Emergency Department Clinical Documentation

Angela Smith, CPC

* ***** *****, **********, ** *3052 978-***-**** ***********@*****.***

Objective

As a clinical coding specialist, my primary objective is coding records accurately ensuring optimal reimbursement and decreasing denials.

Experience

MEDICAL CODING AUDITOR CALM WATERS AI NOVEMBER 2023-PRESENT

·Reviewing and analyzing medical records to ensure accuracy, completeness and compliance with regulations.

·Maintaining knowledge of up-to-date coding guidelines, regulations and compliance requirements for various payers.

·Performing regular audits of clinical documentation processes and implementing solutions.

·Providing education to healthcare staff on proper clinical documentation practice and compliance standards optimizing proper reimbursement for providers.

EMERGENCY DEPARTMENT CODER EMERSON HEALTHCARE OCTOBER 2009-PRESENT

·Coding, charging, abstracting, facility leveling Emergency Department accounts utilizing PulseCheck, Meditech and 3M grouper following ICD-10 guidelines.

·Coding other outpatient areas as needed include clinics, radiology and labs.

·Verifying charges, confirming medical necessity and applying modifiers as needed.

·Compiling daily reports through Meditech for management.

·Maintaining knowledge through coding clinics, AAPC publications, HCPRO, webinars and current coding guidelines.

·Reviewing, processing and coordinating denials in all coding areas utilizing nThrive claim scrubber.

OUTPATIENT CLINICAL CODER CIRCLE HEALTH OCTOBER 2004-MARCH 2022

·Coding and abstracting outpatient accounts utilizing 3M grouper, Paragon and Cerner

·Querying physicians to clarify diagnoses and medical necessity on claims.

·Compiling daily reports utilizing Paragon to identify and code missing accounts.

·Coordination between coding and various departments to ensure paperwork received to code meeting timely filing.

Education

AAPC CERTIFICATION NATIONWIDE CURRENT

CODING CERTIFICATION FISHER COLLEGE MAY 2004

BUSINESS ADMINISTRATION MIDDLESEX COMMUNITY COLLEGE 1997

Skills & Abilities

·Proficient with Meditech, PulseCheck, 3M grouper, Precyse, Allscripts, Cerner, Citrix and nThrive.

·Proficient with all Microsoft products including Word and Excel.

·Ability to adjust daily duties at direction of management.

·Communicate with others across teams effectively.

·Fun and energetic

Activities and Interests

Current administrator/animal activist for Guinea Pig Sanctuary, Salisbury MA.

Interests also include gardening, hiking and spending time with my family.

REFERENCES FURNISHED UPON REQUEST

Contact this candidate