Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

LaDonna Ponder

Fort Smith,AR

Summary

Accurate medical biller and coder performing all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Three plus years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials.

Certified coding professional with strong foundation in medical coding systems, compliance regulations, and healthcare documentation. Adept at ensuring precise and accurate code assignment, optimizing reimbursement processes, and maintaining high standards of data integrity. Known for collaborative teamwork and adaptability in dynamic environments, contributing to team success and achieving organizational goals.

Knowledgeable in various medical specialties with solid foundation in medical coding practices and compliance standards. Adept at accurately recording and managing patient data, ensuring all codes are correctly applied, and maintaining up-to-date medical records. Proven skills in using coding software and working collaboratively with healthcare professionals.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Certified Medical Coder

Mercy
04.2018 - Current
  • Certified Coder through AHIMA with almost 8 years coding experience in Family Practice/Internal Medicine, Pediatrics (Inpatient and ambulatory), Dermatology, Audiology, Endocrinology, and Rheumatology. I thrive in a fast paced environment finding the challenge of medicine and coding exciting and rewarding. Assigned value codes and modifiers to provide specific information for services provided.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Skilled in abstracting from physician chart notes, ensuring accurate code application, proficient in modifiers, NCCI and MUE edits. Payor specific requirements and various coding software i.e Vitalware and 3M. Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes. Paying close attention to modifiers, CCI edits and payor requirements.
  • Assign ICD-10 CDM and CPT?HCPCS codes to Radiology, Resolve the edits that are holding up revenue, code to clear edits for outpatient accounts that are simple visit coded. Post charges to inpatient, observation accounts. Apply facility and physician modifiers to procedures, labs, radiology and E&M codes as needed.



  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.

Medical Assistant and Scribe

RiverValley Primary Care
08.2016 - 04.2018

Recorded, stored and reported medical coding information to create statistics of healthcare encounters.

  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.

Education

CCA Certification -

AHIMA
Fort Smith, AR
06.2020

Certificate of Completion - Medical Billing & Coding

Petra Allied
Fort Smith, AR
12.2015

GED - undefined

Van Buren High School
Van Buren, AR
05.1993

Skills

  • Documentation oversight
  • Medical record security
  • Medical terminology
  • Knowledgeable in Epic
  • Billing procedures
  • Insurance billing
  • Patient data identification
  • Data entry
  • Healthcare claim coding
  • Decision-making
  • Organization
  • Work ethic
  • Diagnostic coding accuracy
  • HIPAA compliance awareness
  • Clinical documentation review
  • Continuing education commitment
  • Medical claims coding
  • Electronic health records navigation

Certification

Certified Medical Biller & Coder in Medical Insurance Billing And Coding 06/2020

Timeline

Certified Medical Coder

Mercy
04.2018 - Current

Medical Assistant and Scribe

RiverValley Primary Care
08.2016 - 04.2018

Certificate of Completion - Medical Billing & Coding

Petra Allied

GED - undefined

Van Buren High School

CCA Certification -

AHIMA