Results-oriented Coding Specialist excelling in ICD, CPT, and HCPCS coding, with a proven track record in compliance auditing and training, consistently achieving 100% accuracy in coding reviews.
Overview
33
33
years of professional experience
Work History
Coding Specialist II
Prisma Health
Greenville
07.2014 - Current
Reviewed medical documentation for compliance with regulations and accurate coding.
Collaborated with healthcare staff to clarify information and ensure coding precision.
Maintained current knowledge of coding guidelines and healthcare policies through continuous education.
Utilized coding software to assign appropriate ICD, CPT, and HCPCS codes for diagnoses and procedures.
Provided training and support to coders on best practices and coding guidelines.
Advised providers on documentation requirements to support assigned diagnosis codes per Medicare guidelines.
Achieved 100% score on last coding audit, reflecting high accuracy in completed reviews.
Maintained confidentiality of all medical records in accordance with HIPAA regulations.
Proficient in Epic software
Client Coder/Biller
Habersham Medical Center
Demorest
09.2013 - 07.2014
Reviewed and coded patient records to ensure accurate billing processes.
Collaborated with healthcare staff to address coding discrepancies effectively.
Maintained up-to-date knowledge of coding regulations and guidelines for compliance.
Utilized electronic health record systems for efficient data entry and retrieval.
Communicated coding issues clearly with medical professionals to resolve queries.
Conducted thorough code reviews to uphold coding standards and best practices.
Processed patient billing information accurately while safeguarding confidentiality.
Resolved coding denials promptly to maximize reimbursement outcomes.
Hospitalist Coordinator
In Compass Healthcare Inc.
Anderson
09.2011 - 07.2014
Managed schedules for hospitalist physicians to enhance coverage and workflow.
Facilitated seamless communication between medical staff and administration.
Organized training sessions on hospital protocols for new staff.
Assisted with implementation of clinical guidelines to elevate patient care standards.
Maintained daily records of patient interactions and physician activities.
Monitored regulatory compliance in hospitalist practices consistently.
Coordinated patient care between physicians and healthcare providers.
Performed audits on billing codes for accuracy and regulatory compliance.
Office Manger
Northeast Georgia Institute of Bone and Joint Surg
Toccoa
12.2005 - 03.2011
Managed daily office operations and coordinated staff schedules for optimal efficiency.
Maintained patient records and ensured compliance with healthcare regulations.
Implemented office policies to enhance workflow efficiency across departments.
Coordinated patient appointments and effectively managed scheduling system.
Oversaw inventory management, ensuring adequate supplies for clinical needs.
Trained new staff on protocols while providing ongoing support as required.
Developed vendor relationships to streamline procurement processes for office supplies.
Performed general bookkeeping duties, including reconciling bank statements.
Operating Room Coordinator
Stephens County Hospital
Toccoa
04.1993 - 12.2005
Coordinated surgical schedules and resource allocation to enhance operating room efficiency.
Collaborated with surgeons and nursing staff to optimize patient care.
Managed inventory of surgical supplies to ensure operational readiness.
Assisted in developing policies aimed at improving operating room workflows.
Monitored compliance with safety regulations within operating rooms.
Maintained accurate daily records of performed surgeries in the Operating Room.
Facilitated effective communication between departments to streamline surgical processes.