Certified Professional Medical Coder (CPC) with experience in physician’s offices and ambulatory surgery centers. Adept in assigning accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) for all outpatient encounters.
10/2019 - 06/2022, Medical Coder, Sledmore Health Center, New York
- Ensured compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
- Worked a flexible 8 hour shift schedule, including overtime and weekends.
- Managed a variety of complex and technical assignments related to medical coding.
- Resolved discrepancies for coding-related issues.
- Reviewed and corrected rejected claims from various third party carriers.
- Tracked all IDX record requests.
- Documented concise notes within the electronic health record according to established standards to facilitate a comprehensive and accurate claim histories.
05/2014 - 08/2019, Medical Coder, Charles Edgar Healthcare, New York
- Prepared and submitted billing data and medical claims via the practice management system.
- Audited clinical documentation and coded data to validate documentation support services performed for reimbursement and reporting purposes.
- Collaborated with providers to develop templates and improve coding.
- Worked to ensure that the medical information for hundreds of patients was accurate and up to date.
- Collected and reviewed referrals and pre-authorizations.
- Examine denials as necessary and recommend appropriate solutions.
- Maintained billing software by updating rate changes.
09/2010 - 05/2014, Bachelor of Science in Business Administration, Hunter College, New York
- English
- German
- French
- Medical Coding
- Medical Terminology
- Data Entry
- Knowledge of Medicaid and Medicare
- Knowledge of EMR
- Ability to Work in a Team
- Knowledge of HIPPA Laws and Regulations
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