Serena Baumgarten
Corydon,IN
Summary
Detail-oriented Medical Coder with extensive experience at Norton Healthcare, specializing in ICD-10, CPT coding and HCPCS. Proven track record of enhancing coding accuracy and compliance, while training junior coders. Strong knowledge of regulatory guidelines and exceptional collaboration skills, resulting in improved claim approval rates and reduced denials.
Medical coding professional with extensive experience in accurately coding patient records and ensuring compliance with healthcare regulations. Known for strong focus on team collaboration and achieving results, adaptable to changing needs. Skilled in utilizing coding software and maintaining detailed documentation, with reputation for reliability and precision.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Coder
Norton Healthcare
Louisville, KY
03.2020 - Current
- Reviewed and analyzed medical records for accurate coding compliance with ICD-10 and CPT guidelines.
- Collaborated with healthcare providers to clarify documentation and enhance coding accuracy.
- Utilized electronic health record (EHR) systems for efficient data entry and retrieval of patient information.
- Applied knowledge of insurance regulations to ensure proper reimbursement and reduce claim denials.
- Trained junior coders on best practices, coding standards, and compliance requirements.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- 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.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Medical Coder
Baptist Health Floyd
New Albany, IN
04.2006 - 09.2019
- Reviewed medical records for accurate coding and compliance with regulatory standards.
- Utilized ICD-10 and CPT coding systems to ensure precise billing processes.
- Collaborated with healthcare providers to clarify documentation discrepancies and improve accuracy.
- Improved patient privacy protection by strictly adhering to HIPAA regulations during coding and billing process.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
- Maintained accuracy, completeness, and security for medical records and health information.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Education
Associate of Science - Medical Coding
Ivy Tech Community College of Indiana
Sellersburg, IN05.2010
Skills
- Epic
- 3M encoder
- Charge master
- ICD 10 coding
- Physician based coding (Neurology Specialty)
- ER charge auditor
- PBC inpatient and office visit coding
- Medical terminology
- HIPAA compliance
- HCPCS coding
- Medical billing
- Data entry
- Insurance coding (ICD-9 and CPT)
- Clinical documentation
- Medical claims coding
- Regulatory guidelines
- Knowledgeable in software
- Procedural coding
- Diagnostic coding
- Inpatient records coding
- Revenue cycle management
- Medical record security
- Continuing education
- Medical coding and abstracting
- ICD 9 coding
- Hospital inpatient and outpatient records
- Certified Coding Associate
Certification
Certified Coding Associate
Timeline
Medical Coder
Norton Healthcare
03.2020 - Current
Medical Coder
Baptist Health Floyd
04.2006 - 09.2019
Associate of Science - Medical Coding
Ivy Tech Community College of Indiana