Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Productive, responsible and insightful professional with over 20 years of experience in the medical industry.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Coding Compliance Analyst
Baptist Healthcare System Inc.
03.2023 - 11.2025
Verified documentation against compliance standards and communicated deficiencies to resolve issues.
Analyzed potential areas of risk and developed strategies to mitigate such risks.
Performed periodic reviews of existing processes and procedures to identify areas of improvement in terms of compliance standards.
Collected and reviewed data to identify potential compliance issues requiring further review.
Maintained detailed database of compliance data, activities and actions taken.
Reviewed and monitored compliance with applicable laws, regulations, and policies to ensure compliance with regulatory requirements.
Maintained an up-to-date knowledge base of all relevant laws, regulations, guidelines, and industry standards.
Coding Compliance Auditor II
Baptist Healthcare System Inc.
03.2023 - 11.2025
Medical Coder
USA
04.2022 - 03.2023
Reviewed medical records and assigned appropriate codes to diagnoses, treatments, procedures, and services rendered by healthcare providers.
Analyzed patient data for accuracy and completeness of information.
Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
Ensured HIPAA compliance when handling confidential patient information.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Attended continuing education seminars related to new developments in medical coding field.
Medical Coder, Multispecialty
Ascension Healthcare
02.2009 - 04.2022
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
Participated in meetings with physicians, nurses, case managers and other healthcare professionals in order to discuss complex cases or clarify documentation requirements.
Analyzed data from various sources including electronic health records databases, insurance websites, in order to identify potential errors in the coded data sets.
Advised clinicians on appropriate use of codes based on current guidelines and regulations.
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.
Coding Specialist
Pensacola Navy Hospital
07.2006 - 02.2009
Reviewed outpatient records and interpreted documentation to identify the appropriate CPT and ICD10 codes.
Ensured compliance per DOD guidelines
Reviewed and coded APV records for the following specialties: Orthopedics, Labor and Delivery, Gynecology and general surgery.
Resourcefully used various coding resources to include Current year CPT and ICD books as well as 3M encoder.
Maintained up-to-date knowledge of medical terminology and coding changes.
Maintained strict confidentiality, with adherence to HIPAA guidelines and regulations.
Maintained all accuracy and production requirements.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements.
Education
High School Diploma -
Pensacola Catholic High School
Pensacola, FL
05.1987
Some College (No Degree) - Liberal Arts and General Studies
Pensacola Junior College
Pensacola, FL
Skills
Compliance Protocols
Research Proficiency
Reporting Skills
Compliance Understanding
Documentation Skills
Records Review
Certification
American academy of Professional Coders:
Certified Professional Coder-7/2002
Certified Professional Dermatology Coder-2/2021
Education and Training
other,other
Timeline
Coding Compliance Analyst
Baptist Healthcare System Inc.
03.2023 - 11.2025
Coding Compliance Auditor II
Baptist Healthcare System Inc.
03.2023 - 11.2025
Medical Coder
USA
04.2022 - 03.2023
Medical Coder, Multispecialty
Ascension Healthcare
02.2009 - 04.2022
Coding Specialist
Pensacola Navy Hospital
07.2006 - 02.2009
High School Diploma -
Pensacola Catholic High School
Some College (No Degree) - Liberal Arts and General Studies