SHRETHA JENNINGS
Clemmons,NC
Summary
Medical Coding Professional with 20 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of medical coding, billing and medical insurance processes and codes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Remote Medical Coder
Change Healthcare
04.2018 - Current
- Interprets progress notes, operative reports, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services
- Profee, E&M, Outpatient Surgery/Observation, Pediatrics, Radiology, orthopedic, CMS HCC and HHS/ACA coding
- Completes 8-12 charts per hour with 98% accuracy
- Comply with HIPAA laws and regulations
- Accurate coding of services provided by physicians including assigning correct ICD-10 and CPT codes
- Query providers to obtain information, documentation, and patient data to ensure compliant and complete patient documentation and medical records
- Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes.
HCC Remote Coder
CareNational Contract
09.2023 - 12.2023
- Abstract information from EMR or Handwritten medical charts and assign ICD-9/10 CM codes using specific software
- Responsible to ensure the organization authorizes and processes claims based on HCC coding guidelines
- Manage and tracking of multiple tasks in an efficient manner to ensure completion of all assigned projects
- Responsible for resolving any and all pre-bill edits, denials, etc., for assigned accounts
- Maintains at least 95% accuracy rate.
Remote HCC RADV-IVA Coder-Multiple Coding Specialties
Maxim Healthcare Contract
07.2023 - 11.2023
- Performs medical record diagnosis code abstraction based upon clinical documentation
- Consistently maintain a minimum 95% accuracy on coding quality audits
- Assesses OCE, NCCI and CCI edits, as necessary, to apply appropriate modifiers and make appropriate referrals to revenue departments, claim billers, and senior coders
- Assesses the adequacy of documentation to ensure that it supports the principal diagnosis, principal procedure and complications and comorbid conditions that are coded.
Medical Billing Specialist
Mckesson, Change Healthcare
02.2011 - 01.2018
- Research difficult coding questions thoroughly to maintain high quality standards
- Provides support to management, staff, and physicians in determining accurate coding and billing practices
- Meets or exceeds quality and productivity standards as set by the Coding Compliance Supervisor
- Answers emails, messages, and returns calls in a timely and efficient manner
- Code medical records for the complete and correct assignment of CPT, ICD, and HCPCS codes, following strict coding guidelines for various clinical specialties
- Maintain quality accuracy rate while meeting and exceeding production goals, supporting fellow coders and billers in the same goal.
Education
Unit Secretary License -
Forsyth Technical Community College
Casualty Insurance License -
The Agent's Choice Insurance School
Medical Coding and Billing course -
Career Step FTCC
Skills
- CPT/ ICD-10-CM/PCS/ HCPCS
- Profee/HCC/Outpatient/E/M
- HIPAA Policies
- Relative Value Units
- Medical terminology/Anatomy/Physiology
- Coding Guidelines
- NCCI Edits/ NCD and LCDs
- Pharmacology
- Coding Payment Policies
- Compliance
- Fraud/Waste/Abuse Resolution
- 3M Reference/Encoder Pro/Optum
- Revenue Cycle Management
- Availity/Real Med
- Microsoft Office Suite
- HCC Risk Adjustment
- NextGen
- Gateway/TriZetto
- Medicare Parts A,B,C,D
- Payment Posting
- Epic
- EClinicalWorks
- Allscripts
- EDI, EMR, HER
Certification
Certified Professional Coder (CPC)
Affiliations
American Academy of Professional Coders (AAPC), Member in good standing
Timeline
HCC Remote Coder
CareNational Contract
09.2023 - 12.2023
Remote HCC RADV-IVA Coder-Multiple Coding Specialties
Maxim Healthcare Contract
07.2023 - 11.2023
Remote Medical Coder
Change Healthcare
04.2018 - Current
Medical Billing Specialist
Mckesson, Change Healthcare
02.2011 - 01.2018
Unit Secretary License -
Forsyth Technical Community College
Casualty Insurance License -
The Agent's Choice Insurance School
Medical Coding and Billing course -
Career Step FTCC
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