Dynamic Medical Coder with extensive experience at Cancer Treatment Centers of America, recognized for enhancing coding accuracy and streamlining claims processing. Proficient in ICD-10 coding and HIPAA compliance, I excel in collaboration and mentorship, driving team efficiency and ensuring adherence to coding guidelines. Committed to continuous improvement and professional development.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Medical Coder
Cancer Treatment Centers of America
03.2015 - 09.2024
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
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 hospital and nursing facilities within the franchise.
Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Medical Coder/Auditor
Secure Doc Imaging
10.2010 - 05.2013
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Supported the implementation of electronic health record systems, simplifying the coding process.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Monitored changes in coding regulations to provide recommendations for compliance.
Verified signatures and checked medical charts for accuracy and completion.
Medical Coding Supervisor
HealthCare Resolution Services, Inc
10.2003 - 09.2010
Assisted in recruitment efforts for new coding staff members, interviewing candidates and providing recommendations for hiring decisions.
Increased efficiency within the department by delegating tasks strategically based on coder expertise and workload capacity.
Collaborated with other department supervisors to develop comprehensive coding policies and guidelines, ensuring consistency across the organization.
Led the successful transition from ICD-9-CM to ICD-10-CM/PCS code sets within the organization, ensuring timely implementation and minimal disruption in workflow processes.
Managed a team of coders, providing guidance, support, and mentorship to enhance their professional growth and development.
Conducted internal audits of coded records to identify potential compliance issues or areas requiring additional training for coders.
Streamlined workflow processes by identifying areas of improvement and implementing necessary changes.
Enhanced coding accuracy by implementing regular training sessions and performance evaluations for coding staff.
Served as a liaison between the coding department and other hospital departments, addressing any concerns or discrepancies related to medical coding or reimbursement matters.
Education
No Degree - Medical Insurance Coder
American Academy of Professional Coders
Salt Lake City, UT
03-2004
Associate of Applied Science - Allied Health Sciences
Community College of The Air Force
Montgomery, AL
08-1993
Skills
Medical terminology
HIPAA compliance
HCPCS coding
Medical billing
Insurance verification
Data entry
Insurance coding (ICD-9 and CPT)
Clinical documentation
Claims processing
Document management
Procedural coding
Diagnostic coding
Certification
CPC - Certified Professional Coder
Timeline
Medical Coder
Cancer Treatment Centers of America
03.2015 - 09.2024
Medical Coder/Auditor
Secure Doc Imaging
10.2010 - 05.2013
Medical Coding Supervisor
HealthCare Resolution Services, Inc
10.2003 - 09.2010
No Degree - Medical Insurance Coder
American Academy of Professional Coders
Associate of Applied Science - Allied Health Sciences
LEAD OCCUPATIONAL THERAPIST at CANCER TREATMENT CENTERS OF AMERICA/ CITY OF HOPELEAD OCCUPATIONAL THERAPIST at CANCER TREATMENT CENTERS OF AMERICA/ CITY OF HOPE