Physician Medical Coder (ICD-10-CM/CPT/HCPCS)

BRANDI FISHER, CPC, COBGC

Mims, FL

Summary

Certified professional medical coder with extensive physician coding experience across cardiology, electrophysiology, cardiothoracic surgery, vascular surgery, general surgery, obstetrics/gynecology, primary care, and HCC risk adjustment coding. Experienced reviewing medical records and provider documentation to ensure accurate ICD-10-CM, CPT, and HCPCS code assignment, coding compliance, and revenue integrity. Proven ability to maintain high productivity and quality standards in Epic and multiple EMR platforms while supporting accurate charge capture, claim submission, and reimbursement.

Core Competencies

Medical Terminology • ICD-10-CM • CPT • HCPCS • Physician Coding • Cardiology Coding • Electrophysiology (EP) Coding • Cardiothoracic Surgery Coding • Vascular Surgery Coding • General Surgery Coding • HCC Coding • Documentation Review • Charge Capture Validation • Coding Compliance • Revenue Cycle Operations • Medicare Guidelines • Medicaid Guidelines • Epic • Athena • NexGen EMR • Partner EMR • IDX Claims Manager • Mysis EMR • HIPAA Compliance • Microsoft Office Suite

Professional Experience

Health First Medical Group

Outpatient Coder I April 2023 - Present

Review physician documentation and computer-assisted coding assignments to ensure accurate ICD-10-CM, CPT, and HCPCS code selection in accordance with official coding guidelines and organizational standards.

Perform physician coding across multiple surgical and specialty service lines, including cardiology, electrophysiology (EP), cardiothoracic surgery, vascular surgery, device-related procedures, echocardiography (TTE/Echo), vascular procedures, and general surgery.

Support revenue integrity through detailed documentation review, identification of coding discrepancies, and correction of coding assignments prior to claim submission.

Utilize Epic to manage coding work queues, complete coding assignments within productivity expectations, and maintain coding quality standards.

Consistently maintain approximately 98-100% coding audit accuracy while processing high-volume physician coding workloads averaging 120-150 claims per day.

Analyze provider documentation for compliance with coding regulations, payer requirements, and medical necessity standards.

Contribute to accurate clinical data capture and revenue enhancement through thorough coding review and timely completion of assigned work.

Apply strong problem-solving skills to resolve coding issues, documentation questions, and claim-related concerns while maintaining productivity and quality expectations.

Amazon LLC

Seasonal Customer Service Representative May 2020 - January 2021

Delivered timely and professional customer support through phone, email, and chat channels.

Assisted customers with package tracking, account navigation, returns, and product-related inquiries.

Resolved customer concerns by researching account information, applying company policies, and communicating clear solutions.

Maintained service quality while managing a high-volume workload in a fast-paced environment.

The CSI Companies (Contracted to Optum Health)

HCC Coding Specialist (Contract) July 2015 - July 2019

Reviewed medical records and encounter documentation to validate diagnosis coding accuracy and support CMS HCC risk adjustment initiatives.

Assigned and validated diagnosis codes for completeness, specificity, documented medical necessity, and compliance with coding regulations.

Improved claims review accuracy through detailed chart analysis and accurate documentation of Clinical Condition Categories.

Maintained complete encounter records and coding documentation to support compliant claim processing and reporting requirements.

Researched coding questions and applied updated coding guidance to support accurate risk adjustment reporting.

Utilized NexGen EMR, IDX Claims Manager, and Mysis EMR to support coding and documentation review activities.

Performed orthopedic E/M coding and physician documentation review within specialty practice environments.

Parrish Medical Group

Medical Coder June 2012 - May 2015

Reviewed and validated physician coding within Partner EMR prior to charge processing to ensure coding accuracy and compliance.

Developed and implemented a process for capturing obstetrical outpatient labor and delivery charges occurring outside the global billing period.

Recognized by leadership for contributions that supported increased obstetrical revenue following the transition of billing operations in-house.

Performed physician coding across multiple specialties including obstetrics/gynecology, primary care, neurology, psychiatry, orthopedics, pediatrics, hospitalist services, and critical care.

Supported accurate charge capture, reimbursement, and coding compliance through detailed chart review and documentation analysis.

Performed gynecology and physician coding activities supporting outpatient professional billing workflows.

Education

Eastern Florida State College

College Credit Certificate, Healthcare Revenue Cycle

Phi Theta Kappa Member

2010 - 2012

Certifications

AAPC Certified Professional Coder (CPC)

AAPC Certified Obstetrics and Gynecology Coder (COBGC)

Additional Highlights

Extensive physician coding experience within Cardiology, Electrophysiology (EP), Cardiothoracic Surgery, and Vascular Surgery specialties.

Experience coding TTE/Echocardiography, cardiac device-related services, vascular procedures, and general surgery encounters.

Epic physician coding experience with high-volume production and strong quality outcomes.

Deep knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, and coding compliance requirements.

Demonstrated history of maintaining exceptional coding accuracy while consistently meeting productivity expectations

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