Spec Coder 1
Ensemble Health Partners
Cincinnati, OH
02.2024 - Current
Incorporated modifiers as necessary, coded narrative diagnoses, and validated diagnoses.
Organized and encoded patient data utilizing standard classification systems.
Protected medical records to uphold patient confidentiality.
Examine documents diligently to verify completeness and correctness of all paperwork.
Collaborated with healthcare personnel, including practitioners, to enhance accuracy
Sustained up-to-date expertise in CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements.
Analyzed patient records and designated accurate codes for diagnoses and procedures.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Sustained high accuracy rate in daily production of completed reviews.
Cultivated positive working relationship with colleagues and management.
Refined coding abilities and knowledge via consistent professional development and training.
Rectified coding discrepancies and denials to enhance reimbursement outcomes.
Supported colleague in achieving precise coding results
Medical Coding Specialist
Medicus/Tallahassee Memorial Hospital
Tallahassee, FL
12.2016 - 02.2024
Resolved coding issues identified by auditors through thorough research and analysis.
Communicated with healthcare personnel to ensure accuracy of CPT codes.
Promptly addressed inquiries from staff and clients regarding CPT codes.
Verified account information to ensure accuracy and completeness of patient and insurance details.
Submitted clean claims to insurance companies electronically to secure payments.
Mentored team members, and managed employee relationships.
Participated in coding team meetings to discuss challenges and best practices.
Safeguarded medical records to maintain patient confidentiality.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Resolved coding discrepancies and denials to maximize reimbursement.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Medical Coder
Tallahassee Surgical Associates
Tallahassee, FL
04.2008 - 11.2016
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Safeguarded medical records to maintain patient confidentiality.
Transmitted information or documents to customers through email, mailings or facsimile machine.
Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Mentored junior team members and managed employee relationships.
Kept abreast of updates and changes in coding guidelines and reporting requirements.
Entered patient insurance, demographic and health information into software and confirmed records.
Assisted with the development of coding policies and procedures.
Resolved coding discrepancies and denials to maximize reimbursement.
Contributed innovative ideas and solutions to enhance team performance and outcomes.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Coding Specialist 1, Billing, Denial Specialist at Mercy Health Partners/Ensemble Health PartnersCoding Specialist 1, Billing, Denial Specialist at Mercy Health Partners/Ensemble Health Partners
Specialized Mentor And Revenue Cycle Trainer at Ensemble Health Partners-OU Health /Ardent HealthSpecialized Mentor And Revenue Cycle Trainer at Ensemble Health Partners-OU Health /Ardent Health
Spec Patient Access/ Financial Counselor at Ensemble Health Partners/ Bon Secours Mercy HealthSpec Patient Access/ Financial Counselor at Ensemble Health Partners/ Bon Secours Mercy Health