Pamela Moore
Friars Point,MS
Summary
Driven by a commitment to excellence, I enhanced medical coding accuracy and streamlined processes at Amergis and Steward Health Care. Leveraging skills in ICD-10-CM Coding and collaborative problem-solving, I significantly contributed to revenue optimization and compliance with regulatory standards, embodying a results-oriented approach with a focus on continuous improvement in healthcare reimbursement. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Inpatient Coder
Amergis
04.2024 - Current
- Enhanced the accuracy of medical coding by consistently reviewing and validating medical records for inpatient services.
- Streamlined workflow processes by collaborating with other coders, physicians, and healthcare professionals to ensure accurate documentation.
- Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
- Improved overall coding quality by conducting regular audits, identifying areas for improvement, and providing targeted training to team members.
- Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
Inpatient Coder
Steward Health Care
11.2019 - 04.2024
- Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
- Collaborated closely with clinical documentation specialists to identify opportunities for improved documentation that would lead to more accurate coding outcomes.
- Reduced claim denials by proactively resolving billing discrepancies prior to submission, working closely with billing teams when necessary.
- Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Developed comprehensive reference materials for use by the coding team, ensuring easy access to essential information and resources related to inpatient coding best practices.
- Supported the implementation of new coding software platforms, providing valuable input to streamline workflows and improve user experience for team members.
- Optimized efficiency of team operations by developing departmental policies, procedures, and guidelines related to inpatient coding processes.
- Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
Coding Consultant
R1 Rcm
09.2014 - 10.2018
- Served as a subject matter expert for multiple disciplines, contributing valuable insights during interdisciplinary team meetings.
- Delivered high-quality work consistently by adhering to established guidelines and maintaining strong attention to detail.
- Reduced errors in medical billing by implementing standardized coding guidelines and best practices.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Maintained accuracy, completeness, and security for medical records and health information.
- Researched and resolved medical record discrepancies.
Education
Bachelor of Science - Health Information Management
University MS Medical Center
Jackson, MS05.1987
Skills
- ICD-10-CM Coding
- Medical record review
- HIPAA Compliance
- Healthcare Reimbursement
- Procedural Coding
- Diagnostic Coding
- Denial Management
- Continuing education
- Utilization review
- Revenue Cycle Management
Certification
- RHIA - Registered Health Information Administrator
- CCS - Certified Coding Specialist
Timeline
Inpatient Coder
Amergis
04.2024 - Current
Inpatient Coder
Steward Health Care
11.2019 - 04.2024
Coding Consultant
R1 Rcm
09.2014 - 10.2018
Bachelor of Science - Health Information Management
University MS Medical Center
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