Rowena Apundar

• Reduced claim denials by conducting thorough reviews of patient records before submission to insurance companies.
• Collaborated closely with physicians to obtain clarification on ambiguous documentation, leading to more precise coding outcomes.
• Ensured data integrity and confidentiality by adhering to strict security measures while handling sensitive patient information during the coding process.
• Contributed to team success by training new coders on best practices, guidelines, and company policies.
• Assisted in resolving billing disputes with insurance companies by providing accurate coding information as needed.
• Increased efficiency in coding tasks by utilizing specialized software tools designed for IP Medical Coding.
• Maintained compliance with industry standards by keeping up-to-date with the latest medical coding and billing regulations.
• Demonstrated adaptability by swiftly learning new diagnostic codes when changes were introduced into classification systems such as ICD-10-CM/PCS or CPT codes.
• Supported quality assurance efforts through regular audits of coded records, ensuring accuracy and compliance with industry standards.
• Continuously improved personal skills and knowledge through participation in professional development courses, certification programs, and industry conferences relevant to the field of IP Medical Coding.
• Improved coding accuracy by consistently reviewing and updating medical coding guidelines and procedures.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in inpatient medical records.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.

· Review, analyze and manage clinical information from a variety of medical records and assigns appropriate ICD-10 CM and PCS codes to patient records according to established guidelines.

· Thorough understanding of medical necessity and Diagnosis-Related Group (DRG) for processing claims.

· Report missing medical records and/or information to be able to assign accurate ICD-10 codes and procedure codes.

· Query physicians for accuracy on documentation of medical charts and procedures.

· Working together with Clinical Documentation Improvement (CDI) and communicating mismatches and giving feedback regarding guidelines and coding clinics.

· Keep updated in coding clinics and procedural coding system updates.

• Corrected grammar, spelling, and syntax mistakes in medical records.
• Accurately documented medical dictation to record patient care records.
• Maintained high levels of confidentiality with sensitive patient information following HIPAA guidelines.
• Enhanced accuracy of medical records by transcribing detailed physician dictations.

· Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, procedure reports, chart reviews, medical-legal reports or consultation.

· Review variety of medical records for inclusion in patient’s medical report, such as X‑rays, MRI scans, labs, medical histories, consultation, or other diagnostic workups.

· Analyze and decide which information should be included or excluded in reports.

· Identify inconsistencies and check with doctors to obtain the correct information.

· Review and edit transcribed reports or dictated material for spelling, grammar, consistency and proper medical terminology.

· Perform data entry for inclusion in patient’s reports.