I have extensive experience with medical coding and billing, having worked with ICD-10, CPT, and HCPCS codes. I have audited claims for accuracy and compliance, ensuring that all codes are appropriately assigned and that billing practices adhere to regulatory standards. My background includes working with electronic health records (EHR) systems to review and correct coding errors, which has significantly improved the accuracy of our billing processes.

To ensure the accuracy of patient records, I follow a systematic approach. I cross-reference medical records with billing data, verify diagnoses and procedures against clinical notes, and check for consistency in documentation. I also conduct regular training sessions with clinical staff to reinforce the importance of accurate documentation and coding. By maintaining a meticulous audit process, I can identify and correct discrepancies before they impact patient care or financial outcomes.

I stay current with healthcare regulations by regularly reviewing updates from CMS, HIPAA, and other relevant authorities. I also participate in continuing education courses and professional development workshops to ensure my knowledge is up-to-date. Additionally, I implement internal auditing protocols that align with regulatory requirements, such as regular audits of patient records and billing practices, to proactively identify and address any compliance issues.

When discrepancies or errors are discovered during an audit, I first document the issue thoroughly and then work with the relevant department to understand the root cause. I provide clear, actionable feedback to ensure the error is corrected promptly. If necessary, I escalate the issue to senior management for further review. My goal is to not only resolve the immediate problem but also to implement preventive measures to avoid similar errors in the future.

In a previous role, I identified a pattern of incorrect coding for a specific procedure, which was leading to significant billing discrepancies. I collaborated with the coding team to review the guidelines and provided training to ensure proper coding practices were followed. Additionally, I implemented a new auditing protocol to monitor this procedure more closely. This proactive approach not only resolved the immediate issue but also improved overall coding accuracy and reduced billing errors.