CRISTEN LANE
Cherry Valley
Summary
Professional with robust background in outpatient coding, adept at translating complex medical records into accurate coding. Strong expertise in ICD-10, CPT, and HCPCS coding systems combined with deep understanding of medical terminology and anatomy. Highly collaborative team player focused on delivering precise results, flexible with changing priorities, and consistently dependable. Prioritizes compliance and accuracy, ensuring seamless workflow and optimal outcomes.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Outpatient Medical Coder
Vituity (MedAmerica Billing Services Inc.)
02.2014 - 04.2018
- Coded 120 complex medical records per day using Optum 360 Lynx, maintaining a 98% accuracy rate consistently.
- Accurately coded over 1,600 medical records monthly at a rate of 20 records per hour, enhancing workflow efficiency.
- Followed ICD-10-CM coding guidelines to assign appropriate diagnosis codes, which decreased coding errors.
- Responsible for coding medical records for two Emergency Departments in Southern California, periodically would change facilities every month.
- Coded some Inpatient ICU and Observation medical records from time to time, also coded other Specialties as a fill in coder from time to time. Coded out of State facility medical records sometimes.
- Remotely From Home
- Participated in continuous learning opportunities, staying current on advances in medical science and evolving industry standards that impact outpatient coding practices.
- Maintained up-to-date knowledge of industry trends and changes in coding guidelines, providing ongoing education to colleagues as necessary.
- Collaborated with healthcare providers to ensure accurate documentation of patient diagnoses and treatments.
- Contributed to the growth of the organization by consistently meeting or exceeding productivity targets while maintaining high-quality standards.
- Analyzed complex medical records, extracting pertinent data for accurate diagnostic and procedural code assignment.
- 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 outpatient records and interpreted documentation to identify diagnoses and procedures.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
Chart Reviewer/ Auditor
CEP (California Emergency Physicians) & San Gorgonio Memorial Hospital
11.2011 - 01.2014
- Reviewed Medical Charts from the previous days patient case load
- Noted corrections needed by the Physician and any Documentation errors, counseled the Physicians on Compliance and accuracy
- Personally would assist in retrieving medical records once corrected from the physicians and then transfer to Medical Records Department
- Collaborated with healthcare providers to resolve chart inconsistencies and improve patient care quality.
- Evaluated provider documentation for adherence to established guidelines, decreasing instances of non-compliance within the organization.
- Participated in quality improvement initiatives that resulted in more streamlined chart review processes and increased efficiency levels.
- Enhanced chart accuracy by meticulously reviewing medical records and identifying discrepancies.
- Reduced errors in billing and coding by diligently detecting inaccuracies within medical charts.
- Ensured compliance with healthcare regulations by thoroughly assessing charts for proper documentation.
- Supported clinical decision-making by providing accurate and timely feedback on medical record reviews.
- Conducted comprehensive audits of medical charts, leading to enhanced data integrity and accuracy.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
Emergency Department Registration Clerk
San Gorgonio Memorial Hospital
12.2011 - 12.2013
- Inputting Patient's correct Demographics and Insurance information
- Registering patient's coming through the Emergency Department into the Hospital Database on Mckesson and Paragon software
- Assisted Emergency Department staff with completing Patient's Admit and Discharge status and removing any charges for Patient's that were not seen and walked out before complete Registration
- Completed registration paperwork, verifying accurate patient information.
- Answered patient questions and inquiries regarding registration process and documentation.
- Provided training to new registration clerks on policies, procedures, and best practices for maintaining an efficient workflow within the department.
- Entered patient information into payment system accurately for billing purposes.
- Safeguarded patient privacy with strict adherence to data security protocols related to electronic health records.
- Confirmed patient demographics and updated practice management software for accuracy.
- Updated patient contact information to support accurate electronic medical records.
- Expedited emergency department admissions by quickly gathering necessary information while maintaining a calm demeanor under pressure.
- Enhanced patient satisfaction by providing prompt and courteous service during the registration process.
- Collaborated with hospital staff to ensure smooth transitions between departments and services for patients.
- Assisted in processing patient payments via cash, checks and credit cards.
- Maintained strict confidentiality of sensitive patient information in compliance with HIPAA regulations.
- Explained form wording to patients to help each understand information required.
Education
Health Information Management - Health Information
ITT Technical Institute
San Bernardino, CA01.2014
Skills
- HCPCS coding
- HIPAA compliance
- Procedural coding
- Diagnostic coding
- Anatomy
- Medical software proficiency
- Insurance verification
- Insurance coding (ICD-9 and CPT)
- Medical terminology
- Regulatory guidelines
- Proficiency in Optum 360 Lynx
- Continuing education
- E/M coding
- Medical coding and abstracting
- Teamwork and collaboration
- ICD-10 coding
Accomplishments
Awarded Tenure with MedAmerica and CEP
Obtained CPC- Certified Professional Coder Certification from AAPC
Websites
Certification
Certified Professional Coder (CPC)
Timeline
Outpatient Medical Coder
Vituity (MedAmerica Billing Services Inc.)
02.2014 - 04.2018
Emergency Department Registration Clerk
San Gorgonio Memorial Hospital
12.2011 - 12.2013
Chart Reviewer/ Auditor
CEP (California Emergency Physicians) & San Gorgonio Memorial Hospital
11.2011 - 01.2014
Health Information Management - Health Information
ITT Technical Institute
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