Hands-on professional offering a keen understanding of AMA and CMS coding rules. Self-motivated with the desire to take on new challenges. Adept at working effectively and quickly mastering new skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Certified Coding Specialist
Bryan Physician Network
Lincoln, NE
06.2018 - Current
Ensured all required documentation was obtained prior to assigning codes.
Identified appropriate diagnosis codes based on ICD-10-CM guidelines.
Maintained up-to-date knowledge of coding conventions, rules and regulations as well as any other relevant information pertaining to the field of medical coding.
Provided feedback to clinicians on quality improvement initiatives related to documentation practices.
Resolved complex coding issues with providers in a timely manner.
Collaborated with physicians, nurses and other healthcare professionals to improve overall efficiency.
Responded promptly to inquiries from internal departments such as patient accounts, health information management or utilization review.
Analyzed denied claims to identify the root cause of denials and corrected errors accordingly.
Applied accurate CPT and HCPCS procedure codes for services rendered by provider.
Assisted in developing training materials for new hires or existing staff members on best practices for medical coding.
Participated in continuing education programs related to coding updates, industry changes.
Resolved coding discrepancies and denials to maximize reimbursement.
Maintained positive working relationship with fellow staff and management.
Coder II
Catholic Health Initiatives (CHI)
Lincoln , NE
01.2016 - 06.2018
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Accurately assigned codes using software and official print copy of code book.
Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
Responded to coding questions from callers and other internal departments.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Coding Specialist
Beatrice Community Hospital And Health Center
Beatrice, NE
08.2014 - 01.2016
Maintained confidentiality of patient information according to HIPAA regulations.
Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
Education
Associate of Applied Science - Health Information Management
Career College of Northern Nevada
Sparks, NV
05-2013
Skills
Proficiency in Epic, Optum Encoder
Training and mentoring
Ethical standards
Medical Billing
Regulatory guidelines
Medical terminology proficiency
Coding Error Resolution
Clinical Documentation
Claims Processing
Workflow Management
Certification
Certified Professional Coder- CPC
Accomplishments
Involved in numerous education committees including working with Performance Excellence team to create TCM Roadshow education.
References
References available upon request.
Timeline
Certified Coding Specialist
Bryan Physician Network
06.2018 - Current
Coder II
Catholic Health Initiatives (CHI)
01.2016 - 06.2018
Coding Specialist
Beatrice Community Hospital And Health Center
08.2014 - 01.2016
Associate of Applied Science - Health Information Management
Career College of Northern Nevada
Certified Professional Coder- CPC
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