Melody Deverell
Cohutta,GA
Summary
Dynamic Senior Medical Coder with extensive experience at Vitruvian Health Care System, excelling in coding accuracy and compliance. Proven problem-solver with a keen attention to detail, adept in ICD-10 coding and medical billing processes. Committed to enhancing documentation quality and facilitating effective communication with healthcare providers.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Senior Medical Coder
Vitruvian Health Care System
Dalton, GA
08.2019 - Current
- Audited medical records and provided coding queries to hospitalists, intensivists, residency programs, and medical oncology via the Epic system to ensure accurate documentation.
- Audited medical records and provided coding queries on documentation in Wound Expert for Wound Care and Hyperbaric encounters for Clinical and Professional.
- Audited medical records for Wound Care rounding on long-term care facilities and entered charges in Athena.
- Reviewed and applied modifiers for hospital-based EKGs.
- Verifying released charges in Cerner and adding new diagnosis in Cerner HIM.
- Maintained up-to-date knowledge of CPT and ICD-10 coding principles, government regulations, and third-party billing requirements to ensure compliance.
- Facilitated communication with providers regarding coding education and documentation questions to enhance coding accuracy.
Senior Billing/Coding Specialist
Hamilton Vascular Center
Dalton, GA
01.2014 - 08.2019
- Coded surgery and endovascular notes for 2 physicians, ensuring accurate scanning of all procedure notes into patients' medical charts.
- Coded clinic notes for 2 physicians, 2 APPs, and three vascular lab techs across 2 locations.
- In addition to coding, I also worked back-end billing.
- Submitted claims to insurance companies, researching and resolving denials and explanations of benefit rejections to ensure timely reimbursement.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Investigated and resolved issues to maintain billing statement accuracy.
- Addressed customer statement inquiries and resolved issues identified during invoicing and collection processes to maintain billing accuracy.
- Assisted with deposits and monthly accounts receivable reports.
Lead Biller/Coder
Comprehensive Vascular Care
Dalton, GA
04.2005 - 12.2013
- Submitted claims to insurance companies, managed denials and appeals, and coordinated medical records requests to ensure timely reimbursements.
- Entered procedure and diagnosis codes along with patient information into billing software to support accurate billing and streamline account management.
- Managed all payments processing, invoicing and collections tasks.
- Trained new office staff on company policies and billing system to keep office operations productive and efficient.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Collected, posted and managed patient account payments.
- Performed insurance verification, pre-certification and pre-authorization.
- Investigated past due invoices and delinquent accounts to recover revenues and minimize unpaid accounts.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Interim office manager during transition of hiring a new manager.
Certified Pharmacy Technician
Hamilton Medical Center
Dalton, GA
11.1994 - 04.2005
- Performed duties as lead IV technician during day shift, overseeing medication preparation and administration.
- Executed daily iv list operations, mixed and delivered iv medications to various floors, and efficiently retrieved missed iv doses for timely pharmacy return.
- Assisted with medications for new orders entered by the pharmacist, delivered daily medication carts and Pyxis supplies, and mixed bulk antibiotic iv medication syringes.
- Managed inventories, rotated stock, removed expired or damaged drug products, and resolved discrepancies in drug counts to maintain accurate inventory records.
- Managed all PO orders received from other departments.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
- Maintained clean and organized pharmacy shelving and work areas.
- Received and verified incoming drug inventories, reported discrepancies, and accurately logged items into inventory system to ensure compliance and availability.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality.
Education
Certified Professional Coder Training Course - Professional Coding
AAPC
01.2019
Anatomy and Medical Terminology Course -
AAPC
12.2018
Diploma in Professional Medical and Dental Office Assisting -
Professional Career Development Institute
01.2005
Skills
- Certified coding specialist
- ICD-10 expertise
- Effective communication skills
- Error resolution in coding
- Management of patient data
- Inpatient and outpatient record handling
- Proficiency in Allscripts software
- Records administration skills
- Expertise in Epic system
- E-clinical software knowledge
- Indigo system proficiency
- Expertise in Cerner systems
- Sorian software expertise
- Excel application proficiency
- Word processing expertise
- Data entry accuracy
- Analytical problem solving skills
- Detail-oriented approach to tasks
Certification
- Certified Professional Coder (CPC) thru AAPC
- Certified Professional Medical Auditor (CPMA) thru AAPC
- Certified Hematology & Oncology Coder (CHONC) thru AAPC
- Medical & Dental Office Assistant (MOA)
References
Available upon request.
Timeline
Senior Medical Coder
Vitruvian Health Care System
08.2019 - Current
Senior Billing/Coding Specialist
Hamilton Vascular Center
01.2014 - 08.2019
Lead Biller/Coder
Comprehensive Vascular Care
04.2005 - 12.2013
Certified Pharmacy Technician
Hamilton Medical Center
11.1994 - 04.2005
Certified Professional Coder Training Course - Professional Coding
AAPC
Anatomy and Medical Terminology Course -
AAPC
Diploma in Professional Medical and Dental Office Assisting -
Professional Career Development Institute