Wound Care Internal Medicine

Michelle Reznick, CPC

Sugarloaf, PA

SUMMARY

YEARS OF EXPERIENCE: OP/ProFee Coding - 15+ years

UNITS/CLINICAL STRENGTHS:

Outpatient Units/Clinical Specialties- Ancillary Services, SDS, Cardiology/Cardiovascular Procedures, Claim Edits/Denials, CPT, Facility Based Clinics, Facility E/M Levels, General Medicine, Hand Surgery, Injections and Infusions, Labs/Radiology, Observation (Dx and CPT Coding), Observation Hours, Obstetric Well Checks, Official Coding and Reporting Guidelines- Outpatient Services, Oncology, Ophthalmology, Pain Management, Pediatrics, Plastics, Podiatry, Re-Occurring Cycle Accounts (OT, PT, Speech), Wound Care

Facility Emergency Services- Academic Teaching Facility, Burns

Facility Same Day Surgery or ASC Center Specialties- Anesthesia, Dermatology/Plastics, ENT/Head and Neck, Gastroenterology, General Surgery, Hip/Knee Replacement, Internal Medicine, OB/GYN, Ortho, Pediatrics, PFTs/Pulmonology, Spine Surgery, Urology

SYSTEMS EXPERIENCE: Cerner, Epic, McKesson, Meditech, Siemans Healthcare, Sorian, STAR, 3M 360, 3M Encoder, CPSI, Encoder Pro, IDX, Optum 360, Quantum (Nuance), & Microsoft Office Products

ENVIRONMENT: Multiple hospital and health systems nationwide including Level I Trauma Centers and Teaching Facilities.

LICENSURE & CERTIFICATIONS

Certified Professional Coder (CPC), #01056399

EXPERIENCE

February 2024- Present (June 2025)

Consulting Firm

Stanford Hospital (700+ Beds, Level I Trauma, Teaching)

Profee Denials Coder

Managed full cycle of professional claim denials, including root cause analysis and resolution

Corrected CPT and ICD-10 coding errors and finalized encounters in EPIC

Collaborated with CDI and billing teams to resolve documentation and denial trends

Ensured compliance with Medicare, Medicaid, and commercial payer guidelines

Systems: EPIC, 3M, Excel

March 2018- February 2024

Mmodal/Acquity Solutions- Cary, NC

Outpatient Coder (Concurrent Role)

Accurately coded a wide range of outpatient services, including diagnostics, labs, radiology, physical therapy, and minor procedures

Reviewed provider documentation to ensure correct code assignment and medical necessity

Queried providers when documentation was insufficient or unclear

Maintained daily productivity and accuracy goals per client expectations

Stayed current with CMS guidelines and payer policies for compliant coding practices

December 2017- February 2018- Work Gap (Looking for Opportunities)

March 2015- November 2017

Comforce Health Solutions- Syracuse, NY

Outpatient Coder

Coded ED and SDS (same-day surgery) outpatient visits remotely across multiple facilities

Ensured accurate assignment of CPT, ICD-10, and HCPCS codes using client templates and 3M encoder

Worked closely with clinical staff to clarify documentation as needed

Monitored coding rejections and made corrections to ensure clean claim submission

Participated in periodic internal audits to maintain 95%+ coding accuracy

March 2014- January 2015

Sutherland Global Services- Rochester, NY

ED Coder

Focused on high-volume emergency department coding including trauma and urgent care visits

Reviewed clinical documentation and physician notes for accurate assignment of E/M codes

Maintained HIPAA compliance and accuracy standards in a fast-paced remote coding environment

Worked on SDS and observation cases requiring multi-specialty code assignment

August 2009- December 2013

Community Health Systems (CHS)- Wilkes-Barre &Berwick, PA

Outpatient Coder

Coded for two facilities: WVHC (412-bed) and Berwick Hospital (144-bed)

Assigned codes for wound care, outpatient surgeries, diagnostic imaging, and lab services

Audited outpatient records to ensure compliance with government and payer regulations

Identified trends in coding denials and proactively addressed root causes

Supported training and onboarding of new coders within the department

March 2006- June 2009

Geisinger Medical Center- Danville, PA

Profee Coder

Coded professional services for inpatient rounds, consults, and bedside procedures

Specialized in high-acuity units such as NICU, PICU, ICU, and CICU

Accurately captured complex E/M coding based on detailed provider documentation

Maintained productivity and compliance benchmarks in accordance with Geisinger policies

EDUCATION

New Horizons Learning Center- Pittston, PA

Professional Coder Training- 2006

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