Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Nicole Jackson

Jackson,TN

Summary

Accomplished Medical Coder with expertise at Rochester Regional Health System, recognized for enhancing coding accuracy and compliance. Proficient in ICD-10 and HCPCS coding, I effectively mentor junior coders while ensuring adherence to HIPAA regulations. My collaborative approach with healthcare providers has significantly improved claim approval rates.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Medical Coder

Rochester Regional Health System
Jackson,TN
05.2004 - 04.2026
  • Reviewed and analyzed medical records to assign accurate codes for diagnoses and procedures.
  • Collaborated with healthcare providers to clarify documentation and ensure coding compliance.
  • Utilized coding software to streamline encoding processes and enhance workflow efficiency.
  • Conducted regular audits of coded data to maintain accuracy and adherence to regulatory standards.
  • Mentored junior coders, providing guidance on complex cases and fostering professional development within the team.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
  • Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
  • Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.

Education

No Degree -

SUNY Canton
Canton, NY

High School Diploma -

Canton Central School
Canton, NY

Skills

Medical terminology

HIPAA compliance

HCPCS coding

Medical billing

Medical claims coding

Regulatory guidelines

Knowledgeable in software

Procedural coding

Diagnostic coding

Type coding

Coding error resolution

Certification maintenance

Medical coding and abstracting

ASC coding

ICD-10 coding

Certified professional coder (CPC)

Records review

ICD 9 coding

3M encoder

Epic systems

Insurance coding (ICD-9 and CPT)

Certification

Have my certification for CPC with AAPC

Timeline

Medical Coder

Rochester Regional Health System
05.2004 - 04.2026

No Degree -

SUNY Canton

High School Diploma -

Canton Central School
Nicole Jackson