Hardworking experienced Medical Coder adheres to data confidentiality and privacy rules. Follows official coding rules established by the American Medical Association and centers for Medicare and Medicaid services.
Has over 25 years of experience in the Medical Field handling wide variety of medical coding and billing tasks, Nursing, and Management duties. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Detail-oriented performer with medical terminology knowledge.
Advanced knowledge of private insurance processes and codes.
Skilled in working under pressure and adapting to new situations.
Skills
Records management
Insurance claims analysis
Coding error resolution
Patient data compilation
Medical claims coding
Records review
3M Encoder
Medical billing code accuracy
Interpersonal Communication
Microsoft Office
Organization and Time management
Conflict resolution
Education
Carencro High SchoolLafayette, LAExpected in 05/1988 – –High School Diploma: - GPA:
Moore's College/USLLafayette La., Expected in 06/2001 – –Associate Degree In Nursing:Nursing - GPA:
Work History
John Knox Village Of Central Florida - Medical Billing Coder Orange City, FL, 08/2007 - 03/2020
Updated patient financial information to guarantee accuracy.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
Initiated, performed and documented quarterly coding audits for physicians.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
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Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
Nevada Regional Medical Center - Registered Nurse Nevada, MO, 02/2001 - 04/2007
Provided direct patient care, stabilized patients and determined next course of action.
Administered medications via oral, IV and intramuscular injections and monitored responses.
Managed care from admission to discharge.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
Maintained quality care and comfort for patients with heart failure, pulmonary hypertension and other conditions.
Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
Organized and managed care of patients undergoing various therapies and procedures.
Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Monitored patient reactions to drugs and carefully documented findings.
Audited charts and reviewed clinical documents to verify accuracy.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Medical Center Of Sourhwest - LPN City, STATE, 06/1991 - 01/2001
Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Cared for wounds, provided treatments and assisted with procedures.
Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
Obtained patient vital signs and input/output measurements from inpatients.
Documented accurate and complete patient information to address patient problems and expected outcomes.
Comforted and counseled patients and families throughout care process.
Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
Supported physicians during examinations and scans to assist with diagnostic procedures.
Assisted with admissions, appointments, transfers and discharges.
Used aseptic techniques to provide sterilized wound care and dressing applications.
Performed functional assessments for admission and discharge.
Delivered updates in patient status to charge nurse, recording changes in medical records.
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