Sara England
Clarkston,MI
Summary
Detail-oriented certified CPC, CRC Medical Coding Specialist proudly offering 9 years of in-depth knowledge and experience in ICD-10-CM, CPT, HCPCS, and HIPAA compliance. Proficient at identifying and resolving coding discrepancies to maximize reimbursement, and ensure accurate claims.
Overview
9
9
years of professional experience
Work History
Remote Medical Coding Consultant/Specialist
UASI United Audit Systems, Inc.
Cincinnati, Ohio
04.2023 - Current
- Reviews medical records for accurate coding and compliance with regulations.
- Utilizes coding software to input diagnoses and procedure codes efficiently.
- Assigns Evaluation and Management code sets for home and office settings.
- Assigns additional diagnosis codes with appropriate modifiers, based on specific clinical findings (laboratory, radiology, and pathology reports, as well as clinical studies) in support of existing diagnoses.
- Verifies the accuracy of patient data in order to assign the correct ICD-10 codes.
- Maintains strict confidentiality, with adherence to HIPAA guidelines and regulations.
- Maintains up-to-date knowledge of medical terminology and coding changes, along with CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements.
Medical Coding Specialist
US Medical Management LLC
Troy, MI
08.2016 - 03.2023
- Reviewed and abstracted medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient services.
- Updated knowledge of coding practices to enhance billing precision.
- Assigned standardized CPT and HCPCS codes for pathology and laboratory services to ensure accuracy.
- Ensured compliance with CMS guidelines, LCAs, and NCDs for all laboratory orders.
- Utilized RAMSOFT diagnostic coding software for efficient input of diagnosis codes.
- Assigned evaluation and management code sets for in-home and telehealth services.
- Assigned CPT code sets with appropriate modifiers for all additional services.
- Communicated with healthcare personnel, including practitioners, to promote coding and documentation accuracy.
- Assisted the VP of Documentation and Coding with streamlining processes that included concurrent workflow, reports, productivity standards, policies, and additional new operations that were being constructed to meet the new standards for the company.
- Attended our EMR Aprima Steering Committee, RAMSOFT, and Revenue Cycle Denial weekly meetings to support any coding issues that may have concerned the Coding Department.
Education
Associate of Applied Science - Medical Coding Specialist
Baker College
Auburn Hills, MI06-2016
Skills
- Maintaining current working knowledge of CPT, HCPCS, and ICD-10-CM coding principles and guidelines, and CMS guidelines
- Attention to detail, strong communication, analytical thinking and problem-solving skills
- Maintaining continued education and certification renewal, CPC, and CRC
- Maintaining a 95% or higher in monthly, quarterly and yearly audit reviews
- Meeting daily productivity expectations
- Medical terminology, anatomy, and physiology
- Profee outpatient, E/M coding, and telehealth
- Laboratory and diagnostic coding
- Able to utilize software proficiently
- EHR systems, Aprima, Takosubo
- RCx, Optum RevCyclePro, Selectcoder, Trucode Encoder, Centricity, RAMSOFT
- Excel, Word, Outlook, OneNote, Microsoft Teams
Timeline
Remote Medical Coding Consultant/Specialist
UASI United Audit Systems, Inc.
04.2023 - Current
Medical Coding Specialist
US Medical Management LLC
08.2016 - 03.2023
Associate of Applied Science - Medical Coding Specialist
Baker College
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