Certified CPC/COC Medical Coder (ICD-10/CPT/HCPCS)
Resume:
Lina Alshaikhli - CPC, COC
Bismarck, ND 58503
******@*****.***
EDUCATION AND CERTIFICATIONS:
- University of Phoenix, Arizona
Bachelor degree in healthcare management
-Huntington Junior College (Amerion College), Huntington, WV
Associate degree in medical coding
-Certified Professional Coder - CPC
-Certified Outpatient Coder - COC
PROFESSIONAL MEMBERSHIPS:
-AAPC member (2018 until now)
QUALIFICATIONS AND SKILLS:
Knowledgeable in medical record review, physician documentation, diagnosis identification and ICD-10-CM code assignment to support accurate and compliant medical coding.
Medical coding proficiency: ICD-10-CM, CPT, HCPCS Level II.
Proficient in understanding medical terminology terms for major diseases and pathological conditions.
Highly motivated, efficient, and dependable, with a strong work ethic.
Problem-solving skills.
Experienced in EPIC EHR system to review patient medical charts and update diagnosis accurately.
Experience with OnBase document management and (PCC) electronic health record system.
Strong attention to details – skilled at identifying errors and maintaining accuracy.
Timely task completion and adherence to deadlines.
Patient confidentiality and HIPPA Compliance.
My current workplace:
Sanford Health, Good Samaritan Society – St. Vincent’s nursing home.
My current Position:
Medical Coder
3/2024 - present
My current responsibilities:
Review and analyze patients’ medical records, physician progress notes, and clinical documentation to assign appropriate and current ICD-10-CM diagnosis codes for new admissions and hospital readmissions.
Utilize Sanford Epic and CHI Epic to review hospital and clinical records, identify relevant diagnoses, and update resident medical information in accordance with applicable coding guidelines.
Research and stay current with annual ICD-10-CM code updates, coding guideline revisions, and changes affecting long-term care documentation and coding accuracy.
Update resident diagnoses following hospital returns by reviewing medical charts and supporting clinical documentation.
Provide coding support for external healthcare facilities on an as-needed basis.
Support accurate and timely billing for applicable payers by ensuring resident diagnoses are appropriately documented and coded.
Enter new physical therapy, occupational therapy, and speech therapy codes into PointClickCare (PCC) and prepare updated diagnosis sheets.
Scan, index, and manage various clinical documents, including physician progress notes, hospital discharge summaries, pharmacy consultant reports, hospice documentation, and other resident records.
Review, verify, and validate scanned and indexed medical documents to ensure accuracy, completeness, and proper organization.
Prepare hospital document envelopes using Sanford Epic and CHI Epic by retrieving and printing required medical records, including inpatient status documentation, discharge summaries, medication administration reports, history and physical examinations, therapy notes, and physician progress notes.
Ensure hospital envelope documentation is scanned, indexed, and verified for completeness and accuracy.
Maintain organized and accessible resident health information while protecting the confidentiality and security of protected health information in accordance with HIPAA requirements and organizational policies.
Identify missing, incomplete, or inconsistent documentation and coordinate appropriate follow-up to support accurate medical records.
Collaborate with directors of nursing, nurse managers, physicians, MDS coordinators and other healthcare professionals to clarify unclear clinical documentation and support accurate diagnosis coding.
Coordinate monthly resident recertifications by preparing documentation for healthcare professionals' visits and obtaining required medical staff signatures.
Enter dates of the most recent physician visits into PointClickCare (PCC) for each resident to support accurate recordkeeping and follow-up.
Submit completed recertification documentation to Sanford Pharmacy in accordance with established procedures.
Distribute physical, occupational, and speech therapy records to physicians' binders for review and signature.
Coordinate with external physicians' offices by faxing therapy documentation requiring provider signatures.
Participate in virtual meetings with fellow medical coders and Health Information Management (HIM) professionals to discuss workflows, documentation practices, and coding-related matters.
Generate daily census reports to support monitoring of resident populations, admissions, and facility operations.
Maintain accurate resident records in PointClickCare (PCC), including removing discharged residents from the system in accordance with established procedures.
Support the timely processing, organization, and distribution of medical documentation to facilitate continuity of care and efficient facility operations.
Perform routine documentation verification and follow established procedures to maintain the integrity and accuracy of electronic and scanned medical records.
Given coding examples and assigned ICD-10-CM diagnosis codes for various medical conditions, including fractures, chronic diseases, cancers, diabetes, postoperative complications, cardiovascular diseases, neurological disorders, post-stroke complications and other diagnosis.
Professional achievement: Provided medical coding training and guidance to a new employee at another facility, supporting coding accuracy and consistency.
Volunteering Experience:
-Volunteered at Village of Barboursville Elementary School in Huntington WV, helping with pre-school students and the school library.
-Volunteering at the nursing home I am working at to help residents (patients) during lunch hour.
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