Brandy Mellott
Tolleson
Summary
Certified Professional Coder with 4 years of experience in ICD-10-CM and procedural coding, acquired through medical coding and scribing roles. Demonstrated expertise in navigating and abstracting data from EMR systems, supported by 8 years in the healthcare industry. Meticulous and committed to accuracy, with a proven track record of enhancing coding efficiency and compliance.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Coder
Quail Run Behavioral Health
Phoenix
04.2024 - Current
- Abstract clinically significant findings and diagnoses from a minimum of 2 inpatient cases hourly, ensuring comprehensive representation of pertinent medical history and procedures
- Capture discharge disposition and social determinants of health, while adhering to Medicare and other insurance regulations for coding in an inpatient setting
- Utilize 3M Encoder and coding manuals to assign and properly sequence ICD-10-CM and ICD-10-PCS codes, verifying correct principal diagnoses and DRG values
- Stay updated on medical coding guidelines via audit presentations, local chapter meetings, and AAPC's monthly educational magazine, fostering continuous professional development and compliance
- Maintain a quarterly quality performance score above 93%, proactively addressing any audit feedback for constant improvement
- Assist in collection of documents to send for Savista audit and review for any missing components
- Query physicians to clarify uncertain or discrepant diagnoses and services rendered, ensuring accuracy of codes as well as 4 day maximum turnaround time for billing
Ophthalmic Scribe, Assistant, and Scrub Technician
Horizon Eye Specialists and Lasik Center
Phoenix
06.2018 - 04.2024
- Assured proper billing by selecting accurate E/M, ICD-10, and CPT codes via ModMed, according to physicians' findings and interventions in an outpatient setting
- Detected under-utilized coding trends for scans, examinations, and in-office procedures to meet monthly revenue goals, significantly reducing errors and improving company outcomes
- Electronically prescribed and facilitated necessary prior authorization approvals for an average of 12 prescriptions daily, writing denial appeals when appropriate
- Created and audited detailed surgery charts, verifying precision and compliance with regulatory standards, resulting in a 18% reduction in last minute revision of errors
- Mentored 23 new team members and delivered performance feedback, establishing company-wide adherence to exam work-up, testing, scribing, and surgical protocols
Optometric Assistant
Murray Family Eye Care
Murray
08.2017 - 06.2018
- Scheduled appointments and verified insurance details, and often triaged symptoms over the phone for prioritization of appointment slots
- Recorded chief complaint and ocular history, communicated with the physician closely and ensured seamless patient experiences
- Conducted refraction and glaucoma pre-testing, accurately transcribing prescriptions and keratometry measurements into medical records
Education
Bachelor of Biological Sciences - Biomedical track
Southern Illinois University
Carbondale, IL05.2017
Skills
- Behavioral health and UHS-specific coding guideline comprehension
- Health information management and protection
- Data entry and analysis
- Task prioritization
- Cerner and MS4 navigation
- Microsoft Office proficiency
- Strong attention to detail
- Effective communication
- 3M Encoder expertise
- Audit preparation and compliance
- Coding error resolution
- Team collaboration
- Productivity tracking
- Critical thinking and problem solving
- Educating employees in group and individual settings
Certification
Certified Professional Coder, 10/04/23, American Academy of Professional Coders
Timeline
Medical Coder
Quail Run Behavioral Health
04.2024 - Current
Ophthalmic Scribe, Assistant, and Scrub Technician
Horizon Eye Specialists and Lasik Center
06.2018 - 04.2024
Optometric Assistant
Murray Family Eye Care
08.2017 - 06.2018
Bachelor of Biological Sciences - Biomedical track
Southern Illinois University