Quintonya Corder
Carrollton,TX
Summary
Efficient individual with robust background in medical coding. Proficient in accurately coding patient records and ensuring compliance with healthcare regulations. Demonstrated expertise in utilizing coding software and maintaining detailed documentation.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Coder
University of Southern Alabama Medical Center
03.2024 - Current
- Review clinical documentation to assign accurate diagnosis and procedure codes for outpatient encounters.
- Apply appropriate coding guidelines and conventions as defined by official coding rules and the organization’s internal policies.
- Ensure coding accuracy and compliance with applicable federal and state regulations including CMS, HIPAA, and other payer-specific requirements.
- Abstract relevant information from medical records and input it into the appropriate billing systems.
- Work with physicians, clinical staff, and other departments to clarify documentation and resolve coding discrepancies.
- Utilize various coding tools and software such as 3M Encoder, TruCode, EPIC, Cerner, and others.
- Conduct coding audits and assist in continuous quality improvement efforts.
- Maintain productivity and accuracy standards in alignment with departmental KPIs.
- Keep up to date with changes in coding guidelines, compliance regulations, and payer-specific rules
- Review and apply appropriate National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) to ensure services are medically necessary and meet Medicare compliance requirements.
Medical Coder /Documentation Auditor
Performant
10.2021 - 04.2024
- Performs coding audits; reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and follows up for timely completion within designated time
- Maintains excellent documentation of all reviews, methodologies employed, results, corrective actions implemented, and monitoring.
- Release all charts to QA once rational is finalized by the coder
- Maintains production standard of 40 charts daily
- Consistently audited at 98% accuracy
- Utilizing Cerner and True code encoder
- Diagnosis and procedural coding of Injection and Infusions, Anesthesia, OBS, SDS, Joint Replacements, Labs, x-rays
- Experience with Level-1 Trauma and Academic facilities
- Ability to pivot to meet client’s needs
Billing Specialist/Team Lead
BayMark Health Services
04.2018 - 10.2021
- Assist in billing and processing claims
- Assist in preparation of reports/ audit for month end
- Review and resubmission of all denied claim
- Payment posting
- Billing Release for all payers
- Verified accuracy of accounts payable payments, resulting in 95% reduction in payment errors and check reissues.
Authorization and Revenue Cycle Specialist
Behavior Health Group
09.2016 - 08.2017
- Manage submissions of service authorization and follow up processing of approvals by all payers
- Communicate and work cooperatively with Finance and Revenue Cycle departments in all aspects
- Cross train on Revenue Cycle procedures
- Track Authorization threshold on all Government and commercial client accounts
- Work we billing specialist to review explanation of benefits, paying special detail to error an claims denials
- Plans
ROI Specialist-lead
CIOX Health
09.2012 - 09.2016
- Responsible for analyzing inpatient hospital reports for physician signatures in regards to medical record release
- Hospital coding
- Supervision of a team of five release of information specialist
- Responsible for coordinating medical record requests with external vendors
- Training and orientation for all new Release of Information Specialist
- Managed the E Smart log database for all release of medical record requests
- Problem solved all patient complaints with positive resolutions
- Worked first hand with Revenue Cycle team to make sure all referrals and appeals are completed and resubmitted when appropriate.
- Working first hand with chief of compliance for all legal request.
Office Manager
Theramatrix Physical Therapy
04.2011 - 06.2012
- Responsible for analyzing patients office visits for provider signatures and date of service
- Coordination of patient registration and patient billing in Medical Manager System
- Responsible for resubmitting denied claims with EOB
- Reviewed patients chart ensuring the entire chart is HIPPA compliant
- Claims follow-up to ensure all appropriate documents were received to process the claim
- Payment posting in Medical Manager System
- Data entry for patient demographics and insurance information
- Supervising the office to make sure all doctor referrals, scheduling, and appeals were appropriately filed.
- Training and Orientation for new employees
- Implementation of all new processes and procedures for the office staff
- Submitting payroll
Education
Associate's degree - Health Information Management
Colin College
McKinney, TX05.2021
Bachelor of Science -
Saginaw Valley State University
Saginaw, MI06.2011
Certification
- RHIT - Registered Health Information Technician
Timeline
Medical Coder
University of Southern Alabama Medical Center
03.2024 - Current
Medical Coder /Documentation Auditor
Performant
10.2021 - 04.2024
Billing Specialist/Team Lead
BayMark Health Services
04.2018 - 10.2021
Authorization and Revenue Cycle Specialist
Behavior Health Group
09.2016 - 08.2017
ROI Specialist-lead
CIOX Health
09.2012 - 09.2016
Office Manager
Theramatrix Physical Therapy
04.2011 - 06.2012
Associate's degree - Health Information Management
Colin College
Bachelor of Science -
Saginaw Valley State University
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