Medical Coder Coding Specialist

TATONISHA SENA CPC

LinkedIn Profile-Tatonisha Sena - Decatur, GA 30032

720-***-**** - *************@*****.***

PROFESSIONAL SUMMARY

A motivated, hard-working individual with problem-solving and technical skills seeking a position where I can utilize my coding skills. Experience with patient records, and a background in medical terminology to accurately abstract and validate ICD-10- CM and CPT codes. Maintain patient records, and assist a facility overall in their documentation and reimbursement process to secure a position as a medical coding specialist.

SKILLS

• Knowledge of medical terminology

and anatomy

• Independent worker

• Superior attention to detail

• Strong work ethic

• Knowledge of ICD-10,CPT and

HCPCS

• Quick learner

• Flexible

• Self-starter

• Proficient in using EPIC

• Familiar with outpatient coding

• Familiar with denial coding

PROFESSIONAL EXPERIENCE

03/2024 to 07/2024 Medical Coder

Addison Group / Emory Healthcare – Atlanta, GA

• Investigated rejected and denied claims, correcting applicable coding.

• Submitted clean claims electronically to insurance companies.

• Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.

• Sought clarification from payers for answers needed in resolving billing and reimbursement accuracy.

• Familiar with commercial and private insurance carriers. 07/2022 to 06/2023 Medical Coder

Icode Healthcare Solutions – Atlanta, GA

• Reviews,analyzes and codes medical record documentation to include, but not limited to,medical,diagnostic and procedural information for the correct ICD-10 and/or CPT-4 and/or HCPCS codes to the greatest specificity.

• Capture and submit the correct ICD-10 code in the client's proprietary system.

• Ensures that inpatient and outpatient records are coded,abstracted and entered into an internal and external computer system in an accurate and timely manner.

• Perform inpatient tasks consisting of performing a comprehensive review of documentation within the health record or assigning ICD-10 coded for diagnosis, complications, co-morbid conditions,surgery and procedures.

• Perform outpatient tasks consisting of performing a comprehensive review of documentation within the health record to accurately assign IDC-10 codes for diagnosis and complications, and CPT codes for surgeries,procedures,and evaluation and management services.

• Maintain a 95% quality audit accuracy rate.

• Attend teleconference through WebEx for education and training to improve accuracy.

EDUCATION

06/2023 Certified Professional Coder: Medical Billing And Coding ICODE ACADEMY - Atlanta, GA

ACTIVITIES

• AAPC Certified Professional Coder

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