Accomplished Certified Medical Coder with 10 years at Steward Medical Group, specializing in oncology and pulmonary medicine. Expert in ICD-10 coding and documentation auditing, ensuring compliance and accuracy. Proven ability to educate providers, enhancing billing practices and reducing claim denials. Committed to optimizing coding processes and improving patient care outcomes.
Overview
14
14
years of professional experience
Work History
CERTIFIED MEDICAL CODER
Steward Medical Group/Stewardship Health
Watertown, MA
01.2017 - Current
Oncology/Hematology---10 years’ experience
Interpreted Chemotherapy and Therapeutic treatment Infusion documents, assign CPT and diagnoses per documentation
Audit office and Infusion records for correct ICD-10 diagnoses and CPTs
Research medical necessity when edits arise, or new orders dictate the need
Provide ongoing education for providers and staff
Pulmonary Medicine—14 years’ experience
ICU critical care, audit documentation to assure the document meets NCCI guidelines for critical care
Review shared visits between the MD and the APP to make certain the note meets correct billing guides
Query provider should document need additional information
Provide education to providers
Pulmonary procedures include bronchoscopies, A-lines, chest tubes, PFT’s, sleep studies
Review make corrections when needed/or assign CPT and correct diagnoses
These are claims that have dropped into Coder review for either pre-bill edits or denials
Experience ---Orthopedic surgeries, review and assign levels/ICD-10 for hospitalist, audits, provide education, labs, EKG’s
Valley Regional Hospital
Claremont, NH
08.2014 - 12.2016
HCA (Healthcare Corp.Of America)
Salem, VA
03.2011 - 08.2014
Education
Professional Coders Certificate -
Virginia Western Community College
01.2010
Science degree -
Virginia Western Community College
Skills
ICD-10 coding
CPT assignment
Medical necessity research
Documentation auditing
Provider education
Claims review
Continuing Education
AAPC
Affiliations
FAA Certified Pilot
Landscrape Design
Hiking
Riverbank Church Outreach Team
References
References available upon request.
Timeline
CERTIFIED MEDICAL CODER
Steward Medical Group/Stewardship Health
01.2017 - Current
Valley Regional Hospital
08.2014 - 12.2016
HCA (Healthcare Corp.Of America)
03.2011 - 08.2014
Professional Coders Certificate -
Virginia Western Community College
Science degree -
Virginia Western Community College
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