Sheila Hudson
Claremore,OK
Summary
Detail-oriented medical coding professional with 10+ years of experience in ICD-10-CM, CPT, and HCPCS coding. Skilled in clinical documentation review, medical necessity queries, claim support, and sequencing diagnoses to improve billing accuracy and compliance.
Overview
1
1
Certification
14
14
years of professional experience
Work History
Certified Medical Coder
Ascension St.Johns
Tulsa, Oklahoma
10.2013 - Current
- Assigned ICD-10-CM diagnosis codes and CPT procedure codes for billing.
- Reviewed medical records to assign appropriate codes for diagnoses, treatments, and procedures, ensuring compliance and accuracy.
- Assigned diagnosis and procedure codes based on physician documentation and clinical records to facilitate accurate billing.
- Queried providers for missing documentation supporting medical necessity and code selection.
- Maintained high accuracy rate on daily production of completed reviews.
- Assigned additional diagnosis codes based on clinical findings. based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Resolved coding discrepancies with billing, clinical, and revenue cycle teams.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Researched coding guidelines and regulations to maintain compliance and support accurate coding practices.
- Ensured HIPAA compliance when handling confidential patient information.
Certified Coder and Biller
Dr. Jeanne Edwards
Tulsa, Oklahoma
09.2012 - 10.2013
- Verified coding guidelines against payer rules and federal billing standards.
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
- Assigned diagnosis and procedure codes for office visits, treatments, and follow-up care.
- Assigned appropriate CPT and HCPCS codes based on documentation in the medical record.
- Processed and submitted claims to various insurance companies for reimbursement.
- Reviewed account information to ensure accuracy and completeness of patient and insurance details, facilitating timely billing.
- Communicated patient information to insurance companies, ensuring accurate claims processing.
- Maintained current knowledge of coding requirements through continuing education and certification renewal, supporting compliance and optimal reimbursement.
- Responded to coding questions from callers and other internal departments.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Education
Associate of Applied Science - Medical Billing And Coding
Community Care College
OK02-2012
Skills
- ICD-10-CM coding
- CPT coding
- HCPCS coding
- Medical record review
- Coding compliance
- Clinical documentation review
- Medical billing
- Billing processes
- Coding error resolution
- Anatomy and physiology
- Medical terminology
- Problem solving
- Critical thinking
Certification
- CPC
Timeline
Certified Medical Coder
Ascension St.Johns
10.2013 - Current
Certified Coder and Biller
Dr. Jeanne Edwards
09.2012 - 10.2013
Associate of Applied Science - Medical Billing And Coding
Community Care College