Medical Record Manager
Select, assign and audit diagnostic and procedure codes to patient records for a mental & developmental disabilities clinics & residential. Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security. Work collaboratively with patient account department to ensure accurate billing and resolve claim denials and medical-necessity issues. Review medical documentation and consult with healthcare providers when documentation is inadequate/unclear for coding purposes.
•Maximized reimbursement by ensuring accurate ICD-9-CM and CPT coding and conducting regular quality audits of providers' selected codes compared to chart documentation.
•Ensured records met quality and risk-management requirements by participating in medical record review committee.
•Rapidly mastered Medical Manager and Avatar clinical encoders software for fast, accurate coding and abstracting.
•Provided ongoing training to staff on intricacies of insurance submissions, codes and intake procedures to minimize rejections for referral- or registration-related reasons.