Experienced Coder

Ngozi Okafor, CPC, CPC-H

**** ******* ********

Decatur, GA 30035

Phone: 770-***-****

********@*****.***

OBJECTIVE:

To demonstrate accurate coding and abstracting skills and extensive interaction with physicians and responsibility for service related records.

EDUCATION:

Georgia Perimeter College: 2004

Pre-Medicine

Institute of Management &Technology.

1983-1988 (BS) Industrial Chemistry

Delphi Computer College1994-1995

National Medical Coding Institute 2000-2001

CPC, CPC-H

Kennesaw State University: 02/2003-04/2003

Physician back office business skill and management

EXPERIENCE:

RISK ADJUSTMENT MANAGENT 10/2009 TO 04/2010:

Coding Consultant

Audited Charts for both facility and physician services.

KFORCE HEALTHCARE STAFFING 12/2008 TO 9/2009:

Coding Consultant.

Traveled to various clients to code and or perform audits or other task that they need assistance with. Coded all Evaluation and Management (E/M) services provided by physicians in various departments including ER, Critical care, Neonatal, Medicine and nursing facility services.

Audited E/M codes to ensure sound documentation and E/M coding practices.

Performed some diagnosis coding for risk adjustment (HCC) purposes.

MEDASSURANT / OUTCOMES INC 07/2008-01/2009:

Hierarchal Condition Category (HCC) coding.

Performed remote coding for risk adjustment ICD-9 to HCC + RxHCC for CMS reimbursement of care already provided by physician.

EMORY UNIVERSITY SCHOOL OF MEDICINE 06/2003-07/2008:

Coded inpatient and outpatient physician/patient encounters directly from the medical record using the appropriate diagnosis (ICD-9) and treatment codes (CPT-4) for billing and/or statistical purposes.

Reviewed medical records for completeness and accuracy of documentation supporting the diagnosis and treatment as recorded by the physician; recommended changes or addition.

Monitored medical records to ensure compliance by the attending physician with hospital and third party payer policies and regulations.

Coded all Evaluation and Management (E/M) services provided by physicians in the Medicine Department.

Audited E/M codes to ensure sound documentation and E/M coding practices.

Explained when to apply 1995 or 1997 guidelines and recognize scenarios for which national and local carrier rules might differ.

Educated physicians in medical record standards and proper documentation techniques. Gathered required medical record documentation in response to third payer audits and requests.

Coded all routine diagnosis for outpatient and inpatient facility.

Reviewed medical records for all appropriate primary and secondary diagnosis.

E&M Coder: Abstracted diagnosis, hospital admits subsequent visits, procedures consults and concurrent care from inpatient medical records at bedside.

Performed CPT and ICD-9CM coding in the following clinic: Pulmonary (critical care services), Endocrine, Cardiology, Emergency services, Infectious Disease, and Gastroenterology/Endoscopy clinic.

Performed Surgery coding.

GEORGIA INTERNAL MEDICINE 07/2000-05/2003

Coded all Evaluation and Management services provided by physician.

Coded all procedures and diagnostic outpatient’s account.

Interacted with the billing and collection department.

Reviewed all patients’ record to ensure accurate coding.

SKILLS:

Efficient use of Encoder pro, 3M encoder, soft med abstracting system, Centricity EMR system, Epic system, and other soft wares.

Proficient using MS Office; Word and Excel.

DR.ANYADIKE ORTHONDIC 04/99-06/2000:

Coded all dental procedures and diagnostic, and the use of current dental terminology (CDT) to submit dental claims.

Reference upon request.

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