Certified Medical Coding Specialist
University Of Missouri Health Care PC&R
Columbia, Missouri
09.2018 - Current
- Review, analyze, coding and charge entry of Evaluation and Management of outpatient and inpatient medical records for Pediatric Intensive Care Unit, Pediatric Pulmonary, and Pediatric Cardiology. Assigning correct cpt codes, diagnosis codes and modifiers as per patient's Electronic Medical Record.
- Medical coding and billing of diagnostic and treatment procedures contained in patients medical records, such as PFT's, Sleep studies, Brochoscopy's, PICU Sedations, Pediatric Cardiology Echo's, Electrocardiograms, Holter Monitor reports, Stress test, and other procedures as noted in EMR.
- Assist compliance with audit of medical records to identify any potential errors
- Investigate and resolve all denied claims and edits
- Educating providers, residents, staff regarding all medical billing guidelines, problems, errors, policies, and/or updates regarding billing/coding, compliance, diagnosis, documentation, and HIPPA updates. Resourcefully use various coding books, procedure manuals and on-line encoders.
- Apply official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Process insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement. Process daily edits ensuring timely filing guidelines
- Verified signatures and checked medical charts for accuracy and completion.
- Consistently maintain 95% accuracy rate monthly, as well aminimum of 95% quality assurance.
- Stay up to date on new medical coding cpt's, dx, guidelines and dates. Maintain MULITPLE certifications by taking advantage of CEU webinars, zoom meetings, etc.
