Certified coding professional with strong foundation in medical coding systems, compliance regulations, and healthcare documentation. Adept at ensuring precise and accurate code assignment, optimizing reimbursement processes, and maintaining high standards of data integrity. Known for collaborative teamwork and adaptability in dynamic environments, contributing to team success and achieving organizational goals.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Team Lead Medical Coder
Zotec Partners
10.2018 - 02.2025
Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Coached team members in techniques necessary to complete job tasks.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Reduced claim denials, meticulously verifying coding accuracy before submission.
Train, mentor, support coding staff through on-boarding education, and performance feedback
Contributed to healthcare quality improvement by accurately coding diagnoses and procedures for data analysis and reporting.
Physician Auditor/Medical Coder
Texas Children's Urgent Care
02.2016 - 03.2018
Reviewed Evaluation and Management (E/M) services, procedural documentation and diagnosis coding accuracy and medical necessity.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records
Used EPIC to assign procedure and diagnostic codes to patient records for billing purposes
Conducted onsite education with physician and office staff on appropriate documentation and coding
Initiated, performed and documented quarterly coding audits for physicians
Maintain detailed audit logs, performance metrics, and audit trail documentation
Emergency Department Medical Coder
New Direction Job Services, LLC. (EMERUS)
05.2013 - 09.2015
Reviewed facility charges as provided and edited where necessary to ensure charges are compliant and substantiated by provider documentation
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Utilized the electronic medical record, reviewed, abstracted and applied appropriate diagnostic coding including facility level E&M coding, ICD 10CM and CPT/HCPCS according to coding guidelines as applicable
Interacted with physicians and other healthcare staff to ask questions regarding patient services and ensure chart accuracy
Used CERNER to assign procedure and diagnostic codes to patient records for billing purposes
Verified signatures and checked medical charts for accuracy and completion.
Education
High School Diploma -
Klein Forest High School
Houston, TX
01.2003
Skills
E/M Coding Proficiency
Medical Coding and Abstracting
Understanding of Medical Coding Standards (ICD-10, CPT, HCPCS)