Kristi Gaither
Summary
Experienced Medical Coder and Biller demonstrating proficiency in CPT and ICD-10 coding. Skilled in claims analysis and resolving billing discrepancies while ensuring adherence to HIPAA standards. Committed to maintaining accurate medical records to enhance operational efficiency.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Certified Medical Coder/Medical Biller
The Surgeons Group
Birmingham, Alabama
09.2007 - Current
- Reviewed medical records for accuracy and compliance with coding standards.
- Assigned appropriate codes to diagnoses and procedures for billing purposes.
- Collaborated with healthcare providers to clarify documentation and coding queries.
- Assisted in resolving billing discrepancies through detailed analysis of claims.
- Maintained patient confidentiality while managing sensitive health information securely.
- Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
- Ensured HIPAA compliance when handling confidential patient information.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained up-to-date knowledge of medical terminology and coding systems.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Collaborated with physicians, nurses, other healthcare professionals to resolve questions regarding code selection or documentation requirements.
- Researched coding guidelines and regulations to ensure accurate coding practices.
- Reviewed medical records and assigned appropriate codes to diagnoses, treatments, procedures, and services rendered by healthcare providers.
- Attended continuing education seminars related to new developments in medical coding field.
- Submitted corrected claim forms when necessary due to errors found during review process.
- Analyzed patient data for accuracy and completeness of information.
Education
High School Diploma -
Hueytown High School
Hueytown, AL05-1982
Skills
- CPT coding
- ICD-10 coding
- Medical billing
- HIPAA compliance
- Coding standards
- Claims analysis
- Continuing education
- Medical claims coding
Certification
- Certified Medical Coder through AAPC - 1995 to present
Timeline
Certified Medical Coder/Medical Biller
The Surgeons Group
09.2007 - Current
High School Diploma -
Hueytown High School