Data Entry Medical Coder

Victoria Hubbard

Jacksonville, Arkansas, *****

Cell Phone 501-***-****

Email ****************@*****.***

OBJECTIVE

Seeking a permanent full-time or part-time job. I have worked as a Medical Coder/ Data Entry position in a clinic/hospital where I can utilize my extensive medical knowledge and strong organizational skills.

QUALIFICATIONS

19 years as a Medical Coder.

Work remotely for 7 years

oRevenue Integrity working edits for 7 years

Urology Coder for 13 years

oRadiology, Surgeries, Procedures, Pathology

Data Entry

Documentation review and abstract information

Extremely knowledgeable regarding Medical Coding guidelines and coding techniques (CPT, HCPCS).

Urology Proficient in pro-fee coding: surgery coding, procedures, outpatient, radiology, pathology, lab, and office coding.

Very efficient in Soarian, Optum Lynx, Empresis, PowerChart, Craneware, Allscripts, Orchard, Windows, Word, Works, Epic, Acis. Also, in Encoder Pro. Work some with 3M Encoder.

Policy changes regarding coding.

Effective in communicating with staff any coding changes.

WORK HISTORY

HealthPro Medical

Pathology Coder July 26, 2022 – November 16, 2022

Review medical interpretation documentation and health records to abstract necessary

information for appropriate CPT, ICD-10, and PQRS (as applicable) coding per the appropriate

classification systems, standards and procedures. Provide medical coding services for multiple

clients by performing the following, but not limited to, duties:

• Assign CPT procedure codes for clinician services to assure appropriate billing

and reimbursement.

• Assign diagnostic (ICD-10) codes on all medical records to ensure proper billing and

reimbursement.

• Assign modifiers to CPTs as appropriate.

• Review, as applicable, engine assigned codes/modifiers and update as necessary for

accuracy

• Review and/or assign patient severity of index illness ratings, supplemental codes, and

other data as necessary.

• Compile and maintain logs, reports and statistical records, and research records to

locate health data as requested.

• Utilize variety of health record indexes and storage retrieval systems.

…

• Maintain knowledge of new and revised codes as well as industry regulations to complete

accurate coding services, including local coverage determinations

• Update reports as needed for tracking of workflow and trending as necessary

Data Entry

Bahama Consulting

Cottage Health as Outpatient IV Service Charge Analyst May 18, 2022 - June 26, 2022

Review and codes all IV services provided in the outpatient setting including the emergency department

Daily Review of all accounts in the IV service work queue accounts (average number of accounts per day 30-35)

Reviews the IV services documentation in the medical record for appropriate documentation

Applies CPT codes for IV services according to the coding hierarchy

Confirms charge posting based on CPT coding

Maintains number of outstanding accounts in the WQ to within 3 days of service

Data Entry

Moffitt Cancer Center

Revenue Integrity Lead Support Specialist, September 14, 2020, until February 18, 2022

Reviewed Edits and corrected the CPT per documentation

oInfusions / Injections

oRadiology

oLaboratory

oPathology

Review and Correct Coding Initiatives and Outpatients edits

Supports resolution of issues related to billing and charge capture

Identify missing/inaccurate charge coding

Provide assistance on projects as assigned

Participates on training and educational regarding clinical documents

Data Entry

JTS Healthpartners

Medical Coder: May 2015 – September 4, 2020:

Moffitt Cancer Center Revenue Integrity worked as vendor doing the following from May 25, 2015, till March 31, 2020.

Work Lab/Path Edits

Flagged missing diagnosis on claims

Worked with Moffitt’s Pathology and Lab staff regarding issues that come up.

Trained Moffitt’s employees on Pathology and Lab charges and how to work the edits.

Work edits for RI.

Meets productivity and accuracy goals

Data entry

…

Arkansas Urology Associates

Lead Medical Coder: October 2003 – September 2015:

Coding in the following areas:

Perform surgery coding

Hospital consults, daily visits, subsequent visit, and discharges.

Radiology

Pathology

Cytology

Lab

Office Tickets

Change coding policies when needed and inform everyone

Implement new coding policies and make everyone aware of this.

Check Lab Bills to make sure everything was billed /credited accordingly.

Train/monitor new coders. Train coders for different areas.

Code surgeries with acute accuracy and meeting more than my productivity goals

Always comply with all coding guidelines and Medicare policies.

Making sure all surgeries were accounted for and if not then inform the doctor

Making sure that if any information is missing from op notes to inform doctor to correct.

Lab bills, work with the outside lab companies to make sure all charges are charged and meet medical necessity. Send any additional information if needed.

Communicate with doctors, insurance department, and surgery schedulers about questions that they may have about codes. Make sure everyone is informed about coding and price changes

Set up the lab system to make sure ABN is produced when necessary.

Help other coders with denial issues or any other coding problem.

Research and stay current on policy changes.

Data Entry

EDUCATION

2015 - COC

2011 - CPC

2011 - ICD-9 refresher course - UAMS

2003 - 2004 ICD-9 and CPT Courses - Pulaski Technical College

2004 - Medical Transcription - Pulaski Technical College

References available upon request

Certification listed below:

Contact this candidate