Nastasia Haick
Tampa,FL
Summary
Certified Professional Coder (CPC) with knowledge of Ambulatory Payment Classifications (APC), ICD-9, ICD-10, and Current Procedural Terminology (CPT). Clear communicator interacting seamlessly with clinical staff, colleagues, patients, and insurance companies to confirm information and expedite processing. High ethical standards, adhering to approved coding principles and guidelines, and respecting patient confidentiality. Accurate and efficient delivering rapid turnaround with a high degree of quality.
Overview
14
14
years of professional experience
Work History
Coding Auditor
BayCare Health System Inc.
2019.09 - Current
- Followed established auditing processes to meet internal and regulatory requirements.
- Analyzed data and findings to prepare reports detailing financial information.
- Communicated with audit staff to obtain necessary information for audits.
- Performed observations and evaluated supporting documents to supplement audit findings.
- Prepared working papers, reports and supporting documentation for audit findings.
- Assists in developing and maintaining policies and procedures for coding and coding guidelines. Performs other duties as assigned.
- Assists in hiring and training new coders and provides input in performance evaluations.
- Performs coding quality reviews, provides feedback to coders, and educates coders.
- Assists Physician Auditor Coordinator with developing detailed audit plan for area being reviewed.
- Provides feedback and education to healthcare providers and coding staff through written and personal communication.
- Performs Coder Compliance Auditor responsibilities for sections in central Medical Records department and/or satellite departments.
- Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA)
- Increased sales by 10%
Medical Coding & Billing Specialist
Bay Care Healthcare System
2016.08 - 2019.09
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Abstract data from medical-record documents and coding procedures and diagnoses in alignment with current ICD-10-CM, ICD-10-PCS, and CPT/HCPCS coding system guidelines.
- Demonstrate knowledge of variety of medical specialties, including obstetrics, radiology, and behavioral health.
- Lead team of medical-coding professionals, while training new hires, assigning workflow, and coaching to improve performance.
- Hold full accountability for shift quality reviewing and updating records to mitigate coding and compliance issues.
- Participate in ongoing training to maintain certification and stay abreast of current best-practices and policies.
Medical Coder II
Tampa General Hospital, St. Joseph's Hospital
2013.02 - 2016.08
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed inpatient records and interpreted documentation to identify diagnoses and procedures.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Followed up with medical staff regarding missing information in patient records.
- Verified accuracy of patient information in medical records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Scanned and uploaded medical records into electronic medical records system.
- Great comprehension of HCPCS level 2,CPT, ICD-10
Medical Coder I
BayCare Medical Group
2009.11 - 2013.02
- Ensured accurate, timely coding of medical records, converting diagnoses and procedural data into ICD-9,CPT and HCPCS level 2 codes
- Reviewed and resolved coding-related claims to prevent further rejections, denials, and adjustments.
- Supported new hires, providing guidance on policies, procedures, and practices as needed.
- Reviewed outpatient/inpatient records and interpreted documentation to identify diagnoses and procedures.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Communicated with insurance companies to research and resolved coding discrepancies.
Education
Associate of Science - Associate of Science (AS) in Medical Coding
Associate of Science (AS) in Medical Coding
University One, Online 03.2014
CPB - Certified Professional Biller (CPB)
American Association of Professional Coders (AAPC)
Salt Lake City, UT02.2012
Insurance Coding - Medical Insurance Coding
American Association of Professional Coders
Salt Lake City, UT06.2010
CPC - Certified Professional Coder (CPC)
American Association of Professional Coders (AAPC)
Salt Lake City, UT06.2009
High School Diploma -
Gaither High School
Tampa, FL06.2008
Skills
- Adobe Systems Adobe Acrobat
- Oracle JD Edwards EnterpriseOne
- Manage Budgets
- Microsoft Excel
Additional Information
CORE COMPETENCIES
Medical Coding & Billing Medical Terminology Anatomy & Physiology
Medical Records Management HIPAA Compliance & Confidentiality Insurance Verification
Data Management Accounts Receivable Medicare Reimbursements
Timeline
Coding Auditor
BayCare Health System Inc.
2019.09 - Current
Medical Coding & Billing Specialist
Bay Care Healthcare System
2016.08 - 2019.09
Medical Coder II
Tampa General Hospital, St. Joseph's Hospital
2013.02 - 2016.08
Medical Coder I
BayCare Medical Group
2009.11 - 2013.02
Associate of Science - Associate of Science (AS) in Medical Coding
Associate of Science (AS) in Medical Coding
CPB - Certified Professional Biller (CPB)
American Association of Professional Coders (AAPC)
Insurance Coding - Medical Insurance Coding
American Association of Professional Coders
CPC - Certified Professional Coder (CPC)
American Association of Professional Coders (AAPC)
High School Diploma -
Gaither High School
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