Linda Jones

Cardiology E/M services

Family & Internal Medicine E/M services

• Interpreted medical terminology and pharmacological information to translate information into coding system.
• Assigned value codes and modifiers to provide specific information for services provided.
• Maintained current knowledge of coding regulations by attending seminars, conferences, workshops, or webinars.
• Reviewed claim edits generated by automated systems prior to submission to payer organizations.

• Reviewed medical records for accurate coding and compliance with regulations.
• Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
• Collected documentation and clarified ambiguous patient care statements by contacting providers.
• Maintained confidentiality of all medical records in accordance with HIPAA regulations.
• Reviewed claim edits generated by automated systems prior to submission to payer organizations.
• Maintained high accuracy rate on daily production of completed reviews.

• Reviewed medical documentation to assess claim validity.
• Processed payments and settlements for approved claims efficiently.
• Communicated with medical providers, claimants, lawyers and public officials to provide invested parties with claim information and facilitate necessary participation.
• Completed continuing education courses to remain current on applicable laws and expand upon understanding of relationships between statutory requirements and company policies.