Multi specialty pro fee coder with the following work experience:

Uses Epic and 3M to assign ICD-10-CM, CPT, E&M, HCPCS, and modifiers for pro fees and diagnostic tests performed by providers in primary care, family practice, urgent care, and multiple internal medicine specialties. Audits codes assigned by providers and ancillary staff and provides correct coding guidance.  Performs queries and subsequent follow-up. Works claim edits and denials.

Remotely assigned ICD-9-CM, ICD-10-CM, CPT, E&M, HCPCS, and modifiers for pro fees and diagnostic tests in multiple internal specialties, sleep medicine, stroke and vascular, and urgent care.  Performed audits of all code sets for Urgent Care clinics. Performed quarterly audits of other coders.

Remotely assigned ICD-9-CM, CPT, E&M, HCPCS, and modifiers for pro fees and diagnostic tests by providers in RHCs and CAHs.  Audited codes entered by the on-site coders and provided feedback regarding coding, billing, and documentation.

Remotely assigned ICD-9-CM, CPT, E&M, HCPCS, and modifiers for pro fees and diagnostic tests by providers in RHCs, CAHs, and LTCFs.  Provided onsite consulting regarding documentation, coding, and billing.

Remotely assigned ICD-9-CM, CPT, E&M, HCPCS, and modifiers for pro fees and diagnostic tests in RHCs, CAHs, and LTCFs.  Worked with Clinic Manager to create, implement, and monitor documentation and coding policies and procedures and provide provider education and feedback.  Audited charges coded by providers.  Submitted claims and managed denials and edits for all payers.  Set up and maintained the charge master. Generated and analyzed statistical reports including the RHC cost report.  Assisted with transcription backlogs.  Assisted with ROI functions.  Assisted with provider credentialing.