Dynamic Certified Professional Coder with a proven track record at Parallon and Carilion Clinic, excelling in CPT and ICD-10 coding. Recognized for achieving 94% or higher accuracy in audits, demonstrating exceptional attention to detail, and effective communication skills. Committed to continuous learning and adept at navigating complex coding challenges in a fast-paced healthcare environment.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Coder II
Parallon
Remote
11.2018 - Current
Review and code clinical notes, hospital inpatient visits, emergency room visits, and operative reports for orthopedic surgery.
Assign, validate, and/or edit E/M levels or CPT codes as appropriate for each encounter.
Maintain or exceed established productivity and quality standards.
Quickly responded to staff and provider inquiries regarding CPT codes.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Safeguarded medical records to maintain patient confidentiality.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Compiled and coded patient data using standard classification systems.
Kept abreast of updates and changes in coding guidelines and reporting requirements.
Participated in coding team meetings to discuss challenges and best practices.
Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Proficient in eClinical Works, Patient Keeper, Meditech, and 3M.
Proficient in Microsoft Office applications.
Able to perform basic mathematical calculations, balance and reconcile figures, and transcribe accurately.
Able to work independently with minimal supervision.
Scored 94% or higher in all quarterly audits.
Currently, I am cross-training and learning ENT.
Utilized coding software and tools efficiently to expedite the coding process.
Certified Professional Coder
Carilion Clinic
Roanoke
06.2015 - 11.2018
Reviewing medical records documentation to select and assign the appropriate diagnoses and procedure codes from the ICD-10-CM and HCPCS, CPT codes.
Coding outpatient, inpatient, and ambulatory orthopedic surgery cases in a timely manner, including the assignment of ICD-10-CM, CPT, and modifiers.
Coding orthopedic hospital inpatient visits, including the assignment of ICD-10-CM, E/M, CPT, and modifiers.
Resolving and clarifying codes and diagnoses with conflicting, missing, or unclear information by appropriately utilizing the query tool to obtain additional information from the physicians, providers, or medical staff when necessary.
Coding orthopedic, sports medicine, and podiatry office visits in a timely manner, including the assignment of ICD-10-CM, E/M, CPT, and modifiers.
Coding office procedures for the above specialties, including, but not limited to, nail debridements, joint injections, toenail removals, ulcer debridements, etc.
Coding x-rays that were obtained during an office visit.
Coding Durable Medical Equipment (DME's)
Proficient in Epic and EncoderPro.
Ability to cross-train and perform other duties as needed.
97% accuracy in the most recent audit.
Coding for over 43 physicians, and countless physician assistants, nurse practitioners, residents, and fellows.
Medical Office Specialist
Southwest Virginia Orthopedics & Spine/Lewis Gale Physicians
Blacksburg
02.2014 - 06.2015
Working at the reception desk.
Communicating with patients and providers.
Scheduling, cancelling, and rescheduling patient appointments.
Reminding patients of upcoming appointments and tracking missed appointments.
Answering multiple telephones and accurately documenting messages.
Forwarding telephone calls appropriately and follow up on return calls.
Checking in patients and properly documenting registration.
Insurance verification and verification of patient demographics.
Filing medical records.
Retrieving medical records and delivering to appropriate providers or department.
Filing patient and administrative files.
Copying and faxing duties.
Preparing and sending bulk mail.
Collection copays and cash from patients, getting authorizations on credit cards.
Entering charges, payments, and balancing the day in the computer.
Sending legal medical records requests, such as subpoenas.
Scheduling telephone conferences or depositions for physicians.
Working insurance denials and sending appeals with appropriate.
Obtaining pre-authorizations and referrals for visits and procedures.
Proficient in Electronic Medical Records and E Clinical Works.
Server
Warm Hearth Village
Blacksburg
08.2011 - 03.2012
Experience working with the elderly.
Ability to work under minimal supervision.
Customer service.
Handled multiple tasks simultaneously.
Ability to work on feet for long periods of time.
Experience working with food and servicing food to customers.
Complied with customer's needs and wants.
Responsible for taking money from guests in the dining hall.
Payroll Assistant
Virginia Tech
Blacksburg
08.2007 - 08.2010
Provide clerical support to the Virginia Tech Payroll Office.
Complete data entry in the Virginia Tech Banner System.
Work with Microsoft Word, Excel, Outlook, and Internet Explorer.
Prepare bulk mail.
Communicate with co-workers and departmental representatives.
Review reports to assist with processing wage and salary payrolls.
Ability to prioritize tasks, work with minimal supervision and work with confidential information.
Tax withholding entry, including updates and new hires.
File tax forms and various other student forms.
Update I-9's to meet foreign national work requirements.
Comply with Federal, State, and University policies in regards to taxation.
Assist with P-10 process including fund distribution in Banner Finance System.
Sorting and distributing mail.
Entry of Foreign National Information in the Windstar database.
Verify completed I-9's received by checking report.
Cashier
Food Lion
Fairlawn
05.2004 - 08.2007
Worked under supervision.
Customer service.
Communicated with customer and co-workers.
Directed phone calls to persons throughout the store using the speaker system.
Responsible for large amounts of money in till.
Ability to do simple math calculations.
Handled multiple tasks simultaneously.
Aided customers in finding items throughout the store.
Complied with customer's needs and suggestions.
Ability to lift large, heavy items.
Responsible for checking ID's of persons purchasing alcohol or tobacco products.
Education
Medical Coding Certificate - Medical Coding
New River Community College
Dublin, VA
05.2014
Associate in Applied Sciences -
New River Community College
Dublin, VA
08.2008
High School Diploma -
Radford High School
Radford, VA
08.2006
Skills
CPT coding
ICD-10 coding
E/M coding
Healthcare compliance
Medical record management
Attention to detail
Time management
Effective communication
Problem resolution
Data entry
Continuous learning
EMR systems
Regulatory guidelines
Problem-solving
Medical terminology
Multitasking
Certification
Certified Professional Coder (CPC)
AAPC
March 2015
Affiliations
Spending time with my family and my dogs
Reading
Exercising
References
References available upon request.
Timeline
Coder II
Parallon
11.2018 - Current
Certified Professional Coder
Carilion Clinic
06.2015 - 11.2018
Medical Office Specialist
Southwest Virginia Orthopedics & Spine/Lewis Gale Physicians