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
12.2018 - 11.2024
- 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
04.2002 - 12.2018
- 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, TN06-1990
Associate of Science - Medical Office Assisting
Draughons Business College
Knoxville, TN06-1987
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
12.2018 - 11.2024
Medical Coder and Insurance Analysis
Cedar Creek Pediatric and Adolescent Medicne
04.2002 - 12.2018
Medical Coding And Insurance
Tennesse Vocational School
Associate of Science - Medical Office Assisting
Draughons Business College
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