Medical Coder Patient Care

RESUME

Christal Thacker South, CPC-A, CPMA *************@*****.***

352-***-**** In Colorado Certified Medical Coder and auditor

LPN, CPC and CPMA with extensive expertise in medical coding, care coordination, and medication management, leveraging over 20 years of LPN experience to drive operational effectiveness and improve patient outcomes. Seeking employment in enhancing coding accuracy and billing processes, ensuring compliance and efficiency in healthcare settings.

Medical coder and biller, Southern Colorado Clinic, Multi-specialty oupatient coder experience,

May 2023 to current

Codes and bills for family practice and urgent care based on medical records documentation, using Athena One EMR, achieving 86 claims daily.

Manage accounts receivable, ensuring timely and accurate billing processes in family

Conducts coder education and training to help enure CMS payment.

Partner with and educate healthcare providers to optimize coding accuracy, ensuring proper reimbursement and compliance with industry regulations.

Leverage Athena One EMR system to enhance coding efficiency, while maintaining detailed documentation for multi-specialty medical procedures. Process medical claims with 81 daily using Athena One EMR, while maintaining strict accuracy standards and regulatory compliance. NCCI edits, LCD’s and MUE’s.

Education to providers regarding medical coding on ICD 10, CPT and HCPCS coding experience.

Self education in CPC CEU and coding classes twice a week with AAPC.

LPN, Staff nurse, The Centers at Pueblo West, Dec 2021 - Jan 2023

Coordinated rapid admissions, enhancing patient flow and care efficiency. Developed patient care plans, improving treatment outcomes and patient satisfaction.

Educated patients and families, fostering understanding and compliance.

Delivered comprehensive patient care and medication management while maintaining detailed medical records and collaborating with healthcare teams.

Monitored and observed vital signs and administered treatments for multiple patients, ensuring compliance with healthcare protocols and safety standards Coordinated with physicians and specialists to implement care plans, provide wound care, and manage chronic conditions effectively. Documentation and updating care plans. Collaborated with interdisciplinary team members.

LPN Nurse, Orthopedics, Navigator, Care Coordinator, UC Health/Parkview Medical Center,

Sep 2020 - Nov 2021 in Pueblo Colorado

Performed insurance authorizations, ensuring efficient orthopedic patient care. Obtained treatment and surgical consents, boosting patient compliance and procedural efficiency. Xray orders

Ordering xray, triage patient calls, cast applications and orthotics. Monitored surgical site and changes, obtained diagnostic imaging for the provider. Joint injections.

Collaborated with medical staff to enhance post-operative care processes. Facilitated patient procedure orders, improving clinic workflow and satisfaction.

Maintained accurate documentation. Streamlined orthopedic care protocols by implementing efficient pre-authorization systems and managing cross-departmental communication channels. Developed standardized patient education materials for post-operative care.

Atkinson Home Care, Jun 2016 - May 2018 Medical Coder and billing.

Nurse visits and clinical auditing in Jacksonville Florida.

Coordinate home care visits in North Florida, ensuring adherence to care plans. Document interventions and care plans per regulatory standards. Facilitate case management and interdisciplinary team conferences.

Support routine audits to maintain compliance. Enhance patient care through effective collaboration. Coordinated with interdisciplinary teams to optimize patient care delivery, facilitate case referrals, and implement physician-directed treatment plans.

EDUCATION

Education Griffin Technical Institute, Griffin Georgia, Oct 1989 - Dec 1990 Practical nursing

Courses Completed CPC 2023 and CPMA in 202*-********. Working on CIC certified inpatient certification.

EHR Epic, Athena One, ECW and Meditech

LPN with extensive expertise in medical coding, care coordination, and medication management, leveraging 24 years of experience to drive operational effectiveness and improve patient outcomes. Demonstrates a visionary approach in enhancing coding accuracy and streamlining billing processes, ensuring compliance and efficiency in healthcare settings. Committed to fostering a collaborative environment that supports innovative solutions and optimizes healthcare delivery.

Employment history

Medical coder and biller,

Southern Colorado Clinic, May 2023

Pueblo Colorado

LPN, The Centers at

Pueblo West, Dec 2021 Jan 2023

Pueblo

LPN Nurse Navigator,

Care Coordinator, UC

Health/Parkview Medical

Center, Sep 2001 - Nov 2021

Pueblo Colorado

Code and bill for family practice and urgent care using Athena One EMR, achieving 86 claims daily.

Manage accounts receivable, ensuring timely and accurate billing processes. Collaborate on hybrid schedule to optimize workflow and maintain efficiency.

Utilize Encoder Pro for precise medical coding, enhancing data accuracy.

Contribute to streamlined operations and reduced claim processing time.

Implement comprehensive medical coding protocols across multiple specialties, maintaining high-accuracy standards while operating in a hybrid work environment.

Drive efficient claim processing workflows, streamlining billing procedures and reducing submission delays through systematic documentation review.

Partner with healthcare providers to optimize coding accuracy, ensuring proper reimbursement and compliance with industry regulations.

Leverage Athena One EMR system to enhance coding efficiency, while maintaining detailed documentation for multi-specialty medical procedures.

Process medical claims with 86 daily throughput using Athena One EMR, while maintaining strict accuracy standards and regulatory compliance.

Execute comprehensive medical coding across specialties through Encoder Pro, ensuring precise documentation and optimal reimbursement outcomes.

Coordinated rapid admissions, enhancing patient flow and care efficiency.

Developed patient care plans, improving treatment outcomes and patient satisfaction.

Collaborated with healthcare providers, ensuring comprehensive patient care.

Managed individual cases, streamlining processes and reducing discharge times.

Educated patients and families, fostering understanding and compliance.

Delivered comprehensive patient care and medication management while maintaining detailed medical records and collaborating with healthcare teams

Monitored vital signs and administered treatments for multiple patients, ensuring compliance with healthcare protocols and safety standards

Coordinated with physicians and specialists to implement care plans, provide wound care, and manage chronic conditions effectively

Coordinated insurance authorizations, ensuring efficient orthopedic patient care.

Obtained treatment consents, boosting patient compliance and procedural efficiency.

Collaborated with medical staff to enhance post-operative care processes.

Facilitated patient procedure orders, improving clinic workflow and satisfaction.

Maintained accurate electronic health records and vital documentation, ensuring regulatory compliance and continuity of care

Coordinated with multidisciplinary healthcare teams to implement comprehensive patient care plans and monitor treatment progress

Streamlined orthopedic care protocols by implementing efficient pre-authorization systems and managing cross-departmental communication channels

Developed standardized patient education materials for post-operative care, leading to improved recovery outcomes and patient satisfaction

Education

Griffin Technical Institute, Griffin Georgia, Oct 1989 - Dec 1990

Practical nursing

Courses

Completed CPC 2023 and CPMA in 2024

Custom section

EHR Epic, Athena One, ECW and Meditech

Contact this candidate