Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder, detail oriented, and thorough in all tasks.
Overview
10
10
years of professional experience
Work History
Medical Coder
Acclara
Santa Rosa
04.2014 - Current
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
Ensured timely resolution of denials due to incorrect code assignments or missing information in the claim form.
Participated in meetings with physicians, nurses, case managers and other healthcare professionals in order to discuss complex cases or clarify documentation requirements.
Advised clinicians on appropriate use of codes based on current guidelines and regulations.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Accounts Receivable Coder
St Joseph Health
Santa Rosa, CA
04.2014 - 10.2017
Accurately assigned codes using software and official print copy of code book.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Maintained positive working relationship with fellow staff and management.