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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE Old Bridge, NJ Street Address
SkillsEMREClinicalWorks3MEncoderCodify AllscriptsCriterionsKareoICD-10 CodingMajor Med, Medicare, Workers Comp, PIP InsuranceOperations ManagementQuality Assurance and AuditingCPT and HCPCS CodingMedical BillingMedical Records ManagementInsurance claims analysisCertified CoderExperiencePhoenix children's Hosp AZ.Coding Specialist05/2023 - CurrentResponsible for coding all Surgical SpecialtiesSurgical Case Mix: General Surgery, Reconstruction Surgery, Wound Care, Hand Reconstruction, Mouth Reconstruction, Cleft Palate, Fracture coding, Cranial surgery codingIntracranial cases, jaw cases, and facial BFOARS, open crannies, mini crannies, cranioplasties, lefort III, and orthognathic casesSkin Lesions, Scar Revision, Breast ReconstructionAnesthesia Coding for all procedure regarding plastic surgeriesPlastic Surgery, Augmentation, Lift, Reduction, Gynecomastia, Facial, Lift, Ear Surgery, Ear Lope Repair, Eyelid SurgeryResponsible for Coding all Surgical Denials and adding surgical and E&M ModifiersPerforms a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of coding.Performs coding for records about surgeries performed with a minimum of 96% accuracy and as per turnaround time requirements.Exceeds the productivity standards for Medical Coding for Surgery - as per the productivity norms for inpatient and/or specialty-specific outpatient coding standards.Maintains a high degree of professional and ethical standards.Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards.Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.System: Allscript EMR SoftwareThe Plastic Surgery Center Red Bank, NJCoding Specialist09/2021 - 04/2023Code all Surgical Specialties with a minimum of 95% accuracy and as per turnaround time requirements.Responsible for coding all Surgical Denials and adding surgical and E&M ModifiersExceed productivity standards for Medical Coding for SurgeryMaintain a high degree of professional and ethical standards.Focus on continuous improvement by working on projects that enable customers to arrest revenue leakage while following standards.Participate in coding team meetings and educational conferences.System: NexTech EMR SoftwareReviewed outpatient records and interpreted documentation to identify diagnoses and procedures.Reviewed, analyzed, and managed the coding of diagnostic and treatment procedures contained in outpatient medical records.Correctly coded and billed medical claims for various hospital and nursing facilities.Reviewed patient charts to better understand health histories, diagnoses, and treatments.Verified signatures and checked medical charts for accuracy and completion.Interacted with physicians and other healthcare staff to ask questions regarding patient services.We utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.Resourcefully used various coding books, procedure manuals, and online encodersApplied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.Trained and mentored junior coders to support growth and development and apply high-quality coding practices.Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.Generated reports to identify coding trends and discrepanciesProgressive Pain Management NJBilling and Coding Specialist09/2018 - 09/2021Perform coding on all diagnoses, procedures, professional services, and supplies with the most accurate and descriptive ICD-10-CM/CPT-4/E&M, and HCPCS code for reimbursement purposes.Prepare claims and submit them to insurance!Timely management of unpaid claims, denials, aging reports, and Clearinghouse rejectionsEnsure appropriate billing, follow-up, collection, appeal efforts, and status documentation are recorded on accounts.Review and post insurance payments.Meet daily and monthly departmental production goals.Timely follow-up on outstanding patient balances and reported delinquent accounts.Assist with other billing-related tasks on a needed basis.Insurance Verification for major surgical proceduresSystem: E-Clinical WorksVerified the accuracy of accounts payable payments, resulting in a high reduction in payment errors and check reissuesInterventional Pain Management NJFollow-Up Representative01/2014 - 08/2018Follow up with Medicare/Medicaid to ensure timely resolution of all outstanding claims.Use MPower workflow system, client host system, and other tools available to collect payments and resolve accounts.Maintained up-to-date knowledge of product and service changes.Increased efficiency and team productivity by promoting operational best practicesEducationAAPCCertified Professional CoderMIDDLESEX COMMUNITY COLLEGE NJDiploma in Health Information and CodingGUJARAT UNIVERSITY IndiaBachelor of Science in Microbiology |
