Mary Grady
Medical Coder
West Memphis,AR
Summary
Medical Coder with 17 years experience in Multi Specialty coding. Certified in ICD-10 and CPT. Proficient knowledge with Federal, Commercial and Private insurance carriers. Desire Remote full-time position in Outpatient, Ambulatory Surgery Center or will consider Inpatient, Observation, Emergency Room, and Critical Care.
Overview
17
17
years of professional experience
5
5
Certification
Work History
Remote ASC/Outpatient Medical Coder
USPI- United Surgical Partners International
Franklin, TN
10.2012 - Current
- Examine diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
- Accurately enter procedure codes, diagnosis codes and patient information into coding software. Verified and abstracted all medical data to assign appropriate codes for outpatient surgery encounter.
- Receive, organize and maintain all coding and reimbursement periodicals and updates with optimal reimbursement coding.
- Add modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Interpret medical reports to apply appropriate ICD-10, and CPT/HCPCS codes. Carefully code disease and injury diagnoses, acuity of care and procedures in AMBULATORY surgery center setting. Consistently ensured proper coding, sequencing of diagnoses and procedures.
- Demonstrate knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Specialties include Ophthalmology, Colorectal, Podiatry, Orthopedic, Integumentary, Respiratory, Neurology/Pain Management, ENT, Gastroenterology, Urology, Allergy & Immunology, OB/GYN, Vascular, Pulmonary, Outpatient/ASC Cardiovascular, Digestive, Cosmetic, Radiological, Anesthesia, Outpatient Intersex Surgery
Billing Manager/Remote Coder
Franklin Gastroenterology/Williamson Medical Cente
Franklin, TN
06.2012 - 02.2016
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Correctly coded and billed medical claims for various hospital and outpatient facilities averaging 10-20 cases per hour
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Followed exact procedures for handling transfers and other releases of medical records.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Input data into computer programs and filing systems, deadline driven.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Generated reports to identify coding trends and discrepancies.
- Maintained accuracy, completeness, and security for medical records and health information.
- Researched and resolved medical record discrepancies.
- Scanned and uploaded medical records into electronic medical records system.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Processed and tracked requests for medical records from external organizations.
- Followed up with medical staff regarding missing information in patient records. Verified accuracy of patient information in medical records.
- Assisted in training new staff on medical record processing and filing procedures.
- Tracked and monitored requests for medical records release.
- Assisted in preparation of medical reports for external parties.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Generated and maintained statistical data related to medical records.
Education
No Degree - Medical Coding
Newby Consulting
Indianapolis, IN01.2007
No Degree - Business Administration And Management
Oakland City University
Oakland City, IN2006
No Degree - Medical Assisting
Hamilton Technical College
Davenport, IA2001
Skills
- Maintains strict confidentiality
- Knowledge of HMOs, Medicare and Medicaid
- Extensive anatomy/physiology knowledge
- ICD-10 coding
- Electronic Medical Record (EMR) software
- Strong work ethic, detail oriented, strong problem solving resolution
- CPT coding, coding specificity
- Exercises good judgment, outstanding in accessing physician's dictation
- Quality assessment of coded data
- HIPAA compliance
- Strong planning skills, excellent time management
- Deadline-driven
- Good written and oral communication
- 10-20 average cases per hour with standard 85% accuracy
Certification
Certified Medical Coder (CPC), AAPC certified.
Certified Professional Medical Auditor (CPMA)
Certified AAPC Approved Instructor (CPC-I)
Certified E&M Auditor (CEMA), NEMAS certified
Certified Medical Assistant (MA)
Timeline
Remote ASC/Outpatient Medical Coder
USPI- United Surgical Partners International
10.2012 - Current
Billing Manager/Remote Coder
Franklin Gastroenterology/Williamson Medical Cente
06.2012 - 02.2016
No Degree - Medical Coding
Newby Consulting
No Degree - Business Administration And Management
Oakland City University
No Degree - Medical Assisting
Hamilton Technical College
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