I have extensive experience with ICD-10-CM coding, having worked with it for over five years. I am proficient in accurately assigning diagnosis and procedure codes based on medical records. My experience includes coding for various specialties, ensuring compliance with coding guidelines and maximizing reimbursement while maintaining ethical standards.

When discrepancies arise, I first review the clinical documentation thoroughly to understand the provider's intent. I then consult relevant coding guidelines and, if necessary, reach out to the healthcare provider for clarification. This collaborative approach ensures accurate coding and helps improve documentation practices.

I regularly attend webinars, participate in professional coding forums, and subscribe to coding journals to stay updated. Additionally, I take advanced coding courses and certifications to deepen my understanding. This proactive approach ensures I am always equipped with the latest knowledge and best practices in clinical coding.

One challenging scenario involved coding for a complex patient with multiple comorbidities. The documentation was sparse, and initial coding attempts led to significant under-coding. I worked closely with the medical team to enhance documentation and used my expertise to assign comprehensive codes, ensuring accurate representation of the patient's condition and appropriate reimbursement.

I strictly adhere to HIPAA regulations and institutional policies regarding patient confidentiality. I use secure electronic systems for coding and ensure that all physical documents are stored securely. Additionally, I regularly update my knowledge on data security practices to prevent any breaches and protect sensitive patient information.