Data Entry Medical Coder
Resume:
Dawn Marie Espinal, CPC
Liverpool, New York 13090
Cell: 315-***-****
Email: ***********@*****.***
PERSONAL SUMMARY:
Accomplished Certified Professional Coder with 10+ years of experience. Highly efficient medical coder with experience in outpatient E/M and Dental coding. Motivated with a strong work ethic and determination to complete tasks in a timely manner and a demonstrated team player. LICENSES:
Certified Professional Coder – AAPC July 2008
SKILL HIGHLIGHTS:
* Proficiency in ICD-10, CPT and HCPCS coding
* Knowledge of MCO’s, Medicare and commercial insurances
* HIPAA compliant
* Knowledge of Microsoft Word and Excel
* Proficient with Medical Terminology
* Data Entry and management
CAREER HISTORY:
Syracuse Community Health Center, INC.: June 2002 - Present Certified Professional Coder November 2015 – Present 05/21/2024 – Present EPIC system
04/08/2014 – 05/20/2024 – NextGen system
• Analyzed and Evaluated the EPM in NextGen to process the charges with the accurate ICD 10 and CPT codes
• Investigated past due claims and resolved patients accounts.
• Work directly with the providers to address incomplete documentation in the EHR to process the charge for the date of service.
• Added/Removed CPT and or ICD-10 codes according to the documentation that the provider submitted for the date of service.
• Created spreadsheets for encounters that the charges have not been submitted or processed for provider and emailed the report to the providers.
• Performed chart audits to determine accuracy of documentation from providers.
• Assist all staff regarding any questions about coding, documentation and insurance.
• Determined the correct insurance coverage for the claims to be processed to for that date of service. Patient Access Representative/Charge Entry September 2010 – November 2015 June 2007 – March 2009
* Super User for the NextGen system
* Train staff in processing charges for multiple departments such as medical and dental
* Answer telephone calls and deal with patients inquiring about their accounts.
* Scheduled/rescheduled appointments and checked the patient in/out for the scheduled appointment.
* Registered New Patients
* Responsible for obtaining, reviewing, reconciling and logging charge batches from the system.
* Handle responsibilities of reviewing provider charge tickets such as dates of service, procedures, diagnosis, patient identification and provider signature for accuracy.
* Perform the tasks of returning and logging incomplete charge tickets for correction that are missing.
(CPT/ ICD-10 codes)
Team Leader March 2009 – September 2010
* Train, supervise and assist the receptionists in their performance of a variety of work duties.
* Motivate and inspire the receptionist team to provide high quality care to the patients and clients.
* Periodically review front desk operations for efficiency and accuracy.
* Perform all duties as listed in the previous job description as well.
* Worked with main supervisor to ensure that reception desks were staffed accordingly Medical Records Clerk: Medical Records Clerk June 2002 – June 2007
* Initiate the medical chart and then is responsible for routing the chart to the appropriate personnel.
* Pull charts daily for patients who are scheduled and to make sure that the date is stamped on the progress.
* Note. Insert any lab results or other results needed for review by the provider as per policies and Procedures in accordance with licensing and regulatory requirements
* Is responsible for inserting all documents in patients’ charts in accordance with requirements, policies, and procedures established at the direction of clinical staff such as:
(a) OB sheets in prenatal chart, and nutrition questionnaire and diet intake
(b) Appropriate growth sheet for age and sex
(c) Problem list, health maintenance sheet and other correspondence
* Pull charts as needed for special audits, peer review, refill requests and such.
* Perform other duties as required, must relief receptionist when needed and perform job related duties. Such as:
(a) Transfer old charts to new charts
(b) Place out-guide holder when charts are pulled out
(c) Prepare new charts and have them available for use as a new patient joins the practice
(d) Make copies of various forms when required
(e) Mail out requests for records when presented with a properly completed medical release. Make copies of records in response to incoming medical releases.
(f) Order forms and other necessary supplies when needed
*Ability to relate to the public regardless of ethnic, religious, and economic status.
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