Michelle Hoskins
Howland
Summary
Detail-oriented Certified Medical Coder with professional fee coding experience in a physician practice setting. Strong knowledge of CPT, ICD-10-CM, HCPCS, and Medicare/Medicaid billing regulations, with experience managing charge review, claim edit, and follow-up work queues to support compliant claims and accurate reimbursement. Effective in working directly with providers and staff to improve documentation, reduce denials, and maintain billing compliance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Physician Practice Coder
Boston Medical Center
Boston
08.2021 - Current
- Assigned accurate ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient pediatrics, family medicine and dermatology, achieving 98–99% quality audit scores.
- Reviewed medical records for coding compliance with established guidelines, ensuring adherence to regulatory standards.
- Maintained current knowledge of coding regulations to ensure billing compliance with Medicare/Medicaid standards.
- Collaborated with staff and healthcare providers to resolve documentation and coding inquiries, enhancing compliance and accuracy.
- Ensured HIPAA compliance while securely managing confidential patient information.
- Navigated multiple Epic work queues, including charge review, claim editing, and follow-up.
Medical Coder
Wayne Memorial Hospital
Honesdale
08.2017 - 08.2021
- Assign accurate CPT, ICD-10-CM, and HCPCS codes for physician practice and professional fee services based on provider documentation, coding conventions, and payer requirements for pediatrics and family medicine.
- Reviewed medical records for completeness, specificity, and compliance, ensuring accurate claim submission and maximizing reimbursement.
- Ensure compliance with current CPT, ICD-10-CM, and Medicare/Medicaid billing guidelines and regulations.
- Identified coding discrepancies, documentation gaps, and claim issues, contributing to reduced denials and enhanced clean claim performance.
- Communicates directly with providers and clinic staff to clarify documentation and support compliant coding practices.
- Provided coding guidance to providers and billing staff regarding professional fee coding questions and updates.
- Work professional coding queues to resolve issues affecting billing accuracy and timely payment.
- Maintain productivity and quality standards in a high-volume healthcare environment while protecting patient confidentiality.
- Supported audits, internal reviews, and coding education initiatives, strengthening compliance and advancing revenue integrity.
Education
High School Diploma -
Old Town High School
Old Town, ME01-2020
CPC Certified Professional Coder -
Penn Foster Career School
Scranton, PA01-2017
Skills
- CPT, ICD-10-CM, and HCPCS coding
- Professional fee coding
- Medicare and Medicaid billing regulations
- Billing compliance and revenue integrity
- Documentation review and code validation
- Denial prevention and claim accuracy
- Charge review, claim edit, and follow-up work queues
- Provider communication and coding support
- Epic EHR
- Microsoft Excel
- Medical terminology and anatomy
Certification
- CPC Certified Professional Coder
Timeline
Physician Practice Coder
Boston Medical Center
08.2021 - Current
Medical Coder
Wayne Memorial Hospital
08.2017 - 08.2021
High School Diploma -
Old Town High School
CPC Certified Professional Coder -
Penn Foster Career School