Pamela Lane
APACHEJUNCTION,AZ
Summary
Experienced interventional radiology and vascular neuro coder with 20+ years in specialty coding, auditing, and compliant claim submission. Skilled in ICD-10-CM, CPT, HCPCS, modifier assignment, and denial reduction, with a strong record of improving documentation specificity and supporting clean reimbursement. Use of EPIC, encoder, Dr."Z" website.
Overview
26
26
years of professional experience
Work History
Senior Medical Coder
UIC WWT
01.2001 - Current
- Reviewed complex inpatient, outpatient, and specialty records for accurate ICD-10-CM, CPT, and HCPCS assignment.
- Audited coding quality and corrected documentation gaps to support compliant claim submission.
- Interpreted provider documentation to resolve diagnosis, procedure, and modifier discrepancies.
- Collaborated with clinical staff to improve documentation specificity and coding accuracy.
- Assigned ICD-10-CM, CPT, and HCPCS codes with high accuracy across diverse clinical encounters.
Medical Coding Specialist
Munster Radiology Group
01.2005 - 10.2011
- Reviewed radiology encounters for accurate CPT, ICD-10, and modifier assignment.
- Applied payer-specific coding guidelines to support clean claim submission.
- Audited coded accounts to identify documentation gaps and resolve discrepancies.
- Communicated with physicians to clarify incomplete or inconsistent clinical documentation.
- Monitored denial trends and corrected coding errors to reduce claim rework.
- Ensured compliance with Medicare, Medicaid, and commercial payer regulations.
- Maintained productivity while adapting to PACS, RIS, and electronic billing systems.
- Mentored coding staff on radiology coding rules, updates, and documentation standards.
- Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
- Promoted a collaborative work environment through effective communication and teamwork among fellow Medical Coding Specialists.
- Developed comprehensive internal reference materials to facilitate quick access to relevant information for all team members, boosting productivity levels.
- Supported accurate reimbursement rates for services rendered by applying appropriate modifiers when necessary during the coding process.
- Ensured timely submission of claims by diligently meeting deadlines for coding assignments, reducing the risk of delayed payments from insurers.
- Assisted management in revenue optimization by providing expertise in medical coding practices and identifying potential areas for improvement.
- Stayed current on industry trends and advancements through regular participation in professional development courses and seminars, enhancing overall job performance.
- Maintained strict adherence to HIPAA regulations by protecting confidential patient information during the coding process.
- Increased staff proficiency with ICD-10-CM and CPT code sets through ongoing training sessions and individual coaching.
- Championed process improvement initiatives within the coding department by identifying areas of inefficiency and proposing effective solutions, leading to increased productivity and accuracy rates.
- Enhanced medical coding accuracy by meticulously reviewing patient records and diagnoses.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Generated reports to identify coding trends and discrepancies.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Verified signatures and checked medical charts for accuracy and completion.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from the American Medical Association and the Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Followed up with medical staff regarding missing information in patient records.
- Researched and resolved medical record discrepancies.
- Input data into computer programs and filing systems.
- Processed and tracked requests for medical records from external organizations.
- Followed exact procedures for handling transfers and other releases of medical records.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Maintained accuracy, completeness, and security for medical records and health information.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Verified accuracy of patient information in medical records.
Education
High School Diploma -
Gavit High School
Medical Coding And Phlebotomy -
Florida State
St. Petersburg, FLSkills
I have had the pleasure of working for WWT (UIC) for over 15 years as an interventional radiologist coder and vascular neuro coder, and 4 years cardiology also audit pathology and E & M's for the interventional radiology team Every year training thru RCCS and earned certificates, off clock research to keep up and love the people and my allowed position, however due to moving outside their allowed "remote" guidelines I am in need of full time position
Timeline
Medical Coding Specialist
Munster Radiology Group
01.2005 - 10.2011
Senior Medical Coder
UIC WWT
01.2001 - Current
High School Diploma -
Gavit High School
Medical Coding And Phlebotomy -
Florida State