Accomplished Medical Coder with extensive experience at Waukesha County Health and Human Services, specializing in ICD-10 and CPT coding. Proven track record in enhancing coding accuracy and resolving discrepancies, while demonstrating strong problem-solving skills and adaptability. Committed to maintaining compliance with regulations and educating staff on coding standards.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Coder
Waukesha County Health and Human Services
Waukesha, Wisconsin
02.2025 - Current
Interpreted medical reports to apply appropriate ICD-10, CPT, and HCPCS codes.
Reviewed medical records for accurate coding and compliance with regulations.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Performed audits on coded claims to ensure that all required data elements are included for accurate payment processing.
Resolved coding discrepancies and denials to maximize reimbursement.
Collaborated with healthcare providers to clarify documentation and ensure accuracy.
Educated healthcare staff on coding standards and changes in coding guidelines.
Advised on the impact of coding decisions on reimbursement and compliance.
Assisted with the development of coding policies and procedures.
Maintained confidentiality of patient information while processing medical records efficiently.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Clinical Documentation Analyst
MDS Consultants LLC
04.2021 - Current
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in inpatient medical records.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Monitored changes in coding regulations to provide recommendations for compliance.
Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
HIS Medical Coder
Marquardt Group
Watertown, Wisconsin
10.2016 - 01.2025
Boosted coding accuracy through meticulous reviews of medical documentation and precise code application.
Conducted internal audits to identify improvement opportunities in coding accuracy and compliance.
Reviewed inpatient and outpatient records, analyzing diagnostic and treatment procedures for accuracy.
Consistently met deadlines for claim submissions while maintaining high productivity levels.
Maintained current knowledge of coding guidelines and regulations, ensuring compliance across activities.
Enhanced coding accuracy by diligently interpreting documentation to identify diagnoses and procedures.
Educated staff on coding procedures and updates for regulatory changes.
Education
Certificate - Behavioral Health Coding
AAPC
01-2025
Associate Degree in HIT - Health Information Technology
DeVry University
Chicago, IL
08-2015
Skills
Insurance coding (ICD-10 and CPT) and medical coding
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