Accomplished Senior Urgent Medical Coding Specialist with a proven track record specializing in E&M, ICD-10, and CPT coding. Expert in HIPAA compliance and critical thinking. I have significantly enhanced coding accuracy and efficiency. My background includes leading urgent care coding departments and improving cross-departmental collaboration, showcasing my ability to work both independently and as part of a team. Knowledgeable medical office professional talented at correcting and preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Review and code encounters with E&M, ICD-10 and CPT codes
Research and correct encounters, query providers for clarifications
Managed Urgent Care department and assisted in Oncology offices
Followed all HIPAA and Compliance guidelines
Resources used: code books, procedure manuals and encoder
Reviewed and coded encounters using CPT, ICD-10 and HCPCS for numerous Urgent Care offices
Worked with Providers to ensure proper documentations
Researched and coded all missing codes and modifiers
Audited Off-Shore coders and provided feedback to assist them
Resources used were coding books and encoder
Adhere to all HIPAA and Compliance guidelines
Reviewed and coded for Orthopedics using CPT, ICD-10 and HCPCS codes
Coded Injections given and DMEs provided to Patients
Queried providers for clarification when needed
Corrected and Added proper modifiers for billing purposes
Adhere to all HIPAA guidelines
Reviewed medical records for correct CPT, ICD-10 and HCPCS codes in outpatient settings
Abstracted information from records and added additional charges and modifiers as needed
Cross-trained in Gastroenterology, Pulmonary, Infectious Disease( OP+IP), Allergy Sleep and Family Medicine
Used coding sources: coding books and Codify
CPT knowledge
ICD-10 knowledge
CRC (course completion)
Outlook
Microsoft
Medical Billing (limited)
HIPAA compliance knowledge
Critical thinking abilities
Insurance verification
Outpatient coding (6 years)
Confident working independently or with a team
Excellent written and oral skills