Marie Gibbs
Bluefield,WV
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services following client guidelines for Medicare, Medicaid and Commercial projects. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
9
9
years of professional experience
Work History
Medical Coder II
Optum
05.2023 - Current
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify and capture diagnoses following Medicare, Medicaid and Commercial project guidelines.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Maintained 95% or above accuracy rating while meeting project specific productivity requirements.
- Assisted in training new staff on medical record review, coding software platforms, and coding procedures.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Medical Coder II
Change Healthcare
10.2018 - 05.2023
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses in Medicaid, Medicare and Commercial projects.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Trained new coding staff on medical record review processes, coding software platforms and encoder applications.
- Maintained 95% or above accuracy rating while meeting project specific productivity requirements.
- Demonstrated coding software platforms to company senior leadership to provide guidance for future implementations.
Medical Coder II
Optum, UnitedHealth Group
04.2014 - 10.2018
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures for Medicaid, Medicare and Commercial risk adjustment projects.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Maintained 95% or above accuracy rating while meeting project specific productivity requirements.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Interacted with physicians to provide coding information to inform physician documentation.
Education
Bachelor of Science - Psychology
Capella University
Minneapolis, MN12.2018
Skills
- Medical Claims Coding
- Reading Comprehension
- Hospital Inpatient and Outpatient Records
- Document Quality
- Medical Terminology
- Code Assignment Research
- Coding Error Resolution
- Records Review
- ICD-10 (International Classification of Disease Systems)
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CPMA - Certified Professional Medical Auditor
Timeline
Medical Coder II
Optum
05.2023 - Current
Medical Coder II
Change Healthcare
10.2018 - 05.2023
Medical Coder II
Optum, UnitedHealth Group
04.2014 - 10.2018
Bachelor of Science - Psychology
Capella University
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