Michele Poitras, CCS

Reviewed and assigned ICD-10-CM diagnosis and procedure codes for inpatient ProFees, ensuring accurate documentation for billing.
Reviewed and assigned ICD-10-CM diagnosis and procedure codes for various types of clinics and encounters.

• Reviewed and assigned ICD-10-CM diagnosis and procedure codes for inpatient professional fee claims, ensuring accurate billing and reimbursement.
• Reviewed and assigned ICD-10-CM diagnosis and procedure codes for diverse encounters and clinics, facilitating comprehensive record keeping.
• Achieved 95% accuracy in coding, review, and analysis, ensuring compliance with VHA Official Coding guidelines.

• Achieved 95% accuracy rate in coding, reviewing, analyzing, and abstracting medical data, ensuring compliance with official coding guidelines.
• Reviewed and assigned ICD-10-CM diagnosis and procedure codes for 3 clinics and 5 specialty clinics, including neurology and surgery, using electronic medical records and various coding tools to ensure accurate documentation.
• Reviewed and assigned codes for injections and infusions, profee E/M levels.
• Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.

• Maintained performance standards by achieving at least a 95% accuracy rate while coding, reviewing, analyzing, and abstracting medical record data according to Official Coding Guidelines.
• Reviewed medical records to ensure accurate coding and compliance with regulations, enhancing overall data integrity.
• Assigned appropriate codes for diagnoses and procedures using coding software, facilitating accurate billing and reimbursement.
• Collaborated with healthcare providers to clarify documentation and coding issues, improving coding accuracy and compliance.
• Diagnosed and coded procedures for various ER, Outpatient, and Ancillary electronic medical records using different encoders and coding books for various clients, including infusions, injections, and E/M facility levels.

• Executed credentialing and re-credentialing for medical providers and staff, ensuring compliance with Medical Staff Bylaws and Joint Commission standards while screening qualifications and evaluating adverse action histories.
• Reviewed disciplinary action information for compliance with Joint Commission and VHA standards, ensuring adherence to HIPAA regulations.
• Verified school accreditation and applicants' license status through Board’s License Verification System, ensuring qualifications met required standards.
• Processed applicant enrollments in VetPro for credentialing, facilitating timely and accurate credentialing of healthcare providers.

• Executed coding for inpatient and outpatient medical records using ICD-9-CM and CPT-4 coding systems.
• Managed abstraction and processing of inpatient and outpatient office visits, medical evacuations, same day surgeries, special procedures, lab services, and anesthesia records, ensuring accurate billing and compliance with regulatory standards.
• Ensured accurate submission of UB92 and HCFA 1500 forms to facilitate reimbursement
• Generated aging reports to track outstanding claims and processed check requests for refunds, enhancing revenue cycle management efficiency.
• Coordinated medical referrals and arranged off-island procedures for medical treatment, facilitating access to necessary healthcare services.
• Covered front desk duties and off-island.
• Held a contract position providing administrative support for the Department of Defense.