Melissa Disera
Minooka,Illinois
Summary
Hardworking medical coding professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Optum Insight
01.2021 - 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.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
- Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
- Verified signatures and checked medical charts for accuracy and completion.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Followed up with medical staff regarding missing information in patient records.
Certified Professional Coder
Duly Health And Care
06.2010 - 01.2021
- 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.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Optimized revenue cycle management with timely and precise code assignment for various medical procedures.
- Coordinated with other departments to address any discrepancies or issues arising from billing-related matters promptly and professionally.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
- Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
- Verified signatures and checked medical charts for accuracy and completion.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- 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.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Monitored changes in coding regulations to provide recommendations for compliance.
- 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.
Education
No Degree - General Studies
Joliet Junior College
Joliet, ILHigh School Diploma -
Joliet Central High School
Joliet, IL06.1999
Skills
- Charge Entry Competence
- CPT coding knowledge
- ICD-10 Proficiency
- HIPAA compliance awareness
- Medical Terminology Familiarity
- Electronic health records navigation
- Continuing Education Commitment
- CPC registration
- Telehealth Coding Experience
- HIPAA Compliance
- Clinical Documentation
- Insurance coding (ICD-9 and CPT)
- Medical claims coding
- Medical Terminology
- Knowledgeable in Epic
- Continuing education
- Coding Error Resolution
- Immediate Care coding
- EMR Systems
- Attention to Detail
- ICD-10 Coding
- Medical billing code accuracy
- Epic Systems
Affiliations
- AAPC
Certification
- CPC - Certified Professional Coder
Timeline
Certified Professional Coder
Optum Insight
01.2021 - Current
Certified Professional Coder
Duly Health And Care
06.2010 - 01.2021
No Degree - General Studies
Joliet Junior College
High School Diploma -
Joliet Central High School
- CPC - Certified Professional Coder
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