Maureen Caldwell
Penn State Health Milton S. Hershey Medical Center
HUMMELSTOWN,PA
1
Certification
20
years of professional experience
Certified Medical Coder skilled in ICD-10 and CPT coding. Ensured diagnostic coding accuracy and regulatory compliance while mentoring junior coders, enhancing team performance. Contributed to organizational goals through precise code assignment and optimization of reimbursement processes.
Work History
Certified Medical Coder
12 Years 11 Months- Review complex cases for accurate coding, ensuring adherence to ICD-10 ,CPT guidelines, American Medical Association and Centers for Medicare and Medicaid Services to assign proper codes.
- Collaborate with healthcare professionals to resolve coding discrepancies and improve documentation practices.
- Train new staff on coding procedures, enhancing team efficiency and accuracy in billing processes.
- Train and mentor junior coders to support growth and development and apply high-quality coding practices.
- Conduct ongoing self-audits to identify areas requiring additional education or resources in order to maintain a high level of coding accuracy and proficiency.
Medical Office Associate
7 Years- Coordinated patient scheduling and managed appointment calendars to optimize clinic operations.
- Assisted in insurance verification and eligibility checks to facilitate seamless patient care processes.
- Trained new staff on office protocols and electronic systems, fostering a collaborative team environment.
- Enhanced patient satisfaction by efficiently managing appointment scheduling.
- Elevated patient experience with friendly interactions at check-in/check-out while diligently verifying demographic information for accuracy during each visit.
- Developed strong relationships with patients and their families, fostering trust and open communication throughout their care journey.
- Ensured compliance with HIPAA regulations through diligent management of patient information and strict adherence to confidentiality policies.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Provided prompt, polite and professional in-person and telephone customer service.
- Updated patient information and insurance details for accurate electronic medical records.
Education
Medical Billing And Coding - Medical Billing And Coding
- 4.0 GPA-Attended 10 month full time program at Kaplan while working a full time job
Skills
Medical coding expertise
ICD-10 proficiency
CPT coding
Professional development
Clinical documentation review
Coding error resolution
Analytical reasoning
EHR navigation
ARIA and Cerner proficiency
Coding proficiency
HIPAA compliance awareness
Anatomy and physiology
Critical thinking
Time management aptitude
Continuing education commitment
Proficiency in ARIA (Varian)
Powerchart
Cerner
Mosaic
Certification
CPC exam passed in July, 2011 on first attempt. Had "A" removed from my CPC in September, 2014
CHONC certification (Hematology/Oncology specialty) passed on first attempt in July, 2015
ROCC certification (Radiation Oncology) passed on first attempt in April, 2017
Timeline
Certified Medical Coder
Penn State Health Milton S. Hershey Medical Center
09.2013 - CurrentRead More
Medical Office Associate
Penn State Hershey Medical Center
09.2006 - 09.2013Read More
Kaplan Career Institute
Medical Billing And Coding from Medical Billing And Coding
Read More