Patricia Jackson
Summary
Certified coding professional with deep understanding of medical coding, billing processes, and healthcare regulations. Adept at ensuring accuracy and compliance, contributing significantly to optimized revenue cycles. Strong focus on team collaboration and adaptability to changing needs. Trusted for reliability, thoroughness, and effective communication in fast-paced environments.
Medical Billing and Coding Specialist with 40 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Certified Professional Coder /Coder 1
DLP Rutherford Regional Health System
08.2008 - Current
- Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
- Served as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
- Utilized advanced computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
- Provided comprehensive training for junior coders, resulting in increased productivity and skill development.
- Participated in regular performance evaluations and provided constructive feedback for continuous improvement within the team.
- Optimized revenue cycle management with timely and precise code assignment for various medical procedures.
- Contributed to interdisciplinary team meetings, offering valuable insights into optimizing patient care from a coding perspective.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
- Collaborated with medical staff to ensure accurate documentation and appropriate coding practices were followed.
- Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- 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.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Followed up with medical staff regarding missing information in patient records.
- Processed and tracked requests for medical records from external organizations.
- Transcribed and entered patient medical information into electronic medical records systems.
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
Education
High School Diploma -
Chenango Valley Jr./Sr. High School
Binghamton, NY06-1981
Skills
- Certified coding specialist
- CPT coding
- ICD-10 proficiency
- HIPAA compliance awareness
- Claims processing efficiency
- Team collaboration
- Surgical coding experience
- Obstetrics and gynecology coding
- Behavioral health coding
- Pediatric coding familiarity
- E and M coding proficiency
- Cardiology coding expertise
- Training and mentoring
- Knowledgeable in Tangible,Zirmed, Happe EMD, Realmed, Availity, LSS, Meditech,Athena And Ingenous Med software
- Problem-solving abilities
Timeline
Certified Professional Coder /Coder 1
DLP Rutherford Regional Health System
08.2008 - Current
High School Diploma -
Chenango Valley Jr./Sr. High School
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