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
16
16
years of professional experience
Work History
Medical Coder
AQuity Solutions
06.2022 - 01.2024
Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
Supported the implementation of electronic health record systems, simplifying the coding process.
Researched and resolved medical record discrepancies.
Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Maintained accuracy, completeness, and security for medical records and health information.
Assisted in training new staff on medical record processing and filing procedures.
Input data into computer programs and filing systems.
Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Promoted teamwork within the department through effective communication and collaboration on complex cases.
Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Monitored changes in coding regulations to provide recommendations for compliance.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Medical Coder
Lancaster Rehabilitation Hospital
06.2008 - 02.2023
Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
Supported the implementation of electronic health record systems, simplifying the coding process.
Assisted in training new staff on medical record processing and filing procedures.
Maintained accuracy, completeness, and security for medical records and health information.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Input data into computer programs and filing systems.
Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Verified accuracy of patient information in medical records.
Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Promoted teamwork within the department through effective communication and collaboration on complex cases.
Enhanced team efficiency with regular training sessions on new coding updates and best practices.
Utilized electronic medical record systems to store, retrieve and process patient data.
Identified new methods to optimize medical records management.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Tracked and monitored requests for medical records release.
Scanned and uploaded medical records into electronic medical records system.
Used classification manuals to gain additional knowledge of disease and diagnoses processes.
Monitored changes in coding regulations to provide recommendations for compliance.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Assisted in preparation of medical reports for external parties.
Followed up with medical staff regarding missing information in patient records.
Processed and tracked requests for medical records from external organizations.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
Education
High School Diploma -
Lkwd High School
Lkwd NJ
06.1986
Skills
Billing Procedures
Clerical Functions
Epic Systems
Medical claims coding
Word Processing Software
Accomplishments
Achieved 96.0 to 100 Percent Coding Accuracy by completing Medical Charts with accuracy and efficiency.