Medical Billing and Coding Specialist with 10 years providing official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder who adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Lead Certified Professional Medical Coder- Profee
Four Winds Health/ Wellstreet Urgent Care
09.2025 - Current
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Correctly coded and billed medical claims for Outpatient facility while meeting productivity of 220 or more daily
Trained and mentored team of 6 coders to support growth and development and apply high-quality coding practices in 2 different markets.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines for my team.
Demonstrated strong organizational and time management skills while managing multiple projects.
Certified Professional Medical Coder II- ProFee
Wellstar Medical Group- Thoracic Surgeon
05.2022 - Current
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
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.
Certified Professional Coder and Biller- Profee
Four Winds Health/ Wellstreet Urgent Care
07.2018 - 09.2025
Review Outpatient documentation to ensure DX, CPT, HCPCS and modifiers are capture in a timely and accurate manner.
Inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations
Verify charges in the Epic and Agility work queues for accuracy and completion.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Certified Professional Coder II- Profee
Wellstar Medical Group-General Surgeon
01.2018 - 10.2019
Assigned and reported the codes that are clearly supported by documentation in operative reports and pathology reports.
Consulted physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record.
Maintained an effective coding rate in accordance with appropriate regulations and procedures within established time frames, such as 10 inpatient and outpatient surgeries and 70 records for outpatient coding per 8 hours of continuous work, depending on complexity of cases, with an accuracy rate of 90-95%.
Front Office Assistant II
Piedmont Physicians Group
08.2015 - 01.2018
Check-in patients by verifying and/or updating demographic, insurance, and registration information in the EPIC system
Review and explain patient bills generated by providers through the electronic medical records (EMR)
Apply basic knowledge of CPT, ICD-10, HCPCS and modifiers.