Melinda Borell
Dighton
Summary
Experienced with accurately coding patient records and ensuring compliance with healthcare regulations. Utilizes sophisticated coding software to maintain detailed and precise documentation. Strong understanding of healthcare billing processes and regulatory requirements.
Overview
10
10
years of professional experience
Work History
Clinic Office Manager/ Clinic Coder
Lane County Hospital/Medical Clinic
Dighton, KS
05.2022 - Current
- Oversaw daily clinic operations to enhance patient experience and streamline workflows.
- Managed appointment scheduling using electronic health record systems, increasing efficiency and reducing wait times.
- Trained new staff on registration procedures and clinic protocols, ensuring consistency in service delivery.
- Ensured adherence to HIPAA guidelines regarding patient privacy by training employees on best practices for handling sensitive information securely.
- Developed in-depth knowledge of insurance policies to assist patients in understanding coverage options and navigating billing processes more efficiently.
- Reviewed and analyzed medical records for accurate coding and compliance with regulations.
- Utilized ICD-10, CPT, and HCPCS coding systems to ensure precise documentation.
- Collaborated with healthcare providers to clarify documentation discrepancies and improve coding accuracy.
- Implemented process improvements that enhanced efficiency and reduced claim denials.
- Conducted audits of coded records to verify accuracy and adherence to guidelines.
- Maintained up-to-date knowledge of changes in medical coding regulations and policies.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and online encoders.
- 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..
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
Medical Coder
Scott County Hospital
Scott City, KS
05.2016 - 05.2022
- Applied official coding conventions and rules from the American Medical Association and the Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Verified signatures and checked medical charts for accuracy and completion.
- Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reduced claim denials, meticulously verifying coding accuracy before submission.
Education
AHIMA Cca - Health Information Management Coding
Hutchinson Community College
Hutchinson, KS05-2016
Skills
- Medical coding
- HIPAA compliance
- Healthcare regulations
- Records management
- Insurance coordination
- Critical thinking
- Time management
- Multitasking
- Attention to detail
- Reliability
- Teamwork and collaboration
Timeline
Clinic Office Manager/ Clinic Coder
Lane County Hospital/Medical Clinic
05.2022 - Current
Medical Coder
Scott County Hospital
05.2016 - 05.2022
AHIMA Cca - Health Information Management Coding
Hutchinson Community College