Suminah McFadden
Springfield Gardens,USA
Summary
Seeking a position as an Inpatient Coding Specialist.
Medical Coding Specialist with 16+ years of extensive experience optimizing coding accuracy, compliance, and revenue integrity. Leverages process improvement, software implementation, and data analysis to reduce claim denials and accelerate claims turnaround while fostering strong collaboration with providers and staff. Seeks to apply deep regulatory knowledge and team-focused training to drive measurable performance gains and support high-quality patient documentation.
Overview
16
16
years of professional experience
Work History
Inpatient/Outpatient/Emergency/Orthopedic Coder
New York Langone Health
New York, NY, USA
12.2010 - 01.2025
- Medical Coding Specialist with 16+ years experience optimizing coding accuracy, compliance, and revenue integrity. Performed ICD-10 CM inpatient and outpatient coding services by managing and evaluating medical charts for reimbursement.
- Specialize in coding spinal fusions, interventional radiology, CABG, cardiac cath, heart valve replacement, heart transplant, heart assisted devices, congenital heart surgery, spinal fusions, trauma, endocrinology, bariatric surgery, sex reassignment surgery, neurology, cranioplasty, surgical stroke treatment, gynecology surgery, OB-GYN, newborns, joint replacement surgery, orthopedics. sepsis cases, COPD, pneumonia and cancer cases.
- Knowledge of MS-DRG and APR-DRG
- Reviewed medical records to ensure accurate coding, leading to improved billing accuracy and reduced claim denials.
- Maintained up-to-date knowledge of coding guidelines, ensuring compliance and supporting the organization's commitment to quality care.
- Consistently enroll in continuing education courses to enhance auditing skills and remain current within the industry.
- Knowledge of physician query process and guidelines for POA indicators.
- EPIC ,3M, CAC experience.
Inpatient/Outpatient Coder
Brookdale Medical Center
Brooklyn, NY, USA
01.2009 - 01.2010
- Reviewed and coded inpatient and outpatient charts using ICD-9 CM, ICD-9 PCS and CPT.
- performed retrospective queries to CDI for clarification.
- Applied MS-DRG and APR-DRG grouping logic to ensure correct reimbursement and compliance with CMS regulations.
- Reviewed operative reports, discharge summaries, and progress notes to ensure complete and accurate code assignment.
- Extensive coding in trauma which included GSW's, stabbings, third degree burns, MVA's, and on the job injuries. Coded psych charts for trauma patient including children.
- Coded Ob/GYN, pediatrics, cardiac cath, CABG, spinal fusion, sepsis, infectious disease, bariatric surgery, and general surgery.
Education
Associate of Science - Medical Coding
Coding Program At Lutheran Medical Center
Brooklyn, NY06-2009
Certified Medical Coder - Medical Coding
Coding Program At Lutheran Medical Center
Brooklyn, NY06-2009
Skills
- CCS through AHIMA
- Strong Understanding of medical terminology
- Proficiency with coding systems (ICD-10, CPT, HCPCS)
- Analytical skills
- Adaptability and continuous learning
- Problem-solving abilities
Languages
Fluent in English
Fluent in French
Personal Information
Title: Inpatient Coding Specialist
Timeline
Inpatient/Outpatient/Emergency/Orthopedic Coder
New York Langone Health
12.2010 - 01.2025
Inpatient/Outpatient Coder
Brookdale Medical Center
01.2009 - 01.2010
Associate of Science - Medical Coding
Coding Program At Lutheran Medical Center
Certified Medical Coder - Medical Coding
Coding Program At Lutheran Medical Center