Juanita Porter
Crowley,TX
Summary
Dynamic Certified Medical Coder/Auditor with 7 years of experience, known for productivity and efficiency in task completion. Achieving 98% audit accuracy. Possess in-depth knowledge of medical coding guidelines, expertise in ICD-10-CM, CPT, and HCPCS Level II coding systems, alongside proficiency in electronic health records (EHR) software. Excel at time management, adaptability to new regulations, clear communication, complemented by strong analytical and critical thinking skills. Ensuring accurate and timely billing processes through effective teamwork and education.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Certified Medical Coder I & II
Acclain Health/ John Peter Smith Health Network
04.2018 - Current
- Code medical records for dozens of providers inpatient and outpatient charges for the Revenue Cycle coding department for level one trauma center.
- Code and auditing experience for Inpatient, Outpatient, Observation, Consultations visits.
- Streamline Family Medicine and Multi-Specialties such as Gastroenterology, OB/GYN, Maternal Fetal Medicine encounters for the complete and correct assignment of CPT, ICD, and HCPCS codes, maintaining quality and productivity standards for targeted daily productivity and monthly audits.
- Review issues and denials with patient services, payment posting and A/R departments to correct coding for guideline compliance.
- Receive 98% audit accuracy 12 consecutive months.
- Provide education to the providers to ensure completion of Electronic Health Records and query physicians as necessary.
- Research and audit E/M and documentation issues such missing or inaccurate information.
- Maintain up- to- date and improve coding knowledge through CEUs, Webinars, Local Chapter Meetings, Conferences, Magazines, State Law and Social/Professional Media Coding platforms and forums.
- Review, code and enter paper tickets for private clinic.
- Abstract, analyze and data entry HEDIS codes and diagnoses to improve STAR rate.
- Assist Management in assigned tasks and projects as necessary.
Release of Information Specialist
Ciox Health
11.2015 - 01.2018
- Process records for over 14 Medical City facilities, ensuring accurate information.
- Fulfill over 60 urgent requests per day while sustaining all quality measures.
- Receive incoming inquiries for release of information, responding by opening mail and retrieving facsimile inquiries in a timely manner.
- Validate requests and authorizations according to established procedures and HIPAA guidelines.
- Complete release of information requests by retrieving and returning medical records, copying and scanning medical records, and correctly responding to the requesting party.
- Perform quality checks to assure accuracy of the release, confidentiality during the process, and proper invoicing.
- Transmit medical records electronically to processing operations.
Nurse Technician, Medical Surgery & Emergency Room
Clear Lake Regional Medical Center
07.2012 - 01.2015
- Perform clerical and patient care functions, keeping in compliance with all hospital policies and procedures for a facility servicing 650 patient beds, including heel sticks for laboratory specimens and blood sugar checks.
- Document patient medical history, vital statistics, and test results for up to 20 patients per shift.
- Create medical protocol and guidelines to maintain quality care systems and standards.
- Work in various clinical specialties, including PCU, intermediate 1 & 2, emergency room, ICU, NICU, rehabilitation, oncology, and medical-surgical.
- Ensured exemplary patient customer service to ensure satisfaction and 5 star facility reviews.
Certified Nurse Assistant
St. James House
- Provided superior patient care in a 100-bed senior healthcare and Alzheimer facility, conducting screening, rehabilitation and supportive services as a team leader and expert.
- Recorded patient histories, vital statistics, and test results.
- Served the CNA department as an elected team lead and safety champion.
Education
AAS Degree - Healthcare Management
The College of Health Care Professions
Skills
- CPT
- Medical Terminology
- Insurance Regulations
- ICD-10-CM
- Anatomy/Physiology
- Analytical Skills
- Critical Thinking Skills
- HCPCS
- HIPAA
- Compliance
- Decision Making
- EncoderPro 360
- CMS
- Coding Guidelines
- Time Management
- Multi-tasker
- EPIC
- Data Entry and Management
- Confidentiality
- Microsoft Office Suite
- Excel
- Ten Key Entry
- Attention to Detail
- Novitas
- CCI Edits
- Evaluation & Management
- Team Player
- Caregate
- Revenue Cycle Reimbursement
- Customer Service
- CAC Coding assistant software
- Novitas auditing software
Certification
- American Academy of Professional Coders (AAPC), Certified Professional Medical Auditor (CPMA)
- American Academy of Professional Coders (AAPC), Certified Professional Coder (CPC)
Credentials
- AAS
- CPMA
- CPC
Timeline
Certified Medical Coder I & II
Acclain Health/ John Peter Smith Health Network
04.2018 - Current
Release of Information Specialist
Ciox Health
11.2015 - 01.2018
Nurse Technician, Medical Surgery & Emergency Room
Clear Lake Regional Medical Center
07.2012 - 01.2015
Certified Nurse Assistant
St. James House
AAS Degree - Healthcare Management
The College of Health Care Professions
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