Medical Software

706-***-**** * ***********@*******.***

EXPERIENCE

EISENHOWER ARMY MEDICAL CENTER, Ft. Gordon, GA

Certified Coder and Auditor, 2006 – Present

• Code 100+ Emergency Room charts daily. Assign appropriate Evaluation and Management levels to encounter. Provide leadership and training to other Emergency Room coders. Codes all CPT Procedures to include infusions and IM medication. Utilizes 3M Software to assure coding accuracy. Responsible for daily compliance reports. Participates in monthly CARA audits. Attends monthly Coding Audio Conferences and Webinars to stay up to date of coding changes. Performs any duties assigned.

• Perform a variety of technically complex duties to review and analyze ambulatory/outpatient medical data; code medical diagnoses and procedures; and provide assistance to the professional staff.

• Determines that diagnostic and procedural terminology used is consistent with currently acceptable medical nomenclature. Assigns additional diagnosis codes based on specific clinical findings (laboratory reports, radiology reports, pathology reports, and clinical studies) in support of existing diagnoses. Contacts appropriate medical staff members to rectify inconsistencies, deficiencies, and discrepancies in medical documentation. Performs audit of coded records and provides direct feedback to coders. Reviews content of diagnostic and procedural templates in ADM to ensure diagnoses and procedures meet current coding requirements and are accurate reflection of the scope and practice for each unique specialty.

MEDICAL COLLEGE OF GEORGIA, HEALTH INC., Augusta, GA

Outpatient Coder, 2002 – 2006

• Performed various technical functions in HIM Department and how it relates to the overall functions of the Hospital regarding patient care and fiscal reimbursement. Aids in meeting standards set by Joint Commission on the Accreditation of Hospitals. Analyzed and coded ICD-9 and CPT codes daily for completeness and accuracy within three working days of visits for Emergency Room and Outpatient Services. Demonstrates understanding in how to calculate APC’s through utilizing the 3M software Encoder for correct code assignment.

UNIVERSITY HOSPITAL, Augusta, GA

Outpatient Coder, 1978 – 2002

• Analyzed and coded Outpatient and Emergency Room records on a daily basis. Maintained 95%

accuracy rate in coding data. Keep current with Coding clinics, CPT Assistant, AAPC updates coding compliance and JCAHO requirements pertaining to chart documentations.

• Utilizes the 3M Encoder software for correct code assignments. Attends all required in-service sessions and Departmental meetings.

EDUCATION AND CERTIFICATIONS

Kerr Business College, Augusta College

Vocational 1999

American Academy of Professional Coders Association: License #00046579

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