Teresa Dailey
Spartanburg,SC
Summary
My over 15 years of experience in Urology outpatient coding, combined with a relentless commitment to ethical standards and detail-oriented critical thinking, positions me as a valuable asset. A highly professional coding specialist known for delivering reliable and efficient coding while maintaining high standards. Focuses on team collaboration and adaptability to meet evolving practice needs.
Overview
24
24
years of professional experience
Work History
Certified Procedure Coder
SMC Center for Urology Spartanbug
12.2021 - Current
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
Coding Denial Management Coordinator
Carolina Plastic Surgery & Laser Center
02.2024 - 06.2024
- Maintained up-to-date knowledge of changes in medical coding standards and regulations, ensuring compliance across the organization.
- Utilized Internet and other resources to research newly identified diagnoses and procedures.
- Reviewed chart documentation to support ICD-10 and CPT codes and took action if documentation was not coded appropriately.
- Managed a diverse caseload of denial cases, prioritizing high-impact claims for expedited resolution.
- Streamlined denial management processes by identifying areas of improvement and implementing corrective actions.
- Coordinated cross-functional efforts between clinical staff, coders, and billers to quickly address discrepancies or questions related to denied claims.
Coding Specialist
Urology Center of Spartanburg
02.2011 - 12.2021
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
- Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
- Collaborated with healthcare providers to clarify documentation, enhancing the accuracy of medical records.
- Maintained up-to-date knowledge on industry changes, attending training sessions and workshops regularly.
- Conducted comprehensive chart reviews to identify potential areas of risk or non-compliance within the organization''s coding practices.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Coder II
Rutherfordton Hospital Physician Practices
02.2010 - 02.2021
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Followed up with medical staff regarding missing information in patient records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Coding and Billing Specialist
Urology Center of Spartanburg/Spartanburg Surgery
04.2005 - 02.2010
- Reduced claim denials with thorough verification of insurance coverage and patient eligibility before submitting claims.
- Supported departmental goals by collaborating with cross-functional teams to resolve complex billing issues and streamline operational processes.
- Established strong relationships with external stakeholders such as insurance representatives and vendors, fostering a collaborative approach to resolving issues and improving overall service delivery.
- Improved coding accuracy by consistently reviewing and updating medical records, ensuring compliance with industry standards.
- Conducted audits of coding practices within the department, identifying areas for improvement and implementing corrective action plans.
- Contributed to improved patient satisfaction scores through clear communication regarding financial responsibilities, working directly with patients to address concerns or questions about their bills.
- Increased revenue collection rates by diligently following up on outstanding accounts and negotiating payment plans with patients.
- Handled account payments and provided information regarding outstanding balances.
- Collaborated with customers to resolve disputes.
- 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.
Medical Records File Clerk
Spartanburg Urological Associates
08.2000 - 04.2005
- Maintained patient confidence by keeping patient records information confidential.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Contributed to a positive work environment through effective communication, teamwork, and professional conduct within the Medical Records Department.
- Supported clinical staff by promptly providing accurate patient information upon request.
- Expedited processing times for record requests by efficiently locating, copying, and delivering requested files within established deadlines.
- Provided exceptional customer service while addressing inquiries from patients, healthcare providers, and insurance companies regarding medical records requests.
Education
Medical Coding
PMCC Coding Cirriculum
Greenville, SC05-2006
Associate of Arts - Medical Informatics
Spartanburg Technical School
Spartanburg, SC05-2000
Skills
- CPC certified
- Real-time systems
- Outpatient medical claims coding
- Continuing education
- Data entry and management
- Ethical standards
- Multitasking Abilities
- Reliability
- Detail Oriented
- Critical Thinking
United States Marine Corps
Honorable Discharge
Letter of Commendation
Good Conduct Award
Timeline
Coding Denial Management Coordinator
Carolina Plastic Surgery & Laser Center
02.2024 - 06.2024
Certified Procedure Coder
SMC Center for Urology Spartanbug
12.2021 - Current
Coding Specialist
Urology Center of Spartanburg
02.2011 - 12.2021
Coder II
Rutherfordton Hospital Physician Practices
02.2010 - 02.2021
Coding and Billing Specialist
Urology Center of Spartanburg/Spartanburg Surgery
04.2005 - 02.2010
Medical Records File Clerk
Spartanburg Urological Associates
08.2000 - 04.2005
Medical Coding
PMCC Coding Cirriculum
Associate of Arts - Medical Informatics
Spartanburg Technical School
Similar Profiles
ALBANDARI ALHARBIALBANDARI ALHARBI
Medical Imaging Specialist at Specialized Medical Center Hospital (SMC)Medical Imaging Specialist at Specialized Medical Center Hospital (SMC)
Felicia GleavesFelicia Gleaves
Administrative Coordinator/Procedure Scheduler at John Hopkins Bayview Medical Center-James Buchanan Brady Urology CenterAdministrative Coordinator/Procedure Scheduler at John Hopkins Bayview Medical Center-James Buchanan Brady Urology Center
Bandar Abdulrahman AL-QARNIBandar Abdulrahman AL-QARNI
Pharmacist at Specialized Medical Center Hospital (SMC)Pharmacist at Specialized Medical Center Hospital (SMC)
Nicole JacksonNicole Jackson
Escrow Administration at Lima One CapitalEscrow Administration at Lima One Capital
Nolan AutonNolan Auton
Estimator and Senior Project Manager at Scott Auton Painting CompanyEstimator and Senior Project Manager at Scott Auton Painting Company