Bridgett Martin
Memphis
Summary
Dynamic Medical Coder with extensive experience at The Urology Group, adept in ICD-10 and CPT coding. Proven track record in enhancing billing compliance and training junior staff. Strong problem-solving abilities and effective communication skills ensure accurate coding and improved operational efficiency. Committed to maintaining high standards in clinical documentation and records accuracy.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Coder
The Urology Group
Memphis
08.2024 - Current
- Utilized coding software to streamline the coding process and enhance efficiency.
- Analyzed patient records for accurate coding and compliance with regulations.
- Trained junior coders on best practices and coding standards within the organization.
- Resolved discrepancies in codes through thorough research and analysis of records.
- Participated in audits to ensure adherence to coding policies and procedures.
- Maintained high accuracy rate on daily production of completed reviews.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Performed audits on coded claims to ensure that all required data elements are included for accurate payment processing.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
Program Coordinator
Boys and Girls Club of Memphis
Memphis
09.2023 - 07.2024
- Coordinated program schedules and events for diverse community initiatives.
- Managed communications between stakeholders and program participants effectively.
- Facilitated meetings to gather feedback and assess program needs.
- Assisted in maintaining program documentation and reporting requirements.
- Implemented outreach strategies to engage new participants in programs.
- Supported budget tracking for various community outreach projects.
- Managed the day-to-day operations of the program, ensuring compliance with applicable policies and regulations.
- Ensured timely completion of project deliverables within budget constraints.
- Maintained up-to-date records related to program activities.
- Facilitated communication between team members by organizing regular meetings and conference calls.
- Conducted research into best practices for program delivery, including methods for increasing efficiency and effectiveness.
Coder III
Methodist Lebonheur Healthcare
Memphis
01.2021 - 05.2024
- Reviews patient information, assigns codes, and sequences codes for billing, insurance, and reporting purposes.
- Conducted code reviews to ensure adherence to coding standards and best practices.
- Discuss documentation inconsistencies with clinicians.
- Educates physicians and staff on the requirements of documentation for proper reimbursement.
- Performs basic chart auditing while modeling appropriate behavior, as exemplified in MLH's Mission, Vision, and Values.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Developed coding solutions for electronic health records integration.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Quickly responded to staff and client inquiries regarding CPT codes.
Medical Coding Specialist
LifeLinc Corporation
Memphis
07.2019 - 01.2021
- Assigned appropriate ICD 10 CM and/or CPT codes to patient records for Anesthesia.
- Reviewed and coded clinical notes and operative reports.
- Met productivity standards.
- Identified issues or trends and brought them to the attention of management.
- Provided feedback and documentation advice to the surgeons, CRNAs, and other coders.
- Worked with the denials team to resolve coding-related denials.
- Coordinated and reconciled multiple schedules to ensure complete charge capture.
- Worked with the A/R team on follow-up and resolution of coding-related denials and rejections, including the recommendation of new/updated coding edits.
- Maintained current knowledge of coding guidelines and relevant federal regulations through pertinent materials.
Medical Reimbursement Specialist
Lunceford Family Health Center
Memphis
02.2019 - 07.2019
- Responsible for billing, collecting, post-payment review, credit balances, and correspondence functions of all aged government, non-government and patient accounts.
- Identified possible trends or issues and provides possible solutions.
- Communicated and escalated information to Leadership Prepare and submit appeals for various denials (i.e. underpayment, untimely filing, retro authorization request, investigational and not medically necessary).
- Reviewed outpatient claims on HCFA 1500 to commercial and private insurance, Medicare, and various Managed Care medical plans such as HMO, POS, EPO, and Medicare Advantage Plans.
- Maintained ongoing knowledge of all standard bill forms and other mandatory state billing forms and filing requirements.
- Assures that a high-performance work team is developed through coaching, and mentoring Prompt resolution of issues, problems, and opportunities.
Billing and Coding Specialist
St. Francis Medical Partners
Memphis
04.2013 - 12.2018
- Properly and accurately coded services, procedures, diagnoses, and treatments.
- Generated accurate bills according to compliance and medical billing guidelines.
- Prepared and mailed invoices or claims for payment.
- Corrected rejected claims.
- Followed up with patients and insurance companies about billing discrepancies, appeals, and outstanding bills.
- Knowledge of release of information and medical record documentation requirements related to HIPAA, CMS, and State/Federal Regulations.
Certified Professional Coder
Geriatrics Group of Memphis
Memphis
11.2005 - 04.2013
- Assigned codes correctly and sequences appropriately as per government and insurance regulations.
- Complied with medical coding guidelines and policies.
- Received and reviewed patients' charts and documents for verification and accuracy.
- Followed up and clarified any information that wasn't precise to other staff members for effective communication.
- Implemented strategic procedures and chose strategies and evaluation methods that provided correct results.
Education
Master of Business Administration - Healthcare Management
Christian Brothers University
Memphis, TN05.2023
Bachelor of Business Administration - Human Resources Management
Christian Brothers University
Memphis, TN01.2021
Medical Insurance and Coding -
Remington College
Memphis, TN01.2007
Skills
- Coding software
- ICD-10 coding
- CPT coding
- Medical terminology
- Chart auditing
- Billing compliance
- Stakeholder communication
- Problem solving
- Team collaboration
- HIPAA compliance
- Knowledgeable in EPIC, Athena, Cerner, Nextgen
- Performance improvement
- Clinical documentation
- Communication skills
- Records accuracy
Certification
- Certified Professional Coder, CPC, 11/2006, No expiration date
- Change Management Professional Certification, 05/2023
Accomplishments
- Bachelor of Science Business Administration
- Master of Healthcare Management Business Administration
Timeline
Medical Coder
The Urology Group
08.2024 - Current
Program Coordinator
Boys and Girls Club of Memphis
09.2023 - 07.2024
Coder III
Methodist Lebonheur Healthcare
01.2021 - 05.2024
Medical Coding Specialist
LifeLinc Corporation
07.2019 - 01.2021
Medical Reimbursement Specialist
Lunceford Family Health Center
02.2019 - 07.2019
Billing and Coding Specialist
St. Francis Medical Partners
04.2013 - 12.2018
Certified Professional Coder
Geriatrics Group of Memphis
11.2005 - 04.2013
Master of Business Administration - Healthcare Management
Christian Brothers University
Bachelor of Business Administration - Human Resources Management
Christian Brothers University
Medical Insurance and Coding -
Remington College
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