Rachel Frost
Riverbank,CA
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder with 17 years coding experience, adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
General Healthcare Resources (GHR)
12.2022 - Current
- Held a contracting position with Houston Methodist until August 1, 2023
- During this contract, I helped with editing charts within the EPIC system
- This included properly applying modifiers to E/M codes establishing between New and Established patients, modifiers for global surgical codes, CCI edits
- Correctly coding injections and medicine doses
- Correctly worked the DME work queue per company and coding guidelines.
Certified Professional Coder
Yosemite Pathology Medical Group
11.2021 - 12.2022
- Review of histology and cytology reports to determine proper coding
- Enter CPT and ICD 10 codes into Xifin billing system
- Call hospitals to retrieve missing reports
- Verify stains in laboratory logs using the Orchard billing system
- PQRS education and reporting
- Add or change charges based upon addendum/amended reports
- Call referring physicians/facilities for ICD-10 codes as needed
- Verify processed information for accuracy
- Sort and verify requisitions.
Certified Medical Coding Specialist
Kaiser Permantente
09.2011 - 09.2021
- Responsible for accurate coding of professional services (diagnosis, conditions, procedures and E/M levels) from medical record documentation in a hospital setting: Hospital Emergency Department (ED), Hospital Inpatient, Hospital Observation (HOPS), Hospital Ambulatory Surgeries (HAS), Hospital Outpatient (HOV), and Medical Office
- Working from appropriate documentation in the medical record, assigning codes and modifiers by resourcefully using various coding books, procedure manuals, and on-line encoders, all while following company and institutional coding guidelines.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Review Medical Records to correct edits using EPIC system, 3M and Encoder Pro
Education
MJC
Medical Office Specialist
Maric College
12.2005
Skills
- CPT/ICD-9 /ICD-10/HCPCS/Coding
- Follows and maintains HIPPA guidelines and regulations
- Medical Terminology, Anatomy and Physiology
- Electronic Health Record Applications
- Ambulatory Surgeries
- Coding Error Resolution
- Professional Fee medical Coding for Inpatient, Outpatient, Ambulatory, and Emergency Room
- Knowledgeable in EPIC, Optum EncoderPro, 3M, Codify
- Typing Skills/10 key Skills
- Data Entry
Certification
- CPC - Certified Professional Coder (2007)
- CENTC - Certified Ears, Nose, Throat Coder (2017)
- COSC - Certified Orthopedic Surgical Coder (2017)
- AAPC License # 01071159
References
Available upon request
Timeline
Certified Professional Coder
General Healthcare Resources (GHR)
12.2022 - Current
Certified Professional Coder
Yosemite Pathology Medical Group
11.2021 - 12.2022
Certified Medical Coding Specialist
Kaiser Permantente
09.2011 - 09.2021
MJC
Medical Office Specialist
Maric College
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