Raven Vogt
Maryville
Summary
Detail-oriented Certified Coder with expertise in ICD-10 and CPT coding at Blount Memorial Hospital. Proven ability to enhance billing accuracy and resolve coding errors through effective team collaboration. Committed to maintaining HIPAA compliance while ensuring patient confidentiality and improving processes for charge review and claim edits.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Certified Coder
Blount Memorial Hospital
01.2013 - Current
- Analyzed reports for accuracy on patient information, recorded date of service or procedure and verified location and physician name and signature.
- Reviewed out-patient medical documents of diagnosis and procedures and assigned ICD-10, CPT, and HCPCS according to coding guidelines.
- Maintained highest patient confidentiality in accordance with HIPAA guidelines
- Entered codes for Medicare, Medicaid and private insurance providers using office EMR system.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Assist physicians/providers with questions regarding coding and documentation guidelines
- Review and resolve charge sessions that fail claim edits
- Watchful for charge review, claim edits and coding related denial trends and shares trends with supervisor and team members to facilitate root cause analysis and continuous process improvement
Payment Posting Specialist
East Tennessee Medical Group
01.2012 - 06.2013
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Audited and corrected billing and posting documents for accuracy.
- Used data entry skills to accurately document and input statements.
- Posting payments from patients and insurance companies
- maintaining accurate billing records
Medical Records Clerk
East Tennessee Medical Group
04.2011 - 01.2012
- Maintained patient confidence by keeping patient records information confidential.
- Maintained patient records in compliance with security regulations.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Printed and photocopied documents to provide patients with copies of medical records.
- Responded to patient inquiries to provide information and details of medical records.
- Tracked and monitored requests for medical records release.
Education
Certificate - Medical Office Information Technology
Tennessee College of Applied Technology
Knoxville08-2011
High School Diploma -
Greenback High School
Greenback, TN05-2007
Skills
- Skilled in medical terminology
- Understanding of HIPAA regulations
- Team collaboration skills
- ICD-10 coding expertise
- CPT coding expertise
- Claims processing expertise
- Proficient in coverage validation
- Proficient in electronic medical records
- Health records administration
- Skilled in Excel, Outlook, and EMR systems
- Data entry proficiency
- Understanding of Medicare policies
- Identifying coding errors
- Experienced with EHR/NextGen systems
- Patient data analysis
- Team management
- Effective communication skills
- Efficient charge entry
- Versatile in dynamic environments
- Effective multitasking
Certification
- CCA - Certified Coding Associate
Languages
English
Native or Bilingual
Timeline
Certified Coder
Blount Memorial Hospital
01.2013 - Current
Payment Posting Specialist
East Tennessee Medical Group
01.2012 - 06.2013
Medical Records Clerk
East Tennessee Medical Group
04.2011 - 01.2012
Certificate - Medical Office Information Technology
Tennessee College of Applied Technology
High School Diploma -
Greenback High School
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