Certified Medical Coder with ICD-10 Expertise

Juanita Roland, CCS ****.********@*****.***

** *** *** ***** ****, North Carolina 28761 Cellular: 828-***-****

Summary

Certified Coding Specialist with expertise in ICD-10 coding processes. Enhanced billing accuracy through improved coding practices and resolved denials, significantly increasing revenue recovery. Streamlined processes for medical records and physician orders, achieving a reduction in outstanding claims from 50% to 7.58%. Committed to continuous learning and adapting to industry standards, driving operational efficiency and compliance.

Total Experience: 14 years in Medical Records/Health Information Technology.

Education

McDowell Technical Community College August 2009- August 2011

Marion, North Carolina GPA 3.2/3.3

Experience

UNC- Blue Ridge Medical Center Certified Medical Coder II Morganton, NC Oct 2022-Present

Apply ICD 10 CM Dx codes on Ancillary accounts.

Review and make necessary corrections in denials for billing purposes.

Use of EPIC and Optum

Would like to learn more areas of coding to expand my knowledge base and experience.

Encompass Health Medical Records Specialist Marion, NC July 2018 – July 2022

Using S Fax and OnBase processing signed physician orders and attaching to patient chart

Using Homecare Homebase processing orders ready to be faxed to physician for signature

Bringing unbilled from 50% outstanding to 7.58% and maintaining at below 13% outstanding orders on claims held report

Release of information, processing medical records requests as received as soon as cleared to release by Compliance

Black Mtn Neuro-Med Center Proc. Assist V Black Mtn, NC 28711 Aug 2013 – June 2018

Daily Census

Prepared Statistical reports on daily, weekly, monthly basis for Raleigh

Utilization Review- Non Clinical portion

Chart Audits for completeness and accuracy

Helped to prepare for ICD-10 implementation at BMNTC, dual coded during this transition period

Medical coding of diagnosis for all resident charts using ICD-10 medical codes

Discharge Analysis of charts to ensure accuracy and completeness within the specified time period with no deficiencies

Kept logs updated in preparation of Survey Team

Forms Creation as needed, use of Excel on daily basis

Mission Health Systems Practice Specialist II Marion, NC Jan 2011 – Aug 2013

Registration of patients using Cerner system, data entry

Check out procedures upon departure of patient

Daily Deposits of copayments and coinsurance

Scheduling of appointments on providers schedule as instructed

Release of information and medical records request

Chart audits, basic CPT coding, submitting HL7’s in batches to CBO

Scanned loose work into electronic medical record

Other Facts /Skills

Member of AHIMA

Former Coordinator of Western Foothills Region of NCHIMA from 2015-2018

Assisting NCHIMA with merge from seven regions to four, using project management skills learned in classes

Public speaking at a few ladies conferences

Written an entire VBS curriculum for youth, Bible Studies, Devotionals, Children’s storiesCPT

Volunteered at local nursing home for nearly eight years

ICD 10Coding

EPIC

Home Care Home Base

OnBase

Optum

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