
Honors graduate of coding and billing program with the skills and knowledge to add value to any team. Proficient in coding for ICD-10-CM/PCS and CPT. Familiarity with HCPCS. Adept at processing insurance claims. Knowledge of medical terminology.
3 1/2 weeks coding SDS (Same Day Surgery) including spinal fusions, traumatic amputations, arthroscopic knee and shoulders, otology procedures, and bronchoscopies.
1 1/2 weeks coding ED/OBS (Emergency Department and Observations) including acuity levels, injections and infusions, billable and non-billable hours
3 weeks coding inpatient charts including knee and hip surgeries, cardiac cath and CABG procedures
Supervised 2 teams responsible for processing payments for custody invoices. Payment methods included checks, wires, and direct debits from internal accounts.
Responsible for training new staff and developing procedures to ensure consistent accuracy and quality of work.
Created new processes to increase efficiency as well as adapt to changes in technology.
ICD-10-CM/PCS
CPT
Billing
Claims
Medical terminology
Excel
Communication
Cerner
Optum Computer-Assisted Encoder
Critical thinking
Organizational skills
Customer Service
Detail oriented
Team Collaboration
Medical Coding
Demonstrate the correct use of ICD-10-CM/PCS and CPT coding manuals. Use clinical knowledge to support the coding process. Accurately select and sequence diagnoses/procedures codes to ensure the highest level of reimbursement. Apply modifiers appropriately to improve accuracy and specificity of codes. Knowledge of coding conventions and guidelines.
Claims
Familiarity with processing CMS-1500 and UB-04 claim forms. Understanding of revenue cycle. Knowledge of and capability in processing claims for various insurances including Medicaid, Medicare, BlueCross BlueShield, and Workers Compensation.