Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Stephanie Eaton

Camden,SC

Summary

Proven expert in medical coding, I significantly boosted Prisma Health Richland's revenue by enhancing code accuracy, reducing claim denials, and mastering HIPAA compliance. My strong organizational skills and attention to detail ensured high-quality work, meeting or exceeding productivity targets. Skilled in ICD-10 and CPT coding, my ability to communicate effectively resolved coding discrepancies, driving prompt reimbursement. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Denials Outpatient Coder

Prisma Health Richland
Columbia, SC
01.2023 - Current
  • Optimized communication between clinical staff and coders through regular meetings, fostering mutual understanding of respective roles
  • Increased revenue for the facility by identifying and correcting undercoded and or errors for services during chart reviews.
  • Reduced claim denials by ensuring accurate assignment of appropriate ICD-10 codes to diagnoses and CPT codes to procedures.
  • Developed comprehensive knowledge of medical terminology, anatomy, physiology, and pharmacology necessary for accurate code assignment.
  • Maintained strict confidentiality with sensitive patient data in accordance with HIPAA regulations, safeguarding personal health information.
  • Participated in continuing education opportunities to maintain professional growth and stay current with best practices in outpatient coding.
  • Managed assigned workload efficiently, consistently meeting deadlines without compromising quality of work.
  • Assisted billing department in resolving coding-related issues, expediting payment processing for prompt reimbursement.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Communicated with insurance companies to research and resolved coding discrepancies. Handled all denied claims for Emergency Department and also various surgical specialists
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.

Oncology Coder

Conifer Healthcare Solutions
Dallas, TX
04.2022 - 01.2023
  • Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.

Also charged infusion and procedures and diagnosis codes and coded and submitted for billing to payers.

Knowledgeable on infusion and injections of complex chemotherapy drugs and the hierarchy needed for billing correctly

Outpatient Medical Coder

Musc Kershaw
Camden, Sc
04.2003 - 03.2022
  • Contributed to the growth of the organization by consistently meeting or exceeding productivity targets while maintaining high-quality standards.
  • Time management skills were utilized effectively to balance competing priorities under tight deadlines.
  • Enhanced accuracy by implementing thorough medical record reviews and diagnostic coding.
  • Collaborated with healthcare providers to ensure accurate documentation of patient diagnoses and treatments
  • Coded and did facility charges for the Emergency department to insure coding and billing was correct based on coding guidelines
  • Knowledge of psychiatric inpatient facility coding
  • Knowledge of some observation facility coding
  • Worked in various roles from charge capture to coding facility and some pre fee coding

Education

Medical Coding And Billing - Medical Coding

Central Carolina Technical College
Sumter, SC
12.2012

Skills

  • HIPAA Regulations Knowledge
  • CPT coding knowledge
  • Strong organizational skills
  • ICD-10 Proficiency
  • Medical Coding Expertise
  • Ambulatory Care Coding
  • Outpatient Procedure Coding
  • HIPAA Compliance
  • Claims Processing
  • Insurance coding (ICD-9 and CPT)
  • Medical claims coding
  • Medical Terminology
  • Workflow Management
  • Knowledgeable in Software
  • Medical Billing
  • Coding Error Resolution
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Problem-solving abilities
  • Multitasking Abilities
  • Reliability
  • Excellent Communication
  • Organizational Skills

Certification

CPC

CCA

Timeline

Denials Outpatient Coder

Prisma Health Richland
01.2023 - Current

Oncology Coder

Conifer Healthcare Solutions
04.2022 - 01.2023

Outpatient Medical Coder

Musc Kershaw
04.2003 - 03.2022

Medical Coding And Billing - Medical Coding

Central Carolina Technical College
Stephanie Eaton