Accomplished Senior HIMS Inpatient Coder at Banner University Medical Center, adept at achieving 95% coding accuracy while managing complex inpatient records. Proficient in EMR systems and skilled in problem-solving, I excel in ensuring compliance with coding regulations and enhancing health record index maintenance.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Senior HIMS Inpatient Coder
Banner University Medical Center
Tucson, AZ
02.2015 - Current
Coded inpatient encounters at rate of 1.5 charts per hour with 95% accuracy to ensure compliance and quality at a complex multi-specialty Level 1 trauma hospital.
Verified and abstracted medical data to assign appropriate codes for hospital inpatient records, enhancing coding accuracy and data integrity.
Sought clarification from physicians and hospital personnel on coding interpretations, ensuring accurate and compliant abstracting of records.
Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
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.
HIMS Coder
University Medical Center, UMC
Tucson, AZ
12.2001 - 02.2015
Reviewed clinical data from medical records to assign accurate ICD, CPT, and HCPCS codes, ensuring compliance with coding standards.
Accurately assigned codes using software and official print copy of code book for multi-specialty Ambulatory surgery.
Achieved high accuracy in daily production of coding reviews, contributing to timely and accurate claim submissions.
Applied appropriate modifiers, coded narrative diagnoses, and verified accuracy of diagnoses to enhance claim processing efficiency.
Verified final claim submissions by comparing account charges with documentation.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Received, organized and maintained all coding and reimbursement periodicals and updates.