Seasoned Senior Medical Coder with comprehensive background in healthcare coding and billing systems. Skilled at reviewing and analyzing patient records, ensuring accuracy of diagnostic codes, and maintaining compliance with federal regulations. Demonstrated strengths include problem-solving capabilities, advanced knowledge of medical terminology, and ability to streamline process for improved efficiency. Proven track record of improving workflow processes leading to increased productivity within previous roles.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Rehabilitation Specialist
GEICO, Government Employees Insurance
Lakeland, FL
01.2014 - Current
Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
Identified trends in denials and worked collaboratively with clinic staff to reduce denials.
Ensured timely filing of all claims within established guidelines.
Interpreted physician orders, notes, lab results, and radiology reports. For appropriate code assignment.
Verified accuracy of patient information and insurance data in billing system.
Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
Assessed medical codes on patient records for accuracy.
Reviewed medical records to meet insurance company requirements.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Quickly responded to staff and client inquiries regarding CPT codes.
Monitored and analyzed coding error trends to improve coding accuracy.
Medical Coder
Lakeland Regional Cancer Center
Lakeland, Florida
01.2008 - 01.2014
Maintained confidentiality of patient information according to HIPAA regulations.
Verified accuracy of procedure codes to ensure proper reimbursement levels.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
Education
Bachelor of Administrative Studies - Business Administration
Polk State College
Lakeland, FL
05-2018
Skills
Healthcare claim coding
Medical record security
Medical Billing
Patient data identification
Coding Error Resolution
Documentation oversight
Clinical Documentation
Medical Terminology
Records Management
Regulatory guidelines
Evaluation and management coding
ASC Coding
Workflow Management
Certification
AAPC- CPC, CEMC
FL Insurance Adjusters license-W516149
References
References available upon request.
Timeline
Rehabilitation Specialist
GEICO, Government Employees Insurance
01.2014 - Current
Medical Coder
Lakeland Regional Cancer Center
01.2008 - 01.2014
Bachelor of Administrative Studies - Business Administration
Polk State College
AAPC- CPC, CEMC
FL Insurance Adjusters license-W516149
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