Hi, I’m
Shenetta Johnson
Inpatient Coding Specialist
Charlotte,NC
Summary
Dynamic Medical Coding Specialist with over 15 years of outpatient coding, and with over 3 years of inpatient coding experience at Advent Health Daytona Beach, excelling in ICD-10-CM and PCS coding. Proven track record of reducing claim denials through meticulous documentation analysis and collaboration. Utilizes analytical skills and attention to detail to maintain high coding accuracy. Proficient in EPIC, Dolbey Fusion, 3M, and coding compliance, coupled with strong communication skills to enhance interdepartmental workflows.
Overview
19
years of professional experience
1
Certification
Work History
Advent Health Daytona
Medical Coding Specialist
11.2021 - Current
Job overview
- Review and analyze inpatient medical notes to extract relevant information to assign accurate ICD-10-CM, and PCS diagnostic and procedure codes
- Ensure accurate DRG assignment for reimbursement and coding compliance guidelines
- Collaborate with clinical documentation integrity specialist, clinical quality educators, and providers to clarify documentation and diagnosis
- CDI and physician queries
- Meets and maintains outstanding quality and assurance, and productivity rate of 98 -101%
- Maintain up to date knowledge of coding regulations
- Code outpatient ER when needed to assign ICD-10, PCS, HCPCS, & appropriate modifiers
- Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
Tryon Medical Partners
Coding Specialist
03.2020 - 03.2021
Job overview
- Used Electronic-Health- Records to review medical notes and assign the appropriate outpatient ICD-10, CPT, and HCPCS codes
- Utilized Computer-Assisted Coding software to select accurate ICD-10, CPT, HCPCS, & modifier codes.
- Collaborate with nurses, providers, and other interdepartmental staff for coding and reimbursement purposes
- 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 over 100 outpatient medical documentation per day and submitted claims for processing
- Analyze and appeal coding denials for Medicaid, Medicare, and commercial payers
- Resourcefully used various coding software, coding books, procedure manuals and on-line encoders.
- Implemented new coding procedures that reduced mistakes by 90% and simplified processes.
- Maintained an outstanding production and quality and assurance rate
Atrium Health (formerly Carolinas Healthcare System)
Patient Financial Services Reimbursement Specialist (Team Lead)
09.2006 - 05.2019
Job overview
- Government / commercial denial follow up & claim billing of high complexity
- Research, identify and report payer trends, issues, payer policies to leadership and to team
- Read, interpret, and apply complex payer contracts according to compliance guidelines
- Utilizing various search and submission task such as but not limited to claim status, CPT/diagnosis code search, and prior approvals
- Determine coding denials, coding errors, correct coding according to coding guidelines and payer policy
- Coordinate with management to update billing job aids, coding policies and workflow process
- Work directly with coders, healthcare management, inter-departments, and over 20 multi-specialty to achieve proper A/R return
- High performer
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Implemented new billing procedures that reduced mistakes by 90% and simplified processes.
Education
American Academy Of Professional CodersCharlotte, NC
CPC from Professional Medical Coding Curriculum
University Of North Carolina At CharlotteCharlotte, NC
Education Major, English Major from Early Childhood Education And English
Winston-Salem State UniversityWinston-Salem, NC
Education Major, English Major from Early Childhood Education And English
Atrium Health Charlotte, NC
Certification from Aspiring Leader
2019
AAPCCharlotte, NC
Certified Professional Coder
2005
Central Piedmont Community CollegeCharlotte, NC
Professional Medical Coder from Coding and Medical Reimbursement
2005
Central Piedmont Community CollegeCharlotte, NC
Medical Reimbursement Specialist from Accounting
2005
Skills
- 3 years Inpatient Coding experience ICD-10-CM, PCS
- Certified Professional Coder
- 15 years ambulatory outpatient medical coding ICD-10, CPT, HCPCS
- Multi-specialty inpatient and outpatient coding
- Outpatient coding; ICD-10, CPT coding proficient
- Medical documentation diagnosis abstracting & review
- Proficiency in EPIC, Dolbey/ Fusion CAC, 3M CAC, Iodine CDI Software, HC-Pro Decision Health, Codify, Athena Health/ Athena EMR, GE Centricity, Microsoft Excel, Microsoft Office
- Written And Verbal Communication
- Regulatory Guidelines
- Emergency department coding
- Accurate Clinical documentation
- Collaboration with CDI for query submission
- Interdepartmental and provider communications
- Facility workflow
- Revenue cycle management
Certification
CCS - Certified Coding Specialist (in progress)
Certified Professional Coder
Medical Reimbursement Specialist
Aspiring Leader Certification
Timeline
Medical Coding Specialist
Advent Health Daytona
11.2021 - Current
Coding Specialist
Tryon Medical Partners
03.2020 - 03.2021
Patient Financial Services Reimbursement Specialist (Team Lead)
Atrium Health (formerly Carolinas Healthcare System)
09.2006 - 05.2019
Atrium Health
Certification from Aspiring Leader
AAPC
Certified Professional Coder
Central Piedmont Community College
Professional Medical Coder from Coding and Medical Reimbursement
Central Piedmont Community College
Medical Reimbursement Specialist from Accounting
American Academy Of Professional Coders
CPC from Professional Medical Coding Curriculum
University Of North Carolina At Charlotte
Education Major, English Major from Early Childhood Education And English
Winston-Salem State University
Education Major, English Major from Early Childhood Education And English
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