Mandy Brydges
Wyoming
Summary
Accomplished Certified Medical Coder from Trinity Health, adept in ICD-10 and CPT coding, ensures compliance while enhancing claim accuracy. I'm an organized individual with a deep understanding of medical terminology, disease processes and coding systems. I prioritize tasks effectively and ensure all codes are correctly assigned following regulatory guidelines. Well-versed in working with physicians and healthcare providers
Overview
15
15
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Nationwide Credit and Collection
Oak Brook, IL
05.2024 - Current
- Ensured accurate coding for diverse medical services, enhancing billing processes and revenue cycle efficiency.
- Reviewed and corrected coding discrepancies, maintaining compliance with federal regulations and payer guidelines.
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Verified, coded and added modifiers to diagnoses.
- Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
CERTIFIED MEDICAL CODER
Trinity Health
Grand Rapids, MICHIGAN
05.2018 - 02.2024
- Participated in continuing education programs designed to keep abreast of changes in healthcare regulations.
- Ensured compliance with applicable laws including HIPAA regulations governing the privacy of protected health information.
- Collaborated with physicians and other healthcare personnel to resolve questions or discrepancies in medical record documentation.
- Analyzed and validated medical records for completeness, accuracy and compliance with coding standards.
- Investigated insurance rejections or denials due to incorrect billing information or insufficient documentation prior to resubmission of claims.
- Provided education and guidance to physicians regarding proper documentation requirements for accurate coding.
- Developed proficiency in coding software applications to ensure accuracy of data entry.
- Utilized various coding resources such as AMA manuals, encoders, dictionaries.
- Applied ICD-10, CPT and HCPCS codes as well as modifiers to claims for accurate reimbursement.
- Monitored productivity levels while ensuring accuracy of all assigned tasks within set time frames.
- Maintained up-to-date knowledge of current coding guidelines and regulations.
- Evaluated documentation to complete diagnosis coding and meet specificity requirements, supporting clinical indicators.
- Queried provider regarding missing, unclear, or conflicting health record documentation using approved templates.
- Demonstrated expertise in resolving coding issues and responding to inquiries from healthcare providers.
MEDICAL RECORDS COORDINATOR
Verdier Eye Center
Grand Rapids, MI
07.2017 - 05.2018
- Assisted providers with retrieving requested medical records for patient care activities.
- Maintained confidentiality of all patient records in compliance with HIPAA regulations.
- Processed requests from external agencies such as insurance companies or law firms for release of medical information.
- Collaborated with other departments and teams to ensure timely delivery of documents.
- Trained new staff on proper documentation processes, including coding and filing procedures.
- Scanned paper medical records for electronic filing.
- Organized release of medical information to authorized personnel.
- Responded to inquiries from physicians and other healthcare providers.
- Called doctor offices to obtain information for authorizations.
- Updated patient demographic information in medical records.
CERTIFIED MEDICAL CODER
McKesson Healthcare
Grand Rapids, MI
05.2011 - 07.2017
- Applied ICD-10, CPT and HCPCS codes as well as modifiers to claims for accurate reimbursement.
- Analyzed and validated medical records for completeness, accuracy and compliance with coding standards.
- Reviewed diagnostic test results, operative reports, pathology reports and other clinical documents to assign appropriate codes according to established guidelines.
- Demonstrated knowledge of medical terminology, anatomy and physiology to accurately interpret documentation.
- Developed proficiency in coding software applications to ensure accuracy of data entry.
- Investigated insurance rejections or denials due to incorrect billing information or insufficient documentation prior to resubmission of claims.
- Utilized various coding resources such as AMA manuals, encoders, dictionaries.
- Monitored productivity levels while ensuring accuracy of all assigned tasks within set time frames.
- Maintained up-to-date knowledge of current coding guidelines and regulations.
- Reviewed medical records to assign codes according to classification systems.
- Resolved medical coding edits or billing item rejects in relation to code assignment.
- Queried provider regarding missing, unclear, or conflicting health record documentation using approved templates.
- Performed minimum number of coding quality reviews consistent with established departmental goals.
Education
High School Diploma -
East Kentwood Highschool
Kentwood,MI05-2005
Certified Medical Coder - Medical Coding
West Michigan Center For Arts And Technology
Grand Rapids, MI05-2010
Skills
- ICD-10 Proficiency
- Medical Terminology Familiarity
- Critical Thinking Abilities
- Continuing Education Commitment
- Claims Processing Efficiency
- Adaptability and Flexibility
- Epic Systems
- CPT Coding Knowledge
- Attention to Detail
- HIPAA Compliance Awareness
- Time Management Aptitude
- Medical Terminology
- Diagnostic coding accuracy
- HIPAA compliance awareness
- Clinical documentation review
- Continuing education commitment
- Appeals and adjustments handling
Certification
Certified Professional Coder
Timeline
Certified Medical Coder
Nationwide Credit and Collection
05.2024 - Current
CERTIFIED MEDICAL CODER
Trinity Health
05.2018 - 02.2024
MEDICAL RECORDS COORDINATOR
Verdier Eye Center
07.2017 - 05.2018
CERTIFIED MEDICAL CODER
McKesson Healthcare
05.2011 - 07.2017
High School Diploma -
East Kentwood Highschool
Certified Medical Coder - Medical Coding
West Michigan Center For Arts And Technology