SHAMARA GRAY
Cartersville,GA
Summary
Certified Professional Coder and Senior Medical Coder with extensive outpatient and hospital coding experience. Assigns ICD-10-CM, CPT, and HCPCS Level II codes, reviews medical records for documentation support, and resolves discrepancies to support compliance, accurate reimbursement, and cleaner claims.
Overview
1
1
Certification
20
20
years of professional experience
Work History
Senior Medical Coder
Atrium Health Floyd
Rome, GA
06.2009 - Current
- Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes for physician services while applying established coding guidelines, payer requirements, and regulatory standards.
- Conduct detailed medical record and coding audits to evaluate coding accuracy, documentation support, and compliance with applicable regulations and organizational requirements.
- Analyze medical records and coding information to ensure accurate code assignment and clarify documentation needs.
- Identify coding discrepancies, documentation issues, and potential compliance risks and take appropriate action to facilitate correction.
- Reviewed audit findings and coding issues to enhance reimbursement accuracy and mitigate claim denials.
- Collaborate with physicians, providers, coding professionals, and other stakeholders to resolve complex coding questions and improve documentation practices.
- Monitor adherence to federal regulations, coding standards, payer requirements, and insurance guidelines.
- Provide coding expertise and guidance to support consistent application of ICD-10-CM, CPT, and HCPCS coding requirements.
- Supported coding quality and compliance initiatives by identifying recurring issues and enhancing processes and documentation.
Certified Professional Coder
Kindred Hospital
Rome, GA
05.2007 - 06.2009
- Applied ICD-10/CPT/HCPCS coding principles and medical terminology in support of accurate patient records and reimbursement processes.
- Assisted with coding audits, identifying and correcting discrepancies to enhance coding accuracy.
- Reviewed patient medical records to ensure completeness, accuracy, and adherence to documentation standards.
- Collaborated with billing personnel to resolve documentation and coding issues, facilitating timely reimbursement.
- Maintained compliance with applicable documentation, privacy, and organizational requirements.
- Entered and maintained patient information in electronic health record systems with emphasis on accuracy and confidentiality.
- Supported medical record and coding functions within a hospital setting.
Education
Associate of Applied Science (A.A.S.) - Business Administration/ Healthcare Administration
Georgia Northwestern Technical College
Rome, GA01-2017
Medical Coding / Health Information -
Georgia Northwestern Technical College
Rome, GA01-2009
High School Diploma -
Rome High School
Rome, GA01-2002
Skills
- ICD-10-CM, CPT & HCPCS Level II
- Coding accuracy
- Coding compliance
- Coding Discrepancy Identification
- Audit findings
- Healthcare regulations
- Risk identification
- Claims & Reimbursement Support
- Record review
- EHR/EMR Systems
- Epic
- Microsoft Excel
- Microsoft Word
- Medical Terminology & Anatomy
- Cross-functional collaboration
Certification
- Certified Professional Coder (CPC)
- American Academy of Professional Coders (AAPC)
ADDITIONAL TRAINING / CLINICAL EXPERIENCE
- Completed medical coding practice cases based on real-world clinical scenarios.
- Applied CPT, ICD-10-CM, and HCPCS coding guidelines to clinical documentation.
- Developed practical knowledge of medical terminology, anatomy and physiology, and coding conventions through formal medical coding and health information education.
Timeline
Senior Medical Coder
Atrium Health Floyd
06.2009 - Current
Certified Professional Coder
Kindred Hospital
05.2007 - 06.2009
Associate of Applied Science (A.A.S.) - Business Administration/ Healthcare Administration
Georgia Northwestern Technical College
Medical Coding / Health Information -
Georgia Northwestern Technical College
High School Diploma -
Rome High School