Seasoned Surgical Coder with a proven track record at Rochester Regional Health System, showcasing expertise in ICD-10 proficiency and exceptional time management aptitude. Demonstrated success in enhancing coding accuracy and efficiency, while ensuring HIPAA compliance. Achieved a high accuracy rate, underscoring a commitment to excellence and continuous improvement in records management and denial management strategies.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Surgical Coder
Rochester Regional Health System
Rochester, NY, NY
12.2019 - Current
Coordinated with billing department to clarify billing issues related to coding.
Maintained positive working relationship with fellow staff and management.
Identified areas that require improvement in order to maintain accuracy of coded data.
Transmitted information or documents to customers through email, mailings or facsimile machine.
Entered coded data into electronic health record (EHR) systems.
Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
Entered patient insurance, demographic and health information into software and confirmed records.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Utilized coding software and tools efficiently to expedite the coding process.
Reviewed patient records and assigned accurate codes for diagnoses and procedures.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Accurately assigned codes using software and official print copy of code book.
Kept abreast of updates and changes in coding guidelines and reporting requirements.
Quickly responded to staff and client inquiries regarding CPT codes.
Analyzed patient charts and records to extract relevant coding information.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Collaborated with physicians, nurses, other healthcare professionals to resolve questions regarding code selection or documentation requirements.
Resolved coding discrepancies and denials to maximize reimbursement.
Durable Medical Equipment Representative
Monroe Wheelchair
Rochester, NY
01.2019 - 12.2019
Developed and maintained positive relationships with referral sources, such as physicians, hospitals, nursing homes and other medical facilities.
Provided technical support to customers regarding proper use of durable medical equipment items.
Processed paperwork related to insurance claims, warranties and other documentation.
Maintained accurate records of sales transactions and client information.
Worked effectively in team environments to make the workplace more productive.
Maintained records of patient information, including insurance coverage, billing information, and delivery details.
Reviewed claims for coding accuracy.
Certified Medical Coder
Rochester Regional Health System
Rochester, NY
01.2018 - 12.2018
Utilized coding software and tools efficiently to expedite the coding process.
Entered patient insurance, demographic and health information into software and confirmed records.
Compiled and coded patient data using standard classification systems.
Analyzed patient charts and records to extract relevant coding information.
Quickly responded to staff and client inquiries regarding CPT codes.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
Outpatient Medical Coder
University of Rochester
Rochester, NY
01.2016 - 12.2017
Compiled and coded patient data using standard classification systems.
Set up patient charts and documented information in various company software.
Utilized coding software and tools efficiently to expedite the coding process.
Participated in coding team meetings to discuss challenges and best practices.
Resolved discrepancies between the patient's medical record documentation and assigned codes.
Maintained high accuracy rate on daily production of completed reviews.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Education
Associate of Applied Science - Health Information Technology
Genesee Community College
Batavia
06-2014
Skills
CPT coding
Time management aptitude
Denial management strategies
Records management
Diagnostic coding accuracy
Clinical documentation review
ICD-10 proficiency
HIPAA compliance awareness
Certification
Certified Medical Coder through AAPC
CPC - Certified Professional Coder
Timeline
Surgical Coder
Rochester Regional Health System
12.2019 - Current
Durable Medical Equipment Representative
Monroe Wheelchair
01.2019 - 12.2019
Certified Medical Coder
Rochester Regional Health System
01.2018 - 12.2018
Outpatient Medical Coder
University of Rochester
01.2016 - 12.2017
Associate of Applied Science - Health Information Technology
Collections and Denials Management Representative at Rochester Regional Health SystemCollections and Denials Management Representative at Rochester Regional Health System