Positive, self-sufficient, and detail-oriented Medical Coder seeking an opportunity to continually enhance skills within the coding field and contribute to the success of the company. Certification of COC and CPC by AAPC.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Coder
Caris Life Sciences
09.2022 - Current
Review notes and pathology reports to assign the appropriate codes to the case (ICD-10 coding, CPT coding).
Set up case-panels for pathology to ensure accurate testing is completed for specimen.
Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Reviews case errors and escalates the need for amendments, addendums, and internal updates to the Reporting team for review.
Have a clear knowledge of histology, testing combinations, and specimen disposition.
Aid in making coding guides and SOPs.
Coordinate with the client services team to obtain any additional information from the ordering physician's office or to obtain confirmation of any items that are unclear in the documents received.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Generate reports to identify coding trends and discrepancies and workflow.
Medical Coder
Optima Medical LLC
04.2021 - 09.2022
Using current year guidelines to calculate and apply E/M codes
Utilizing current year's manuals to effectively apply CPT and ICD 10 CM codes
Reviewing physician documentation to perform audits
Writing appeal letters denied primarily for coding rejections
Sending medical records with appeal letters for reimbursement purposes
Provide physician education to help apply the E/M 2021 guidelines for coding and update with new CPT procedures
Querying providers on missing documentation required for accurate coding application
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Medical Biller
The Emergency Center LLC
05.2019 - 04.2021
Verify physician and nurse notes/procedures
Deliver charge submissions utilizing GOREV, EVIDENT, and WAYSTAR
Communicate with insurance providers for claim denial resolutions