Recorded and filed patient data and medical records.Carefully reviewed medical records for accuracy and completion as required by insurance companies.Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.Strictly followed all federal and state guidelines for release of information.Wrote clear and detailed clinical phone messages for physicians.Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.Acquired insurance authorizations for procedures and tests ordered by the attending physician.Retrieved physician correspondence from dictation service and made edits when necessary.Coded outpatient encounters at a rate of 160 per day and 120 complex specialty coding.Carefully coded disease and injury diagnoses, acuity of care and procedures in an inpatient setting.Accurately entered procedure codes, diagnosis codes and patient information into billing software.Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature.Ensured compliance with medical/legal requirements, JCAHO standards and Army regulations.Consistently ensured proper coding, sequencing of diagnoses and procedures.Quickly responded to staff and client inquiries regarding CPT codes.Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Received, organized and maintained all coding and reimbursement periodicals and updates.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.Analyzed and interpreted patient medical and surgical records to determine billable services.Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.Completed appeals and filed and submitted claims.Communicated with medical transcriptionists regarding patient medical records.Posted charges, payments and adjustments.Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.Efficiently performed insurance verification and pre-certification and pre-authorization functions.
I graduated with honors.3.70Health Information Administrator (RHIA) coursework GPA
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