Tammy Thompson
Omaha,NE
Summary
Accomplished Medical Coder with expertise in HCPCS and ICD-10 coding at OrthoNebraska. Proven track record of enhancing coding accuracy and compliance, while effectively collaborating with healthcare providers. Strong attention to detail and exceptional communication skills led to improved claim approval rates and minimized errors in documentation.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Medical Coder
OrthoNebraska
09.2013 - 11.2025
- Reviewed and coded medical records for accuracy and compliance with regulations.
- Collaborated with healthcare providers to clarify documentation and ensure appropriate coding practices.
- Utilized advanced coding software to streamline workflows and improve processing speed.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
- Maintained accuracy, completeness, and security for medical records and health information.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Followed up with medical staff regarding missing information in patient records.
- Researched and resolved medical record discrepancies.
Coding and Billing Specialist
West Omaha Sports Medicine/Methodist
09.2001 - 09.2013
- Processed medical billing and coding for various services, ensuring compliance with regulations.
- Reviewed claims for accuracy, identifying discrepancies to minimize denials and delays.
- Collaborated with healthcare providers to clarify documentation requirements and improve coding precision.
- Implemented best practices for coding accuracy, resulting in streamlined workflows and reduced errors.
- Safeguarded patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information during the billing process.
- Reduced claim denials with thorough verification of insurance coverage and patient eligibility before submitting claims.
- Increased revenue collection rates by diligently following up on outstanding accounts and negotiating payment plans with patients.
- Collaborated with healthcare providers to clarify documentation discrepancies, resulting in more accurate claim submissions.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Monitored outstanding invoices and performed collections duties.
- Maintained accurate records of customer payments.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Education
High School Diploma -
Millard South High School
Omaha01-1986
Skills
- Medical terminology
- HIPAA compliance
- HCPCS coding
- Medical billing
- Insurance verification
- Data entry
- Medical claims coding
- Regulatory guidelines
- Claims processing
- Document management
- Procedural coding
- ICD-10 coding
- Coding appeals
Accomplishments
- Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
Certification
- COSC, Certified Orthopaedic Surgery Coder
Timeline
Medical Coder
OrthoNebraska
09.2013 - 11.2025
Coding and Billing Specialist
West Omaha Sports Medicine/Methodist
09.2001 - 09.2013
High School Diploma -
Millard South High School