Summary
Overview
Work History
Education
Skills
Timeline
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Nancy Herbeck

Joliet,IL

Summary

Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.


Overview

39
39
years of professional experience

Work History

Inpatient Coder

R1 Rcm
01.2019 - 12.2023
  • Enhanced the accuracy of medical coding by consistently reviewing and validating medical records for inpatient services.
  • Streamlined workflow processes by collaborating with other coders, physicians, and healthcare professionals to ensure accurate documentation.
  • Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
  • Maximized reimbursement rates by expertly navigating complex payer requirements and accurately selecting the appropriate codes for each patient encounter.
  • Collaborated closely with clinical documentation specialists to identify opportunities for improved documentation that would lead to more accurate coding outcomes.
  • Demonstrated expertise in various code sets including CPT, HCPCS Level II, ICD-10-CM/PCS codes while maintaining certification as an Inpatient Coder.
  • Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.
  • Developed comprehensive reference materials for use by the coding team, ensuring easy access to essential information and resources related to inpatient coding best practices.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Verified signatures and checked medical charts for accuracy and completion.

Inpatient Coder

Presence St. Joseph Medical Center
07.2005 - 12.2018
  • Enhanced the accuracy of medical coding by consistently reviewing and validating medical records for inpatient services.
  • Streamlined workflow processes by collaborating with other coders, physicians, and healthcare professionals to ensure accurate documentation.
  • Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
  • Improved overall coding quality by conducting regular audits, identifying areas for improvement, and providing targeted training to team members.
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
  • Maximized reimbursement rates by expertly navigating complex payer requirements and accurately selecting the appropriate codes for each patient encounter.
  • Assisted with staff development through mentoring new coders, sharing best practices, and facilitating educational workshops.
  • Demonstrated expertise in various code sets including CPT, HCPCS Level II, ICD-10-CM/PCS codes while maintaining certification as an Inpatient Coder.
  • Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.
  • Acted as a subject matter expert on inpatient coding by consulting with other departments within the organization on code assignments and documentation requirements.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Verified accuracy of patient information in medical records.

Inpatient Coder

Little Company Of Mary Hospital
06.1985 - 07.2005
  • Enhanced the accuracy of medical coding by consistently reviewing and validating medical records for inpatient services.
  • Streamlined workflow processes by collaborating with other coders, physicians, and healthcare professionals to ensure accurate documentation.
  • Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.

Education

Associate of Applied Science - Medical Record Technology

Moraine Valley Community College
Palos Hills, IL
05.1985

Skills

  • APC classification
  • Medical necessity
  • Medicaid regulations
  • Charge capture

Timeline

Inpatient Coder

R1 Rcm
01.2019 - 12.2023

Inpatient Coder

Presence St. Joseph Medical Center
07.2005 - 12.2018

Inpatient Coder

Little Company Of Mary Hospital
06.1985 - 07.2005

Associate of Applied Science - Medical Record Technology

Moraine Valley Community College

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Nancy Herbeck