Jorge "George" Mendivil

Certified Professional Coder

Tenet Healthcare Corporation

Tucson, AZ

11.2006 - Current

Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Responded to coding questions from callers and other internal departments.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Reviewed medical records to identify appropriate codes for services rendered, ensuring accuracy and completeness of documentation.
Analyzed data from multiple sources to identify patterns that may indicate incorrect coding practices or fraud and abuse issues.
Investigated denials from insurance companies due to incorrect or missing diagnosis codes or procedure codes.
Assisted in the development of coding policies, procedures, and workflow processes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.

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