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Professional SummaryOver 9 years of experience in medical auditing and coding for various outpatient medical settings, including physician offices, multi-specialty clinics, ER, and other medical treatment facilities. Expertise in quality assurance, compliance management, and medical coding education. Seeking a challenging role to utilize and expand my skills in auditing and/or compliance management.Professional ExperienceQuality Assurance Auditor LeadCandidate's Name  2023  PresentReview Behavioral Health medical records for compliant clinical documentation.Ensure compliance with coding guidelines and regulations (HIPAA, CMS).Lead quality improvement initiatives and develop training materials.Monitor and report coding trends and recommend process improvements.Train CPC contractors on documentation standards and internal tools.Conduct quality assurance audits and lead calibration meetings.Pro Fee CoderHealthcare Coding and Consulting Services November 2023  PresentReviewed medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, minor outpatient procedures, and E/M services for providers and providers training residents and medical students.Ensured proper use of modifiers and adherence to coding guidelines and standardAnalyzed clinical documentation for accuracy in outpatient family clinics and urgent care centers, communicated with providers for clarification, and conducted regular audits to ensure regulatory compliance.Identified and reported documentation deficiencies and coding discrepancies.Assisted with resolving coding-related billing issues and denials.Participated in team meetings and contributed to process improvement initiatives.Performed claim edits, validated charges, and sent charge corrections.Navigated multiple EHR systems efficiently.Remote Medical AuditorMindseeker, Inc.November 2018  September 2023Conducted compliance reviews of outpatient medical records.Completed internal audits for ICD-10-CM, CPT, HCPCS, and modifiers.Supervised over 40 coders monthly and provided coding education.Supported EHR implementation and maintained coding compliance.Mediated audit rebuttals and onboarded new coders.Worked on projects to maintain high standards in auditing and coding.Remote Medical Biller and CoderHalo Health Mobile Concierge ServiceApril 2021  April 2024Reviewed medical documentation and assigned diagnosis and procedural codes.Queried providers on insufficient documentation and provided education.Billed claims, investigated denials, and ensured correct reimbursement.Utilized AthenaHealth EHR for coding and billing processes.Medical Coder  Contractor at Fort Bragg, NC Military Treatment FacilityMPF Federal January 2018  January 2019Technology Automation and Management December 2015  December 2018Coded outpatient encounters in a trauma 3 hospital setting.Met daily production requirements of 120 Profee outpatient encounters.Assisted as a backup coder for the Emergency Department.Certified Medical AssistantVein Specialists of the CarolinasApril 2012  December 2016Assisted in claim submissions and procedural coding.Obtained patient insurance benefits and prior authorizations.Coordinated physician peer-to-peer reviews for service authorizations.EducationBachelor of Arts in Psychology, Minor in Cognitive ScienceUniversity of North Carolina at CharlotteCertificationsMember, American Academy of Professional Coders (AAPC)Certified Professional Coder (CPC), Renewal Dec 2024Certified Documentation Expert Outpatient (CDEO), Renewal Dec 2024SkillsExperienced in Outpatient Family Care, Behavioral Health, Pain Management, OB/GYN, Preventative/ Wellness Care, Urgent Care, 95/97 and revised 2021 E/M coding, and Army Readiness Exams, Minor Office procedures, Injections and Immunizations coding.Proficient in navigating and managing multiple digital tools/platforms.Strong attention to detail and ability to work independently.Goal-oriented with strong communication and interpersonal skills.Use of 3M Coding and Reimbursement System, CCI, and NCCI.Familiar with Microsoft Office, Google Workspace, and Zoom.Knowledgeable in various medical fields and coding specialties.Experienced with EHR Systems: Cerner, AdvancedMD, AthenaHealth, AHLTA, CHCS, and MHS Genesis.