Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Renee Francis

Creston,IA

Summary

Certified Medical Coder with expertise in precise coding and billing for medical procedures. Strong knowledge of medical terminology, insurance policies, and compliance standards. Proven ability to review patient records for accurate coding, leading to reduced denials and enhanced confidentiality. Previous roles resulted in improved billing efficiency and decreased error rates.

Overview

1
1
Certification

Work History

Certified Medical Coder

Greater Regional Health
Creston, IA
05.2025 - 07.2025
  • Reviewed patient records for accurate coding and compliance with regulations.
  • Utilized medical coding software to assign codes for diagnoses and procedures.
  • Collaborated with healthcare staff to clarify documentation and coding queries.
  • Ensured timely submission of coded claims to billing department for processing.
  • Participated in ongoing training to stay updated on coding guidelines and changes.
  • Assisted in audits by providing coded data and documentation support.
  • Maintained organized files of coded records for easy retrieval and reference.
  • Communicated effectively with team members to resolve coding discrepancies promptly.
  • Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
  • Ensured HIPAA compliance when handling confidential patient information.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Maintained up-to-date knowledge of medical terminology and coding systems.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Collaborated with physicians, nurses, other healthcare professionals to resolve questions regarding code selection or documentation requirements.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Researched coding guidelines and regulations to ensure accurate coding practices.
  • Responded to coding questions from callers and other internal departments.
  • Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
  • Reviewed medical records and assigned appropriate codes to diagnoses, treatments, procedures, and services rendered by healthcare providers.
  • Attended continuing education seminars related to new developments in medical coding field.
  • Accurately assigned codes using software and official print copy of code book.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Identified areas that require improvement in order to maintain accuracy of coded data.
  • Monitored changes in reimbursement policies affecting medical coding activities.
  • Submitted corrected claim forms when necessary due to errors found during review process.
  • Assigned value codes and modifiers to provide specific information for services provided.
  • Created reports summarizing coded data for administrative use.
  • Performed quality assurance reviews on all coded data prior to submission.
  • Analyzed patient data for accuracy and completeness of information.
  • Participated in the development of department policies and procedures related to medical coding activities.
  • Specified service dates by assigning occurrence codes, span codes, and date information.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • 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.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
  • Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
  • Analyzed patient charts and records to extract relevant coding information.
  • Coordinated with billing department to clarify billing issues related to coding.
  • Reviewed patient records and assigned accurate codes for diagnoses and procedures.
  • Updated coding skills and knowledge through continuous education and training.
  • Monitored and analyzed coding error trends to improve coding accuracy.
  • Participated in coding team meetings to discuss challenges and best practices.
  • Advised on the impact of coding decisions on reimbursement and compliance.
  • Conducted audits to ensure compliance with federal and state regulations.
  • Kept abreast of updates and changes in coding guidelines and reporting requirements.
  • Collaborated with healthcare providers to verify necessary documentation for coding accuracy.
  • Performed quality assurance checks on coded data.
  • Utilized coding software and tools efficiently to expedite the coding process.
  • Maintained positive working relationship with fellow staff and management.
  • Safeguarded medical records to maintain patient confidentiality.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Compiled and coded patient data using standard classification systems.

Education

Associate of Applied Science - RHIT

Scott Community College
Bettendorf, IA
05-2016

Skills

  • Team collaboration
  • Effective communication
  • Attention to detail
  • Time management
  • Critical thinking
  • Continuing education commitment
  • Medical terminology
  • ICD-10 proficiency
  • Certification maintenance
  • HIPAA compliance
  • ICD-10 coding
  • CPT coding
  • Compliance auditing
  • Healthcare documentation
  • Data analysis

Certification

  • RHIT

Timeline

Certified Medical Coder

Greater Regional Health
05.2025 - 07.2025

Associate of Applied Science - RHIT

Scott Community College
Renee Francis
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