Medical coding professional with accurate medical record interpretation and coding. Known for strong team collaboration and ability to adapt to changing needs. Reliable and results-focused, with excellent attention to detail and analytical skills. Developed skills in provider and team coordination within remote work environment.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Medical Coding Specialist
Pueblo Community Health Center
01.2017 - Current
Review provider EHR notes and operative notes to apply correct ICD-10CM, CPT, HCPCS coding to produce and submit clean claims to insurance companies
Applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services.
Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
Coding of obstetric services including antepartum care, deliveries and postpartum care
Coding of surgical procedures performed by GYN physicians such as hysterectomy, biopsies, etc.
Coding of family practice services Evaluation and Management as well as ancillary and minor procedures
FQHC and fee-for-service billing
Provider trainer. I provide training to all new providers and any additional training needed by our established providers on documentation/coding.
New employee/Coder trainer
Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
Developed comprehensive internal reference materials to facilitate quick access to relevant information for all team members, boosting productivity levels.
Patient Accounts Representative II
Pueblo Community Health Center
01.2011 - 01.2016
Team lead to assist and be a reference for team members as well as train new billing representatives
Work directly with insurance companies, healthcare providers, and patients to get claims processed and paid
Assist patients with billing questions and arrange payment schedules for collection of past due balances
Follow claims through revenue cycle from verifying patients’ insurance coverage, charge processing, claim transmittal to clearing house, denials, claim corrections, insurance and patient payment posting.
Medical Records Clerk
Pueblo Community Health Center
01.2008 - 01.2011
Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Review medical records for completeness, accuracy and compliance.
File all patient data upon receipt of information to ensure availability of records to healthcare providers.
Release information to persons and agencies according to HIPAA laws and regulations.