Open To Work
Misty D. Smith, CPC, CPMA
Medical Documentation Specialist
LOGANVILLE,GA
Work Preference
Summary
Experienced medical billing and coding Auditor with expertise in reviewing provider documentation, coding requirements and revenue cycle management. Significant experience in quality assessment and review processes, ensuring accuracy and compliance. Adept at collaborating with teams to drive high-impact results and adapt to changing priorities. Strong analytical skills, keen attention to detail, and excellent communication abilities valued by employers. Reliable and resourceful, excelling in environments that demand thorough evaluation and feedback.
Overview
20
20
years of professional experience
2
2
Certifications
Work History
Physician Coding Review Specialist
Advocate Aurora Healthcare
Remote
07.2023 - Current
- Provided ongoing support to medical teams, offering guidance on documentation best practices and assisting with efficient resolution of identified discrepancies.
- Open channels regarding documentation requirements and proper coding procedures.
- Collaborated with interdisciplinary teams to identify systemic issues affecting medical chart documentation quality and accuracy.
- Ensured timely completion of audit projects through effective planning and prioritization, meeting organizational deadlines consistently.
- Maintained up-to-date knowledge on changes in healthcare regulations, adapting auditing processes accordingly to ensure continued compliance.
Senior Coding Specialist
Children's Healthcare of Atlanta
Remote
06.2016 - 03.2024
- Maintained electronic health records.
- Implemented new coding system, saving 10 hours weekly.
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
- Developed comprehensive internal reference materials to facilitate quick access to relevant information for all team members, boosting productivity levels.
- Stayed current on industry trends and advancements through regular participation in professional development courses and seminars, enhancing overall job performance.
- Increased staff proficiency with ICD-10-CM and CPT code sets through ongoing training sessions and individual coaching.
Senior Medical Billing & Coding Specialist
Snellville Pediatrics, P.C.
Snellville, GA
06.2013 - 06.2016
- Analyzed and coded patient records for accuracy and completeness.
- Oversaw coding and billing entry transmissions, ensuring compliance and accuracy. Led initiatives in commercial and Georgia Medicaid billing coding, specializing in injection billing.
- Collaborated with healthcare providers to ensure compliance with coding standards.
- Managed coding and billing for office visit E/M charges and minor interoffice procedures, including fluid drainage and foreign object removal. Directed efforts to address claim denials and resubmit corrected claims.
- Championed pending charge resolution and monthly chart reconciliation processes. Executed chart auditing and partnered with providers to elevate coding and documentation standards.
- Spearheaded the transition from ICD-9 to ICD-10-CM, training staff and providers on the new coding system in 2014/2015. Provided assistance with front desk operations as required.
Education
Allied Healthcare Professional - Health Informatics
Sanford Brown College
Atlanta10-2009
High School Diploma -
Lovejoy High School
Lovejoy, GA05-2000
Skills
- Medical Auditing
- Evaluation & Management Expertise
- Billing Procedures
- HIPAA Compliance
- Patient Data Management
- Revenue Cycle Management
- Healthcare Billing & Coding
- EPIC software
- MDAudit software
- Intelicode Software
Certification
- Currently enrolled in Certified Evaluation & Management Coder (CEMC) course through AAPC. Exam before December 2026.
- Certified Professional Coder (CPC) - AAPC - February 2010
- Certified Professional medical Auditor (CPMA)- AAPC- April 2021
Affiliations
- American Academy Of Professional Coders- AAPC
Timeline
Physician Coding Review Specialist
Advocate Aurora Healthcare
07.2023 - Current
Senior Coding Specialist
Children's Healthcare of Atlanta
06.2016 - 03.2024
Senior Medical Billing & Coding Specialist
Snellville Pediatrics, P.C.
06.2013 - 06.2016
Allied Healthcare Professional - Health Informatics
Sanford Brown College
High School Diploma -
Lovejoy High School