Ursula Popham

• Enhanced medical coding accuracy by meticulously reviewing patient records and diagnoses.
• Reviewed medical records for completeness and filed records in alphabetic and numeric order.
• Monitored changes in coding regulations to provide recommendations for compliance.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Input data into computer programs and filing systems.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Proficiency in multiple coding specialists for facility and professional coding and billing including but not limited to: Observation including injections and infusions, General Surgery including breast procedures, endocrine, integumentary, Gastrointestinal, Respiratory-bronchoscopy, Orthopedic surgery, Urology, Nervous system, Endocrine, Vascular surgery, OB/GYN surgery, Ophthalmologic, Pain Clinic, Professional billing for Hospitalists
• Maintained strict adherence to HIPAA regulations by protecting confidential patient information during the coding process.

Coding Experience for this Critical Access Facility Include:

Observation including injection and infusion services, ambulatory surgery-facility and professional to include General Surgery, Urology, Orthopedic surgery, Emergency Department-facility and professional, Ancillary Department coding including infusion clinic, pain clinic, wound clinic, physical therapy, occupational therapy, speech therapy, cardiac rehabilitation, Assisting diagnostic departments with coding to support medical necessity for diagnostic testing

Drafted medical necessity and coding appeals

Resourcefully used various coding publications, procedure manuals, on-line encoders

Applied official coding conventions and rules from

American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes

Submitted coding queries to providers to verify patient services and health conditions

Promoted teamwork within the department through effective communication and collaboration on complex cases.

Managed coding and abstracting of inpatient and outpatient medical records

Process and tracked requests for medical records from external organizations

Coordinated with physicians and nursing departments to ensure accurate documentation to support services provided

Assisted business services with denials and provide proper resolution to them

Verified accuracy of patient information in the medical record

Maintained accuracy, completeness and security for medical records and health information