I have extensive experience working with ICD-10 and CPT coding standards. In my previous role, I was responsible for ensuring that all medical claims were accurately coded to comply with these standards. I regularly participated in training sessions to stay updated on any changes or updates to the coding guidelines. This experience has equipped me with the skills to accurately code and ensure compliance with regulatory requirements.

When discrepancies arise between medical records and billing codes, I first review the documentation to understand the context. I then consult with the healthcare provider to clarify any ambiguities. If necessary, I revise the codes to ensure they accurately reflect the services provided. I also document the reasons for any changes to maintain transparency and compliance with audit requirements.

To ensure accurate reimbursement, I follow a meticulous process that includes verifying the accuracy of all codes, ensuring that modifiers are appropriately applied, and cross-referencing with payer guidelines. I also stay updated on changes in reimbursement policies and communicate these changes to the billing team. Regular audits and feedback loops are integral to my strategy to identify and correct any potential errors before claims are submitted.

In a previous position, I identified a coding error that would have resulted in a significant underpayment for a complex procedure. I reviewed the medical records and realized that the procedure was incorrectly coded at a lower level. I corrected the code and provided detailed documentation to support the change. This correction resulted in a substantial increase in reimbursement, demonstrating the importance of accurate coding and attention to detail.

I stay current with changes in healthcare regulations and coding guidelines by regularly attending industry conferences, webinars, and training sessions. I also subscribe to relevant journals and newsletters that provide updates on regulatory changes. Additionally, I participate in professional organizations and online forums to exchange knowledge and best practices with peers in the field.