Summary
Overview
Work History
Education
Skills
Timeline
Generic

Thynia Douglas

Stockbridge,GA

Summary

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

23
23
years of professional experience

Work History

Medical Record Coder

Volt Workforce Solutions
08.2016 - Current
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
    Correctly coded and billed medical claims for various outpatient facilities.
    Resourcefully used various coding books, procedure manuals, and on-line encoders.
    Used classification manuals to gain additional knowledge of disease and diagnoses processes.
    Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
    Maintained accuracy, completeness, and security for medical records and health information.
    Verified signatures and checked medical charts for accuracy and completion.
    Generated reports to identify coding trends and discrepancies

Senior Medical Record Coder

Emory Healthcare
01.2006 - 10.2016
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes.
  • Generated reports to identify coding trends and discrepancies.
  • Correctly coded and billed medical claims.
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Researched and resolved medical record discrepancies.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Input data into computer programs and filing systems.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Senior medical record coder
  • Lead project for implementation of new products and services.
  • Coach staff in team building techniques monthly basis.
  • Computer Assisted Coding liaison ALIFE and CodeRyte.

Medical Customer Service Representative I & II

Emory Healthcare
01.2000 - 04.2004
  • Resolved billing inquiries and disputes in timely fashion.
  • Completed clerical duties and tasks for clinic administration.
  • Built and maintained positive working relationships with patients and staff.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Provided exceptional customer service to patients, answering questions and addressing concerns.
  • Investigated insurance claims denials and appeals.
  • Entered patient demographic and insurance data into electronic medical record system.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Verified insurance eligibility and coverage for patients.
  • Handled customer service inquiries via telephone and through email.
  • Contributed to and helped lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.

Education

Certified Professional Coder (CPC) -

American Academy of Professional Coders
Decatur, GA
05.2005

High School Diploma -

Campus Magnet High School
Queens, NY
05.1998

Skills

  • Maintain strict confidentiality
  • Knowledge of HMO's, Medicare, and Medicaid
  • Extensive anatomy/physiology knowledge
  • HIPPA compliance
  • CPT and ICD-10
  • Utilize strong analytical and problem-solving skills to develop effective solutions for challenging situations
  • Proven ability to learn quickly and adapt to new situations
  • Organized and detail-oriented with strong work ethic
  • Self-motivated
  • Work effectively in fast-paced environments
  • Applied effective time management techniques to meet tight deadlines
  • 3M Software
  • ALIFE
  • EPIC

Timeline

Medical Record Coder

Volt Workforce Solutions
08.2016 - Current

Senior Medical Record Coder

Emory Healthcare
01.2006 - 10.2016

Medical Customer Service Representative I & II

Emory Healthcare
01.2000 - 04.2004

Certified Professional Coder (CPC) -

American Academy of Professional Coders

High School Diploma -

Campus Magnet High School

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Thynia Douglas