In my previous role, I encountered a coding issue involving a high-dollar claim that was denied due to incorrect diagnosis coding. I collaborated with the medical staff to verify the correct diagnosis and re-coded the claim, which resulted in a successful reimbursement. This not only recovered significant revenue but also improved our internal coding processes to prevent future errors.

I regularly attend industry conferences, webinars, and training sessions to stay abreast of the latest coding regulations and reimbursement policies. Additionally, I subscribe to relevant journals and participate in professional organizations to ensure our coding practices are compliant and up-to-date.

I believe in a hands-on approach to training, where I provide real-life examples and case studies to help team members understand the complexities of coding and reimbursement. I also conduct regular audits and feedback sessions to ensure continuous improvement and compliance.

When disputes arise, I first gather all relevant documentation and ensure our coding is accurate. I then engage in direct communication with the insurance company, presenting our case clearly and professionally. If necessary, I escalate the issue to higher management or seek legal advice to resolve the dispute.

I implement regular audits and quality control measures to identify and correct errors promptly. I also leverage technology, such as automated coding software, to streamline processes and reduce manual errors. Additionally, I foster a culture of continuous learning and improvement within the team.