Malanta Manning CPC

• Experienced Coder in healthcare industry
• Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements highly preferred)
• Strong clinical knowledge related to chronic illness diagnosis, treatment and management
• Personal discipline to work remotely without direct supervision
• Proficient in Injections and Infusions
• Encoder proficiency Epic/3m, Cerner Computer (including MS Office, MS Windows 10 and Excel)
• Knowledge of HIPAA, recognizing commitment to privacy, security and confidentiality of all medical chart documentation

• Categorized health services and assigned specific CPT code to each one.
• Quickly responded to staff and client inquiries regarding CPT codes.
• Recorded, stored and reported medical coding information to create statistics of healthcare encounters. Coded outpatient telehealth evaluation and management. Reviewed account information to confirm patient and insurance information is accurate and complete.
• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
• Organized and detail-oriented with a strong work ethic.

• Assign ICD-10/CPT to ER charts.
• Review and resolve CCI coding edits, review accounts for correct charges.
• Sequence diagnosis and procedures to all ER services. Perform analysis and provide formal feedback of physician chart documentation and coding.
• Process claims and coding through encoder.

Primary care coding, evaluation and management coding for services, cover and resolve all types of claims.

• Perform analysis and provide formal feedback of physician chart documentation and coding.
• Process claims and coding through encoder. Investigate and pursue recoveries and payables on subrogation claims and file management.
• Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance.
• Responsible for verifying medical necessity, address CCI edits. Proficient in injection and infusions.
• Audit facility and professional records (Emergency, SDS and outpatient clinic).
• Review all denials and resolve. Create denial letters along with generating processing notes to route medical records.

• Audit for accuracy and completeness of all registration with PHS and CPM enter necessary error onto log.
• Manage the Queue for all agents. Supervise 15 agents within AHC operations.
• Assist in taking Central Scheduling calls as needed.
• Provide training material for new hires. Pre-register all patients scheduled with the MHMC health system.
• Accurately assign ICD-10 & CPT codes to all outpatient services.

• Experience in dual coding. Accurately assign ICD-9 & 10 CPT procedural codes.
• Sequence diagnosis and procedures to all outpatient services, same day surgery diagnostic, procedural, and emergency charts that includes E/M, injections and infusions.
• Experienced dual coding ICD-10 Ancillary Diagnostic, ICD-10 Outpatient Procedural and CPT Emergency Department Procedural review accounts for correct charges, and physician orders for diagnosis and procedures for medical necessity.
• Ensure coded data accurately reflects the data of service, based on physician documentation.
• Resolve all edits and LMRP issues.
• Proficient in injections and infusion.

• Work in all areas of registration and provide guidance to registrars. Assist with Patient Finance with billing submitting and edited claims.
• Demonstrate leadership in customer relations. In conjunction with managers, the director and associates through multiple lines of communication.
• Instruct all departmental associates on procedural changes and follow-up with periodic reviews.
• Actively participate in the recruitment of new personnel and retention of quality employees through the use of various motivational models.
• Provide orientation and training to new employees. Monitors work flow throughout the department and adjust workflow as necessary. Knowledgeable with insurance carriers.

• Register patients for laboratory, radiology, cardiology, admitting, emergency, doctor's office center, and same day surgery.
• Verify insurance eligibility and benefits prior to inpatient and outpatient surgery.
• Contact insurance companies to verify eligibility and benefits, obtain pre-notification/pre-authorization for hospital reimbursement, and consult with physicians and their staff to obtain essential information. Emergency room coding, ICD-9 and CPT coding, responsible for adding diagnosis as well as ER procedures.
• Interact with other departments to ensure quality customer service for patients.
• Work well with nursing staff to ensure patients are placed on correct unit via tele-tracking system.