Reviewed medical records for accurate coding and compliance with regulations.
Utilized coding software to assign correct codes to diagnoses and procedures.
Collaborated with healthcare professionals to clarify documentation and improve accuracy.
Resolved discrepancies in coding through research and communication with providers.
Maintained up-to-date knowledge of coding updates and healthcare regulations.
Supported billing department by ensuring timely submission of coded claims.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained high accuracy rate on daily production of completed reviews.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Verified accuracy of procedure codes to ensure proper reimbursement levels.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Quickly responded to staff and client inquiries regarding CPT codes.
Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.
Surgery Scheduling Coordinator
Hahn OB/Gyn-BJC Healthcare
Bridgeton, MO
05.2020 - 11.2024
Managed patient communication regarding surgery dates and preparation instructions.
Utilized electronic health record systems for accurate scheduling and documentation.
Collaborated with surgeons to optimize operating room availability and resource allocation.
Assisted in verifying insurance details for surgical procedures and appointments.
Organized pre-operative assessments, coordinating with nurses and anesthesiologists as needed.
Maintained up-to-date records of surgeries, cancellations, and rescheduling requests.
Addressed patient inquiries and concerns about surgical processes and timelines promptly.
Provided support to surgeons by preparing documents needed for surgeries, such as consent forms and discharge instructions.
Communicated with insurance companies to determine coverage for specific procedures.
Responded promptly to inquiries from patients or their families regarding upcoming surgeries.
Facilitated communication between surgeons, nurses, technicians and other healthcare professionals involved in the care of patients undergoing surgery.
Worked closely with doctors' offices to coordinate patient referrals for surgery services.
Reviewed incoming requests from physicians regarding potential surgeries, confirming that they meet eligibility criteria.
Ensured compliance with HIPAA regulations during the scheduling process.
Resolved any discrepancies between patient records and pre-surgery documentation.
Assisted in the scheduling of surgeries for patients, ensuring accuracy and timeliness.
Prepared detailed summaries outlining expected costs associated with various surgical procedures.
Answered phone calls from prospective patients seeking information about surgical options available at the facility.
Worked with operating facilities to schedule procedures on behalf of surgeons.
Coordinated work processes and routed paperwork to appropriate physicians and staff members.
Answered telephones and directed calls to appropriate medical or adminstrative staff.
Communicated with patients with compassion while keeping medical information private.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Completed relevant insurance and other claim forms.
OB insurance coordinator
Exceptional Healthcare
Ofallon, missouri
05.2018 - 11.2020
Filed and tracked insurance claims and communicated claims status to patients.
Prepared insurance claims for submission to clearinghouses or insurance companies.
Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
Verified insurance and communicated coverage to staff and patients.
Medical Coder
Ob/Gyn Associates
Saint Louis, MO
07.2017 - 05.2018
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Medical Coder
Boveri OB/Gyn
Fenton, MO
05.2017 - 07.2017
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Followed up with medical staff regarding missing information in patient records.
Transcribed and entered patient medical information into electronic medical records systems.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Payment Poster
Hahn OB/Gyn
Bridgeton, MO
11.2016 - 05.2017
Accurately posted payments and adjustments both electronically and manually.
Processed payments that had been received from insurance companies and Medicare.
Handled payment transactions for customer purchases.
Took money and cards from customers to handle payment processing.
Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
Submitted cash and check deposits and generated cash receipts to record money received.
Medical Coder
Genesis ob/gyn
Bridgeton, MO
06.1987 - 11.2016
Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Tracked and monitored requests for medical records release.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Used classification manuals to gain additional knowledge of disease and diagnoses processes.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Education
High School Diploma -
Florissant Community College
St Louis, MO
06-1978
Skills
Records auditing
ICD-10 coding
CPT coding
Medical coding
Insurance verification
Surgical scheduling
Insurance coding (ICD-9 and CPT)
Medical billing
Certification
Certified Professional Coder
References
References available upon request.
Work Type
Full TimePart Time
Work Location
HybridRemote
Important To Me
Flexible work hoursWork from home optionPaid time off