Melinda West
Derby,KS
Summary
Dynamic Certified Professional Coder with extensive experience at Vitreo Retinal Consultants & Surgeons, recognized for optimizing revenue cycle management and reducing claim denials through meticulous documentation review. Proven ability to enhance coding accuracy and train junior coders, showcasing strong attention to detail and exceptional communication skills.
Experienced with interpreting and applying coding guidelines and regulations. Utilizes analytical skills to ensure accuracy in coding and compliance. Knowledge of ICD-10-CM, CPT coding, and medical terminology to support effective healthcare operations.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Vitreo Retinal Consultants & Surgeons
07.2005 - Current
- Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
- Served as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
- Provided comprehensive training for junior coders, resulting in increased productivity and skill development.
- Optimized revenue cycle management with timely and precise code assignment for various medical procedures.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
- Enhanced coding accuracy by implementing quality assurance checks and conducting regular audits.
- Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
- Collaborated with medical staff to ensure accurate documentation and appropriate coding practices were followed.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Followed up with medical staff regarding missing information in patient records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Assisted in preparation of medical reports for external parties.
- Scanned and uploaded medical records into electronic medical records system.
- Tracked and monitored requests for medical records release.
Education
Associate of Science - General Studies
Butler County Community College
Andover KS12-1997
Skills
- ICD-10 proficiency
- Surgical coding experience
- Revenue cycle management
- Denial management strategies
- Payment posting
- Auditing and quality assurance
- E and M coding proficiency
- Insurance verification
- Proficient in Nextgen, Nextech Intellichart, Microsoft Office
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Timeline
Certified Professional Coder
Vitreo Retinal Consultants & Surgeons
07.2005 - Current
Associate of Science - General Studies
Butler County Community College
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