Apply accurate coding for inpatient, outpatient and emergency department coding, query providers, assist with coding edits, review denials and update claims for timely filing, assemble and analyze charts, assist with medical records and release of information
- Implemented innovative strategies for improving overall efficiency of outpatient coding process, leading to cost savings for organization.
- Increased revenue for the facility by identifying and correcting undercoded services during chart reviews.
- Reduced claim denials by ensuring accurate assignment of appropriate ICD-10 codes to diagnoses and CPT codes to procedures.
- Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, minimizing discrepancies in patient records.
- Assisted billing department in resolving coding-related issues, expediting payment processing for prompt reimbursement.
- Improved accuracy in medical coding by diligently reviewing patient charts and physician documentation.
- Developed comprehensive knowledge of medical terminology, anatomy, physiology, and pharmacology necessary for accurate code assignment.
- Demonstrated proficiency in working with specialized outpatient coding software systems, ensuring seamless integration of coded data into billing processes.
- Maintained strict confidentiality with sensitive patient data in accordance with HIPAA regulations, safeguarding personal health information.
- Enhanced efficiency in the coding process by staying up-to-date with industry trends and changes in regulatory requirements.
- Participated in continuing education opportunities to maintain professional growth and stay current with best practices in outpatient coding.
- 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.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- 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.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Verified signatures and checked medical charts for accuracy and completion.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Maintained accuracy, completeness, and security for medical records and health information.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Verified accuracy of patient information in medical records.
- Scanned and uploaded medical records into electronic medical records system.
- Input data into computer programs and filing systems.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.