Certified Coding Specialist with 8 years experience in hospital outpatient coding, 6 of which directly involved Emergency Department encounters. I am also proficient with assigning ICD-10-CM / PCS and CPT codes to Ambulatory Surgery, Observation, Clinicals and Reoccurring encounters.
Consistently follow ICD-10-CM / PCS, organizational, and client-specific guidelines to ensure proper coding and sequencing of diagnosis and procedure codes. Verify and abstract authenticated medical records to assign ICD-10-CM / PCS and CPT codes to hospital ambulatory surgery and observation encounters for multiple clients utilizing Meditech Magic, Cerner/Powerchart, and 3M / 360 products. Maintain strict confidentiality and compliance with HIPAA Privacy and Security Regulations.
Consistently followed ICD-9, CPT, and organizational guidelines to ensure proper coding and sequencing of diagnosis and procedure codes. Verified and abstracted authenticated medical reports to assign appropriate ICD-9 and CPT codes for hospital Outpatient records utilizing Meditech and 3M encoder. Quickly responded to staff and client inquiries regarding charging and coding concerns and guidelines. Evaluated the accuracy and consistency of encounter charges and applied appropriate modifiers when necessary. Investigated and adjusted incorrect procedure codes, E/M levels, and Infusion and Injection charges utilizing the billing and accounts receivable (BAR) system. Investigated and adjusted rejection batches as they occurred. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Previous ICD-10-CM and ICD-10-PCS training.
Previously ensured timely and accurate charge submission for Emergency Department Records through electronic charge capture, utilizing the billing and account receivables (BAR) system, manually until the process became automated. This included applying appropriate Evaluation and Management Levels based on a point system utilizing Enchart, Infusions and Injections, and CPT procedure codes.
Certified Coding Specialist