Accomplished Medical Coding Specialist with expertise in ICD-10 and CPT coding at UW Health University Hospital. Proven track record in reducing claim denials through meticulous auditing and compliance. Skilled in training and mentoring, fostering a culture of accuracy and adherence to HIPAA regulations while enhancing team efficiency.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Medical Coding Specialist
UW Health University Hospital
03.2021 - Current
Reviewed medical records for accurate coding and compliance with regulations.
Utilized ICD-10 and CPT coding systems to ensure precise billing processes.
Collaborated with healthcare providers to clarify documentation for optimal coding accuracy.
Conducted audits of coded claims to identify discrepancies and recommend corrections.
Maintained up-to-date knowledge of coding updates and changes in healthcare regulations.
Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
Medical Coding and Billing Specialist
Mercyhealth Hospital and Trauma Center
05.2009 - 03.2021
Processed medical claims using advanced coding systems to ensure accuracy and compliance.
Reviewed patient records for completeness, ensuring all documentation supported billing requirements.
Collaborated with healthcare providers to clarify diagnoses and procedures for accurate coding.
Conducted audits of coding practices, identifying discrepancies and implementing corrective measures.
Trained new staff on medical billing protocols and software applications to enhance team efficiency.
Mentored junior coders, fostering professional development and adherence to best practices in medical coding.
Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
Education
Associate of Science - Medical Administrative Specialist
Blackhawk Technical College
Janesville, WI
05.2009
Skills
ICD-10 proficiency
Procedural coding accuracy
HIPAA compliance
Medical coding certification
Diagnostic coding accuracy
Inpatient coding experience
CPT coding
Auditing medical records
Outpatient coding experience
Training and mentoring
Certification
CPC - Certified Professional Coder - 2017
Timeline
Medical Coding Specialist
UW Health University Hospital
03.2021 - Current
Medical Coding and Billing Specialist
Mercyhealth Hospital and Trauma Center
05.2009 - 03.2021
Associate of Science - Medical Administrative Specialist