Experienced Medical Coder at Denver Health versed in Inpatient/Outpatient/Surgical and E.D. coding with focus on OB/GYN, Dermatology, Endocrine and Urgent Care. Achieved a 98% accuracy rate while fostering teamwork and mentoring junior coders. Proficient in using 3M encoder and Epic systems, ensuring compliance and efficient claims submission.
Work History
Medical Coder III
12 Years 11 Months
Denver Health | 11.2013 - Current
Reviewed medical records to assign accurate ICD-10-CM and CPT codes for complex encounters.
Resolved coding discrepancies through detailed chart review and payer rule interpretation.
Maintained coding accuracy of 98% and above.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in medical records.
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Promoted teamwork within the department through effective communication and collaboration on complex cases.
Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
Applied coding guidelines to ensure compliant charge capture, reimbursement, and documentation integrity.
Collaborated with physicians and clinical staff to clarify documentation for coding accuracy.
Abstracted diagnosis and procedure data from electronic health records for timely claims submission.
Medical Coder
3 Years 3 Months
Vibra Healthcare | 07.2010 - 10.2013
Applied appropriate ICD-9 and CPT codes from review of LTAC and SNF hospital record documentation; Assigned principal diagnosis and DRG group capturing all morbidities and co-morbidities
Provided concurrent coding on existing patient records assuring all diagnosis and procedure codes have been assigned. Researched and assigned codes in 3M for accuracy
Routinely performed chart audits for accuracy of codes, documentation, quality and compliance purposes
Initiated, tracked and resolved physician queries for indeterminate documentation. Provided education to physicans regarding documentation