Deborah Valentine
Meshoppen
Summary
Detail-oriented Certified Medical Coder with expertise in diagnosis coding, compliance, and regulatory guidelines. Proven ability to resolve discrepancies, ensuring accurate coding and maximum reimbursement. I am a dependable, focused team player that is willing to help out wherever I am needed. I am always available to help my co-workers with whatever they need assistance with.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
CHS
Franklin
01.2002 - Current
- Reviewed medical records for accurate coding and compliance with regulations.
- Utilized coding software to assign correct codes for diagnoses and procedures.
- Collaborated with healthcare professionals to clarify documentation and ensure accuracy.
- Resolved coding discrepancies by researching guidelines and consulting resources.
- Maintained up-to-date knowledge of coding systems, such as ICD-10 and CPT.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained high accuracy rate on daily production of completed reviews.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Reviewed patient medical records for accuracy, completeness, and compliance with coding regulations, ensuring integrity of coding process.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Applied modifiers, assigned narrative diagnoses, and confirmed diagnoses.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Collaborated with billing, clinical documentation improvement, and quality assurance departments to uphold accurate coding practices and streamline communication.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
- Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
- Reviewed patient records and assigned accurate codes for diagnoses and procedures.
- Managed coding for multiple specialties, ensuring specific codes are accurately applied.
- Utilized coding software and tools efficiently to expedite the coding process.
- Coordinated with billing department to clarify billing issues related to coding.
- Kept abreast of updates and changes in coding guidelines and reporting requirements.
- Entered coded data into electronic health record (EHR) systems.
- Monitored and analyzed coding error trends to improve coding accuracy.
- Resolved coding discrepancies and denials, enhancing reimbursement accuracy and efficiency.
- Performed quality assurance checks on coded data.
- Participated in coding team meetings to discuss challenges and best practices.
- Maintained positive working relationship with fellow staff and management.
- Compiled and coded patient data using standard classification systems.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Verified record copies before handing each over to check for and remove unnecessary details.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Located and retrieved files, assisting public with general information.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Handled incoming calls and directed callers to appropriate department or employee.
- Pulled patient records and transferred information to appropriate parties.
Skills
W,E/Medical coding
- Coding compliance
- Documentation review
- Diagnosis coding
- Health information management
- Healthcare collaboration
- Attention to detail
- Problem solving
- Communication skills
- Time management
- CPT coding
- Clinical documentation review
- Medical terminology
- Records management
- Medical claims coding
- Procedural coding precision
- Time management aptitude
- Diagnostic coding accuracy
- Anatomy and physiology
- Revenue cycle management
- Continuing education commitment
- Medical coding expertise
- Regulatory guidelines adherence
- Critical thinking
- HIPAA compliance awareness
- Coding error resolution
- Continuing education
- Error reporting
- Document management
- Ethical standards
- Medical coding and abstracting
- Workflow management
- Regulatory guidelines
- Clinical documentation
- Training and mentoring
- Diagnostic coding
- Proficiency in Medhost 360 and Cerner
- SOP/Obs coding
- Healthcare claim coding
- Certification maintenance
- Documentation oversight
- Knowledgeable in Medhost, 360 and Cerner
- SOP/Obs, WC, APC coding
- ER/ Anc coding
- ASC coding
- Procedural coding
- Coding appeals
Certification
- Certified Coding Specialist
Timeline
Certified Medical Coder
CHS
01.2002 - Current