SAMANTHA DACRES
Coding Specialist III
Washington,DC
Overview
12
12
years of professional experience
1
1
Certification
Work History
Coding Specialist III
Medstar Medical Group
09.2022 - Current
- Analyze medical records, lab results, and treatment plans to assign diagnostic and procedural codes in accordance with all relevant regulations
- Collaborates with healthcare professionals to ensure accurate documentation, proper code assignment, and timely billing submission
- Maintain up-to-date knowledge of all Federal, State, and payer-specific regulations and guidelines
- Participates in regular training and continuing education to enhance coding knowledge and skills
- Aids in the creation of training and educational coding guidance documents for physicians and MMG Associates
- Assists in the maintenance of billing, coding, and editing dictionaries in the billing system
- Guides and provides mentoring related to coding projects done by Coding Specialist I and Coding Specialist II to include review and correction of code selection based upon medical documentation
- Handles complex coding case review, including but not limited to surgical coding extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation.
Lead Billing Service Coordinator
Medstar Washington Hospital Center, MWHC
05.2017 - 09.2022
- Analyzed medical records, lab results, and treatment plans to assign diagnostic and procedural codes in accordance with all relevant regulations
- Provided guidance to Billing Service Coordinators related to complex edit and appeal scenarios
- Aided in the creation of training and educational coding guidance documents for physicians and MWHC Associates
- Reviewed/reconciled daily encounters for completeness and correctness
- Verified documentation and scrubbed claims prior to submission
- Entered physician professional charges into the billing system
- Resolved TES Edit/corrections in a timely manner
- Assumed other responsibilities as appropriate.
Billing Service Coordinator
Medstar Washington Hospital Center, MWHC
08.2016 - 10.2017
- Reviewed/reconciled daily encounters for completeness and correctness
- Verified documentation and scrubbed claims prior to submission
- Entered physician professional charges into the billing system
- Resolved TES Edit/corrections in a timely manner
- Collected/entered unscanned supplies used in procedures
- Validated supplies used in patient procedures, to complete vendor PO process
- Assumed other responsibilities as appropriate.
Medical Office Assistant III
Medstar Washington Hospital Center, MWHC
04.2013 - 08.2016
- Manage front office and front office staff when the Office Manager is unavailable
- Create new templates and edit templates in the master schedule system for the physicians when changes need to be made
- Edit and enter physician charges and Assign the appropriate CPT/ICD-10/HCPCS codes based on current coding guidelines into the billing system
- Audit medical charts to ensure current coding guidelines are met
- Verify insurance carriers and/or review information from insurance verification systems
- Notify insurance companies of admissions within the designated timeframe
- Obtain authorizations for scheduled and non-scheduled procedures required by insurance companies
- Review and update insurance and demographic information via registration process
- Refer self-pay and other special accounts to the financial counselor
- Scan medical documents into the Electronic Medical Record system.
Education
Bachelors of Science - undefined
University of Maryland Global Campus (UMGC)
Medical Billing and Coding - undefined
Sanford Brown Institute
Certification
American Academy of Professional Coders - Salt Lake City, Utah
Certified Professional Coder (CPC)
Work Preference
Work Type
Full TimePart TimeWork Location
RemoteTimeline
Coding Specialist III
Medstar Medical Group
09.2022 - Current
Lead Billing Service Coordinator
Medstar Washington Hospital Center, MWHC
05.2017 - 09.2022
Billing Service Coordinator
Medstar Washington Hospital Center, MWHC
08.2016 - 10.2017
Medical Office Assistant III
Medstar Washington Hospital Center, MWHC
04.2013 - 08.2016
Bachelors of Science - undefined
University of Maryland Global Campus (UMGC)
Medical Billing and Coding - undefined
Sanford Brown Institute
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