In my previous role as a HIM Coding Specialist, I conducted monthly coding audits for inpatient and outpatient records to ensure compliance with ICD-10-CM, CPT, and HCPCS coding guidelines. I collaborated with clinical staff to clarify documentation and provided feedback to coders to improve accuracy. My audits helped reduce claim denials by 15% by identifying common coding errors and implementing targeted training sessions.

I regularly attend webinars and workshops offered by AHIMA and AAPC, and I subscribe to their newsletters for updates on coding changes. I also participate in online forums and review the Federal Register for any updates to Medicare and Medicaid billing requirements. This proactive approach ensures my coding practices remain compliant and up-to-date.

During a routine audit, I discovered a pattern of undercoding in the emergency department, which was leading to significant revenue loss. By analyzing the trends, I identified a lack of understanding in coding for certain procedures. I developed a training program for the coding team, which corrected the issue and increased revenue by accurately capturing all billable services.

I am proficient in using 3M Coding and Reimbursement System, Epic EHR, and Microsoft Excel for conducting audits. These tools help me efficiently review records, analyze coding patterns, and generate reports. My expertise in these systems allows me to quickly identify discrepancies and ensure coding accuracy across various healthcare services.

I approach disagreements professionally, presenting the coding guidelines and documentation requirements that support my findings. I listen to their perspective and, if necessary, consult additional resources or a coding committee to reach a consensus. This collaborative approach ensures accurate coding while maintaining positive working relationships.