Thearslee McGrath
Richland,NY
Summary
Certified Professional Coder with over 8 years of diverse experience in the healthcare sector, skilled in applying coding conventions and guidelines established by the American Medical Association and Centers for Medicare and Medicaid Services. Committed to upholding data confidentiality and privacy standards in all workflows while fostering strong interpersonal relationships. Seeking a full-time or part-time position that offers professional challenges and opportunities to embrace additional responsibilities, contributing effectively to team objectives.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Practice Resources LLC
12.2023 - Current
- Risk adjustment coding
- Reviewed and validated medical codes for accuracy and compliance with regulatory standards.
- Reduced claim denials for insurance reimbursement by meticulously verifying coding accuracy before submission.
- Verified signatures and checked medical charts for accuracy and completion.
- Followed up with medical staff regarding missing information in patient records.
- Enhanced coding accuracy by consistently reviewing and updating knowledge of HCC guidelines and regulations.
Certified Professional Coder
Oswego Health Physician Care
07.2021 - 12.2023
- Review, analyze and manage coding of diagnostic and treatment procedures contained in medical records.
- Guard against fraud and abuse by verifying coded data accurately reflected services provided.
- Resourcefully use various coding books, procedure manuals and on-line encoders such as Codify.
- Coding for multiple outpatient specialties including- Allergy, Bariatrics, ENT, Cardiology, Gastroenterology, General surgery & Orthopedics.
- Coding multiple inpatient and outpatient surgical procedures.
- Coding Cardiology interrogations
- Work closely with office managers and physicians to improve functionality within the billing department.
- Assisted in training new staff within the EHR system
Charge Processor
ConnextCare (FQHC)
05.2019 - 07.2021
- Reviews outpatient records and interprets documentation to identify all diagnoses and procedures reflect services provided, while guarding against fraud and abuse.
- Verify signatures and medical charts for accuracy and completion.
- Insurance Verification
- Maintained accurate records and ensured timely completion of all necessary paperwork.
Medical Records Specialist
ConnextCare (FQHC)
09.2014 - 03.2017
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Reviewed charts and flagged incomplete or inaccurate information.
- Managed the secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines.
- Supported medical staff by providing organized and accurate medical records.
Education
Associate Degree in Health Information Technology - Health Information Technology
DeVry University
07-2027
Diploma -
Junior Senior High School
Pulaski NY06.2011
Skills
- Proficient in CPT guidelines
- HCPCs knowledge
- ICD-10-CM expertise
- Specialty and Primary care E/M services
- Surgical Coding: Bariatric, ENT, General Surgery, Gastroenterology, and Orthopedic
- Experience in Risk Adjustment Coding
Certification
CPC - Certified Professional Coder - AAPC
Timeline
Certified Professional Coder
Practice Resources LLC
12.2023 - Current
Certified Professional Coder
Oswego Health Physician Care
07.2021 - 12.2023
Charge Processor
ConnextCare (FQHC)
05.2019 - 07.2021
Medical Records Specialist
ConnextCare (FQHC)
09.2014 - 03.2017
Associate Degree in Health Information Technology - Health Information Technology
DeVry University
Diploma -
Junior Senior High School