Triple Board Certified Professional Medical Coder (CPC, COC, & CPMA) with proficient knowledge of CPT-4, ICD-10, HCPCS, and all required coding guidelines. I have over 10 years experience with a strong medical background and seek a position in Medical Coding for accurate and proper ICD-10 & CPT coding to allow for maximum reimbursement. I am a hard-working individual who codes accurately, ethically, as well as thoroughly.
Overview
27
27
years of professional experience
Work History
Certified Medical Coder
Omega Healthcare
Boca Raton, Florida
05.2023 - Current
Assigned appropriate CPT and ICD codes for services rendered for Pro-Fee Internal Medicine, Family Medicine, Pediatrics, and Urgent Care
Ensured compliance with federal regulations and payer guidelines.
Collaborated with healthcare providers to clarify coding queries.
Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Remote Medical Coding Specialist
CorroHealth
Plano, TX
10.2021 - 05.2023
Assigned procedure and diagnosis codes for insurance billing for OB/GYN, Family Practice, Internal Medicine, and ED Pro-Fee coding.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
Maintained high accuracy rate on daily productivity.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Surgery Scheduling Coordinator/Senior Medical Coding Specialist
Women's Health Specialist of Dallas
Dallas, TX
05.1999 - 10.2021
Schedule patients surgeries and pre-operative appointments with their physician at multiple facilities
Insurance verification/obtaining prior authorization for surgeries
Educate patients about pre and post operative procedures
Worked directly with 5 OB/GYN physicians to ensure accurate interpretation, coding and reimbursement
Complete coding for surgeries and admissions using ICD10, CPT, and HCPCS guidelines
Scheduled all Inductions, Cesarean Sections, Admissions, Triage, etc.
Coordinates pre-admission testing, medical clearance, EKG
Review daily inpatient censes and distribute as necessary
Collaborated and established strong working relationships with physicians, supervisors and colleagues.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Coded medical observations and professional services delivered for each patient.
Education
Certified Medical Coder -
Medical Coding Academy
Dallas, TX
Skills
Knowledge and Application of CPT Coding Guidelines
Knowledge and Application of ICD-10 Guidelines at the Sections, Subsections, and Category Levels
HCPCS Coding System
Modifier CPT & HCPCS
HIPAA/OSHA trained
Benefits and Eligibility
Reimbursement Strategies
Knowledge in Intergy EHR, EPIC, Optum Professional Coding Assisted Coding (PCAC) CareGate, Meditech EHR, Microsoft Office, Oracle
Data entry and typing
Great organizational skills
Professional customer service skills
Medical terminology
Pre-Authorizations
Familiarity with Commerical Insurance
Timeline
Certified Medical Coder
Omega Healthcare
05.2023 - Current
Remote Medical Coding Specialist
CorroHealth
10.2021 - 05.2023
Surgery Scheduling Coordinator/Senior Medical Coding Specialist
Certified Medical Coder at Washington Regional Medical Center North CarolinaCertified Medical Coder at Washington Regional Medical Center North Carolina