Monica J. Fowler
Carthage,TN
Summary
Dependable and detail-oriented Remote HCC Coder with expertise in ICD-10 coding and a proven track record of ensuring compliance and accuracy of 95%. Candidate with over 2+ years experience in Medicare, Medicaid and commerical insurance plans who is a dedicated team player knowledgeable about the healthcare industry and best practices of risk adjustment coding.
Overview
11
11
years of professional experience
Work History
Senior Medical Coder
UnitedHealth Group
04.2023 - Current
- Reviews, analyzes and codes diagnostic information in a patient's medical record based on client specific guidelines for the project.
- Ensures compliance with established ICD9/10 CM, DRGs coding guidelines, third party reimbursement policies, regulation and accreditation guidelines.
- Proficient coding of outpatient/inpatient charts with a 95% accuracy and as per turnaround time.
- Maintained accuracy, completeness, and security for medical records and health information.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
HCC Risk Adjustment Coder/Contractor
The CSI Companies, INC.
10.2022 - 03.2023
- Reviewing medical records, abstracting, and assigning proper Medicare HCC Risk
Adjustment diagnosis codes from both handwritten/electronic progress notes from various EMR systems with a 95% accuracy rate. - Established a reputation for excellence within the organization through consistent delivery of accurate code assignments that adhered to established timelines and quality standards.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations while managing sensitive data.
Public Health Office Assistant
Smith County Health Department
10.2013 - 09.2022
- Maintain knowledge of all current requirements governing confidentiality and use of paper and electronic medical records for department
- Facilitate daily administrative functions,
including customer service, patient scheduling, and release of information requests - Demonstrate knowledge of HIPAA Privacy and Security
Regulations by appropriately handling patient information. - Answered 30+ phone calls and messages for a health department facility, scheduling appointments, and handling patient inquiries.
Education
Associate of Applied Science - Health Information Mngmt
Volunteer State Community College
Gallatin, TN05-2022
Skills
- Excellent problem solver
- ICD-10 proficiency
- Resourceful and reliable worker
- HIPAA compliance
- Medical terminology mastery
- Close attention to detail
- Proficiency in Medical Records Manager
- Excellent verbal communication
- Teamwork and collaboration
- Hospital inpatient and outpatient records
- Time management
- Microsoft Excel
Timeline
Senior Medical Coder
UnitedHealth Group
04.2023 - Current
HCC Risk Adjustment Coder/Contractor
The CSI Companies, INC.
10.2022 - 03.2023
Public Health Office Assistant
Smith County Health Department
10.2013 - 09.2022
Associate of Applied Science - Health Information Mngmt
Volunteer State Community College
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