Patricia Higgins
Inpatient Coder 2
Ontario,CA
Summary
Competent Inpatient Coder with 10+ years of experience in handling wide variety of medical coding tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
15
15
years of professional experience
2
2
Certifications
Work History
Inpatient Coder
Loma Linda University Medical Center And Children's Hospital
Loma Linda, CA
05.2019 - Current
- Reviewed Inpatient records and interpreted documentation to identify diagnoses and procedures.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed patient charts to better understand health histories, diagnoses and treatments
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services
- Coded Inpatient Professional Services at average rate of 1.2 per hour
- Resourcefully used various coding books, procedure manuals and on-line encoders
- Implemented new coding procedures that reduced mistakes and simplified processes
Outpatient Coder
Loma Linda University Medical Center And Children's Hospital
Loma Linda, CA
04.2010 - 05.2019
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Release of Information Specialist
Loma Linda University Medical Center And Children's Hospital
Loma Linda, CA
03.2008 - 04.2010
- Handled phone calls from attorneys, insurance companies and patients.
- Reproduced protected health information by using data extraction and file management techniques.
- Coordinated patient information flow through caregivers, insurance companies, billing departments and patients.
- Navigated within patient records to locate requested documentation.
- Completed certifications and notarization of documents for court and legal purposes.
- Maintained accuracy, completeness and security for medical records and health information.
Education
Certification - Medical Coding
Loma Linda University
Loma Linda, CA 05.2001 -
Skills
Coding error resolution
Proficiency in LLEAP
Data security procedures
Inpatient Coding
DRG assignment
Dependable and Responsible
Timeline
Inpatient Coder
Loma Linda University Medical Center And Children's Hospital
05.2019 - Current
AHIMA Apprenticeship
02-2019
CCS-P - Certified Coding Specialist - Physician - Based
06-2010
Outpatient Coder
Loma Linda University Medical Center And Children's Hospital
04.2010 - 05.2019
Release of Information Specialist
Loma Linda University Medical Center And Children's Hospital
03.2008 - 04.2010
Certification - Medical Coding
Loma Linda University
05.2001 -
Certification
CCS-P - Certified Coding Specialist - Physician - Based