PAMELA BADDOU,MA,CPC
Alcoa,TN
Summary
Accomplished Medical Coder with a proven track record at Team Health maintaining a 97.3% accuracy rating,
Cedar Creek Pediatric and Adolescent Medicine, enhancing revenue cycle performance by identifying under-coded claims for maximum reimbursement. Expert in medical coding for and adept at insurance analysis, I excel in interpersonal communication, ensuring compliance and accuracy.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Anesthesia Coder
Team Health
2018.12 - 2024.11
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- 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 patient charts to better understand health histories, diagnoses, and treatments.
- Maintained 97.3% accuracy, completeness, and security for medical records and health information.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Input data into computer programs and filing systems.
Medical Coder and Insurance Analysis
Cedar Creek Pediatric and Adolescent Medicne
2002.04 - 2018.12
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- 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.
- Correctly coded and billed medical claims.
- 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.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Improved reimbursement rates with accurate and timely submission of medical codes for various treatments and diagnoses.
- Improved patient privacy protection by strictly adhering to HIPAA regulations during coding and billing process.
- Enhanced revenue cycle performance by identifying and correcting under-coded claims, ensuring maximum reimbursement for services rendered.
- Reduced claim denials, meticulously verifying coding accuracy before submission.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Input data into computer programs and filing systems.
- Tracked and monitored requests for medical records release.
- Sorted and distributed incoming and outgoing medical records.
Education
Medical Coding And Insurance
Tennesse Vocational School
Knoxville, TN1990-06
Associate of Science - Medical Office Assisting
Draughons Business College
Knoxville, TN1987-06
Skills
Data Entry, Medical Coding for Anesthesiologist
Insurance, posting payments, working denials and appeals along with verification of insurance and benefits
Reviewed accounts with patients and assisted with setting up
a workable payment plan
Certification
- Certified Professional Coder with the AAPC
- I have been an active member with the AAPC for seventeen years and maintain 18 CEU per year
- I am currently studying for the Certified Medical Biller through the AAPC.
Timeline
Anesthesia Coder
Team Health
2018.12 - 2024.11
Medical Coder and Insurance Analysis
Cedar Creek Pediatric and Adolescent Medicne
2002.04 - 2018.12
Medical Coding And Insurance
Tennesse Vocational School
Associate of Science - Medical Office Assisting
Draughons Business College