Medical coding professional with extensive experience in accurately coding patient records and ensuring compliance with healthcare regulations. Known for strong focus on team collaboration and achieving results, adaptable to changing needs. Skilled in utilizing coding software and maintaining detailed documentation, with reputation for reliability and precision.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Coder
St Lukes University Health Network
06.2023 - 07.2024
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Enhanced team efficiency with regular training sessions on new coding updates and best practices.
Promoted teamwork within the department through effective communication and collaboration on complex cases.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
Monitored changes in coding regulations to provide recommendations for compliance.
Communicated with insurance companies to research and resolved coding discrepancies.
Kept coding team informed of changes in coding standards and healthcare regulations through monthly newsletters.
Ophthalmic Technician
Raldolph Eye Care
04.2015 - 05.2020
Applied eye medications and drops to dilate pupils in preparation for examinations.
Triaged phone calls from patients and outside contacts and handled in order of importance.
Provided exceptional customer service to all patients, addressing concerns promptly and compassionately.
Performed thorough medical history assessments as part of the pre-examination process for new patients.
Trained new ophthalmic technicians on clinic protocols, fostering teamwork within the practice.
Administered visual acuity tests to measure patient ability to see clearly at different distances and identify visual impairments.
Recorded patient history to help ophthalmologists determine diagnoses and treatment plans.
Operated ophthalmic equipment for patient eye examinations and prepared patients for examinations and surgeries.
Provided timely follow-up care for post-operative patients, ensuring successful recovery and addressing any complications promptly.
Educated patients on proper contact lens use and care to minimize complications like infections or corneal damage.
Performed visual field testing to measure patients' peripheral vision to determine any visual field loss.
Measured intraocular pressure using Goldman and Tonopen tonometry process.
Enhanced clinic operations by assisting with patient scheduling, billing, and recordkeeping.
Demonstrated excellent communication skills when liaising between patients, physicians, and insurance companies regarding treatment options and costs.
Improved patient flow by efficiently managing appointment schedules, reducing wait times significantly.
Reduced patient anxiety, explaining eye care procedures and answering questions with empathy and clarity.
Gathered patient histories, took measurements and completed diagnostic tests as part of detailed ophthalmic evaluations.
Worked well with patients, staff, and manufacturer representatives to carry out successful office- and patient-related work each day.
Cleaned or sterilized ophthalmic or surgical instruments.
Office Supervisor
Wellington S. Tichenor, MD & Park Avenue Endoscopy
04.2012 - 04.2015
Maintained a clean, organized, and professional office environment to support maximum productivity.
Supported a positive work culture that prioritized teamwork, professionalism, continuous learning opportunities.
Provided exceptional customer service by addressing client inquiries promptly and professionally.
Monitored and evaluated personnel performance to complete annual reviews, recommend advancement, or address productivity concerns.
Boosted overall office efficiency with appropriate task delegation and workload distribution.
Assisted in recruiting top talent by conducting interviews, reviewing resumes, and making hiring recommendations to upper management based on candidate qualifications.
Upheld strict confidentiality standards when handling sensitive information or documentation.
Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
Managed supervisor itinerary and appointments and streamlined scheduling procedures.
Medical Billing Representative
Garden State Urology, LLC
02.2009 - 09.2013
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Conducted periodic audits of billing records to identify errors or inconsistencies, ensuring proper documentation for future reference.
Established a positive work environment through open communication channels and active participation in team meetings, fostering a culture of collaboration and growth.
Posted and adjusted payments from insurance companies.
Evaluated patients' financial status and established appropriate payment plans.
Optimized revenue cycle management by analyzing trends in denials and identifying areas for improvement in the billing process.
Confidently and adeptly handled claim denials and/or appeals.
Supported team members in resolving complex cases, applying problem-solving skills to reach favorable outcomes for all parties involved.
Performed billing and coding procedures for ambulance, emergency room, impatient, and outpatient services.
Diligently filed and followed up on third party claims.
Managed a high volume of medical claims by prioritizing tasks based on due dates and urgency, preventing delays in processing.
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