Reliable Medical Coder with a background in document oversight, data security procedures and resolving coding errors. Detail-oriented performer with medical terminology knowledge. Considered a team player with exemplary multitasking skills. Enthusiastic Medical Coder eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of ICD-10 and E/M CPT coding and training in Clinic/Hospital E/M Coder- Hospitalist, Nursing Homes, Home Health, TOC, Internal Medicine and Family Practice. Motivated to learn, grow and excel in medical field.
Skills
Medical claims coding
Coding error resolution
Data security procedures
Clinics, Hospitalist, Nursing Home coding
Medical billing code accuracy
3M Encoder
MS Office
Leadership
Work History
08/2018 to Current
Senior Medical CoderHealthcare Partners – Hoyt, KS,
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
Coded Observations and Inpatient Professional Services at average rate of 75 to 100 per hour.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Tutored 2 new coders and several new providers for compliance by creating template and hand book on classification systems and coding guidelines.
Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Interacted with physicians, other healthcare staff to ask questions regarding patient services.
Implemented new coding procedures that reduced mistakes by 95% and simplified processes.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
12/2014 to 07/2018
HospitalistMethodist Physicians Clinic, Clinic/Hospital E/M Coder – City, STATE,
Nursing Homes, Home Health, TOC, Internal Medicine and Family Practice: Reviews Current Procedural Terminology (CPT) procedure codes and CPT charge codes to ensure all accounts reflect appropriate charges for services provided by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers and adding or modifying charges to account.
Assign ICD-10-CM diagnosis codes to outpatient records to ensure maximum reimbursement, utilizing ICD-10-CM principles of code assignment.
Completed 18 claims per hour.
Current with all requirements through continuing education.
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Verified signatures and checked medical charts for accuracy and completion.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Correctly coded and billed medical claims for various hospital and nursing facilities.
11/2011 to 03/2014
HIM Records ClerkClarinda Regional Health Center – City, STATE,
Assisted with typing, data entry and answering incoming calls as required.
Updated records with new information.
Followed confidentially regulations to maintain privacy.
Checked daily incoming paperwork and documents and made copies before filing.
Processed correspondence, including post office pick-ups, sorting and distribution to appropriate parties.
Inputted data such as file numbers, new or updated information or document information codes into computer systems to support document and information retrieval.
Performed duties in accordance with all applicable standards, policies and regulatory guidelines to promote safe working environment.
Education
Expected in 06/2016
ACTIVITIES
Eide Bailly LLP: ICD-10-CM Coding Boot Camp Webinar 6 Sessions
Certificate February 20, 2014: Ultimate Medical Academy, Online Program - OnLine Program, GPA:
Expected in
MLN Connects National Provider Call: ICD-10 Update and ICD-10-CM: The Basics
Certificate August: - , GPA:
Expected in
HCPro Continuing Education Certificate: Certified Coder Boot Camp
Certificate May 6-10, 2013 Atlanta, GA
Cross Country: ICD-10 Training: Clarinda Regional Health Center - , GPA:
Expected in 01/2016
Internship: Medical Records, Admissions, and Billing: Sherry's Med Class - Council Bluffs, IA, GPA:
Clarinda Regional Health Center Volunteer: Medical Records helping with the paperless transition by scanning records and help with coding or whatever else needs done.
Expected in 05/2003
: General Education Iowa Western Community College - Council Bluffs, IA GPA:
Expected in 03/2014
Medical Billing and Coding Diploma: Medical Coder Ultimate Medical Academy - Clearwater - Clearwater, FL GPA:
Expected in 2013
HIM Consulting: ICD-10-CM and PCS Coder Training
Certificate October 22-24: - , GPA:
Expected in 2005
Associate of Applied Science: Graphic Communication Arts Metropolitan Community College - , GPA:
Expected in 05/2003
: General Education Iowa Western Community College - Council Bluffs, IA GPA:
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