Lynn Hudson
OptumHealth
Plymouth
17
years of professional experience
Certified Medical Coder with 15+ years of experience in medical billing, claims processing, and diagnostic coding accuracy. Recognized for thorough documentation review, provider communication, and compliance with coding guidelines. Focused on improving claim accuracy and supporting efficient revenue cycle performance.
Work History
Certified Medical Coder
5 Years 9 Months- Ensured coding compliance with payer policies, coding guidelines, and documentation requirements.
- Reviewed patient records to assign accurate ICD-10-CM, CPT, and HCPCS codes.
- Analyzed clinical documentation to resolve coding discrepancies and support claim accuracy.
- Collaborated with providers to clarify incomplete records and improve coding specificity.
- Audited coded encounters for accuracy, consistency, and adherence to regulatory standards.
- Maintained confidentiality while processing sensitive health information in secure systems.
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
- Verified, coded and added modifiers to diagnoses.
Medical Biller and Coder
10 Years- Reviewed operative reports and documentation to support compliant coding and billing accuracy.
- Processed surgical charges and assigned accurate CPT, ICD-10, and HCPCS codes for claims submission.
- Submitted electronic claims and resolved rejections through payer portals and clearinghouse workflows.
- Investigated denied claims, corrected billing errors, and resubmitted appeals for reimbursement follow-up.
- Verified patient insurance eligibility, benefits, and authorization requirements for scheduled procedures.
- Managed patient account inquiries regarding statements, balances, and payment arrangements with professionalism.
- Coordinated with surgeons, clinical staff, and payers to clarify documentation and reduce coding discrepancies.
- Monitored aging accounts and supported reimbursement workflows to maintain efficient revenue cycle performance.
- Resourcefully used various coding books, procedure manuals, and online encoders.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Education
Associate of Science - Administrative Medical Assisting
Skills
Diagnostic coding
Claims processing
Documentation review
Revenue cycle management
Appeals and adjustments handling
Electronic health records navigation
HIPAA awareness
Data security procedures
Continuing education
Timeline
Certified Medical Coder
OptumHealth
2019.01 - 2024.10Read More
Medical Biller and Coder
Bangor Surgical Associates
2008.01 - 2018.01Read More
Beal College
Associate of Science from Administrative Medical Assisting
Read More