Summary
Overview
Work History
Education
Skills
Timeline
Generic

Penny Goss

Milroy,PA

Summary

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.

Overview

6
6
years of professional experience

Work History

Senior Urgent Medical Coding Specialist

E-Code Solutions
05.2023 - 07.2024

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

Certified Medical Coder

Zotec Partners
10.2021 - 05.2023

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





Medical Coding Specialist

KeyMed Partners
09.2020 - 04.2021

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

Certified Medical Coder

Mount Nittany Physicians Group
11.2018 - 07.2020

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

Education

Certification - Medical Coding

South Hills School of Business And Technology - State College
State College, PA
07.2018

Skills

    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

Timeline

Senior Urgent Medical Coding Specialist

E-Code Solutions
05.2023 - 07.2024

Certified Medical Coder

Zotec Partners
10.2021 - 05.2023

Medical Coding Specialist

KeyMed Partners
09.2020 - 04.2021

Certified Medical Coder

Mount Nittany Physicians Group
11.2018 - 07.2020

Certification - Medical Coding

South Hills School of Business And Technology - State College
Penny Goss