Teresa Crawley

Medical Coding Specialist

Blount Memorial Hospital

Maryville, Tennessee

08.2008 - Current

Utilized coding software to streamline data entry and ensure precision.
Maintained current knowledge of coding updates and changes in regulations.
Processed claims submissions to insurance companies for reimbursement.
Participated in team meetings to discuss coding challenges and solutions.
Participated in continuing education programs related to medical coding procedures.
Verified accuracy of patient data in order to assign correct ICD-10 codes.
Developed a thorough understanding of CPT and HCPCS codes and modifiers used in the healthcare industry.
Utilized Level 1 HCPCS and Level 2 HCPCS systems to complete coding tasks.
Researched and resolved coding issues identified by auditors.
Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
Managed daily operations within the department while ensuring compliance with HIPAA regulations.
Processed incoming information from physicians' offices such as lab results or diagnostic imaging studies.
Compiled reports on coding accuracy, completeness, and compliance with regulations.
Conducted quality assurance audits to ensure accurate medical coding practices were followed.
Investigated rejected and denied claims, correcting applicable coding.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Updated coding skills and knowledge through continuous education and training.
Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
Kept abreast of updates and changes in coding guidelines and reporting requirements.
Participated in coding team meetings to discuss challenges and best practices.
Managed coding for multiple specialties, ensuring specific codes are accurately applied.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Compiled and coded patient data using standard classification systems.