Detail-oriented team player with strong organizational skills. Adheres to medical records policies and procedures to comply with HIPAA regulations. Able to quickly adapt to new situations and challenges.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Inpatient Coding Auditor
Perry Johnson & Associates
10.2021 - Current
Currently work as Inpatient Coding Auditor, I average 10-14 charts per day.
Complete monthly and focus audits for 5 Inpatient coders.
Provide education sources to help the coder to get a better understanding of coding guidelines.
Review completed charts and note necessary corrections.
Perform coding audits to determine accuracy and compliance with coding guidelines.
Previously worked as an Inpatient Coder, with an average of 10-12 charts per day with 95+% accuracy.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Maintained accuracy, completeness, and security for medical records and health information.
Followed up with medical staff regarding missing information in patient records.
Inpatient/Outpatient Medical Coder
Lady Of The Sea General Hospital
11.2017 - 09.2021
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Followed up with medical staff regarding missing information in patient records.
Prior to becoming an Inpatient coder, I also worked in the medical records department and did insurance verification at this facility.
Scanned and uploaded medical records into electronic medical records system.
Assisted in preparation of medical reports for external parties.
Processed and tracked requests for medical records from external organizations.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Complied with HIPAA guidelines and regulations for confidential patient data.
Achieved insurance pre-authorizations to enable timely patient procedures.
Trained new staff on current, correct insurance verification procedures.
Performed various administrative tasks by filing, copying and faxing documents.
Education
Certification - Medical Billing & Coding
Penn Foster Career School
Scranton, PA
02.2020
High School Diploma -
South Lafourche High School
Cut Off, LA
05.1997
Skills
Reading Comprehension
Inpatient Record Abstraction
Inpatient Services
Inpatient Coding
ICD-10 (International Classification of Disease Systems)