Regina Rattray
Ocala,FL
Summary
Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth. Motivated professional offering A.S in [outpatient coder odc]. Adds value to any organization in need of great collaboration, interpersonal and multitasking abilities. Meets tight deadlines.
Overview
21
21
years of professional experience
Work History
HIM Medical Record Coder I
Wellington Regional Medical Center
Wellington, FL
10.2002 - Current
- Coded diagnoses, procedures, and services according to established standards.
- Reviewed clinical documentation for accurate coding of diagnosis and procedures.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Verified accuracy of patient data entered into the electronic health record system.
- Completed abstracts from patient records for submission to state and federal agencies as required.
- Evaluated new coding guidelines issued by regulatory bodies such as CMS or AHIMA.
- Participated in continuing education activities related to medical coding updates.
- Performed periodic audits of medical records to ensure compliance with regulatory standards.
- Ensured proper CPT and ICD-10 code selection based on documentation present in the medical record.
- Acted as a resource for staff members regarding appropriate use of modifiers in coding claims.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Maintained high accuracy rate on daily production of completed reviews.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Verified proper coding, sequencing of diagnoses and accuracy of [Type] procedures.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Categorized health services and assigned specific [Type] code to each one.
- Safeguarded medical records to maintain patient confidentiality.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Assigned patients to diagnosis-related groups using appropriate computer software.
Education
Associate of Science -
Anthem College - Phoenix
Phoenix, AZ11-2005
Skills
- Clinical Documentation
- HIPAA Compliance
- Medical Billing
- Insurance Verification
Timeline
HIM Medical Record Coder I
Wellington Regional Medical Center
10.2002 - Current
Associate of Science -
Anthem College - Phoenix