Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Organized and dependable employee who is successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Inpatient Coder
Centra Health
08.2018 - Current
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Corresponded and interact with the CDI team to ensure accurate code and DRG assignment for optimal reimbursement.
Worked independently to accurately code all inpatient services and meet expected benchmarks for productivity.
Maintain 95% coding accuracy.
Query providers for clarification of diagnosis and procedures as needed for proper and accurate coding.
Outpatient Surgery Specialist
Centra Health
05.2016 - 08.2018
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Reached out to providers for missing documentation or queried the providers when there was a discrepancy with the procedure performed and charges entered.
Accurately coded diagnostic and procedural information, including modifiers, in accordance with national coding guidelines and appropriate reimbursement requirements.
Coded ICD CM/PCS and CPT4 for accurate APC assignment. Addresses National Correct Coding Initiative (NCCI) edits as appropriate. Reconciliation of charges as required.
Maintained 95% accuracy while also maintaining productivity.
ED Coder
Centra Health
09.2011 - 05.2016
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed medical record and assigned accurate ICD and CPT codes for facility and professional practices.
Maintained a 95% accuracy for coding while meeting productivity.
Diagnostic Coder
Centra Health
07.2010 - 09.2011
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Review and validate diagnosis codes based on provider documentation.
Reached out to departments for missing documentation.
Maintain 95% accuracy and met productivity standards.
Billing Speicalist/Medical Coder
Cardiology Associates Of Virginia
07.2008 - 07.2010
Coded and entered all office charges for 5 physicians and coded/entered hospital charges for two of the physicians.
Resolved denials from commerical payers, follow up on outstanding accounts receivables monthly.
Preauthorize office/hospital procedures, assist patients will billing questions.
Create electronic claims for billing.
Nursing Assistant
Carilion Clinic
09.2005 - 07.2008
Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Helped patients effectively manage routine bathing, grooming, and other hygiene needs.
Chart patient's medical progress in their medical records.