Summary
Professional Medical Coding Specialist with 14 years of experience coding and processing of medical documentation and billing claims. Skilled at provider and staff compliance for documentation policies, reviewing and interpreting medical terminology, and preparing documentation for billing, denials and appeals. Experienced with emergency medical coding procedures. Passionate about effective and efficient coding practices and ensuring regulatory compliance to ensure appropriate medical care documentation and optimize reimbursement strategies.
Professional Experience
Tower Healthcare
Specialist Coding ED 2021-
Medical Coder QA Reviewer – Grand Rapids, MI 2019-2020
Provided expert medical coding for outpatient services and surgical procedures
Reviewed for CMS and coding compliance (ICD-10 and CPT codes), medical necessity, manual charge(s) accuracy, and claim edits, and completed documentation as necessary (medical record number, patient arrival, or disposition times)
Evaluated medical coding and documentation to prepare responses for denials and appeals
Accurately assigned codes using software and official print copy of code book.
Served as a resource for coding inquires, coding requirements, and continuing education and certification renewal
McKesson
Medical Coder 3 – Grand Rapids, MI 2011-2019
Lead Medical Coder 2009-2011
Certified Medical Coder 2008-2009
Provided coding for outpatient services, posted manual charges, and acted as a resource for physicians and staff, providing guidance and coaching about medical coding practices and requirements
Reviewed coding for appropriateness, medical necessity, claims, and evaluated documentation for insurance follow-up
Verified and abstracted medical data to assign appropriate codes for hospital emergency department care
Evaluated documentation for thoroughness and coding compliance in patient health data, including histories, physician diagnoses and treatments, and added modifiers as appropriate, coded narrative diagnoses, and verified diagnoses
Served as a resource for training and inquiries related to coding and auditing of procedure, ICD-9 and ICD-10 codes
Education
Davenport University – Grand Rapids, MI
Health Information Management course study 2011-2013
Olympia Career Training Institute – Grand Rapids, MI
Medical Billing & Coding 2006
Training & Certification
Certified Outpatient Coder (COC), American Academy of Professional Coders (AAPC) 2010-current
Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC) 2007-current
Professional Affiliations
American Academy of Professional Coders (AAPC) 2007 - present
Skills
Professional Medical Coding, Physician Coding, Outpatient Coder, Coding Compliance, CMS Coding Requirements and Regulations, Medical Necessity, Reimbursement, Documentation, Denials and Appeals, ICD-10 Codes, CPT Codes, Procedure Codes, Emergency Procedure Codes, Staff Training, Self-directed, Attention to Detail, Time Management, Deadlines
Technical Electronic Medical Records (EMR), MS Office
samantha.bridenstein@gmail.com
Professional Medical Coding Specialist with 14 years of experience coding and processing of medical documentation and billing claims. Skilled at provider and staff compliance for documentation policies, reviewing and interpreting medical terminology, and preparing documentation for billing, denials and appeals. Experienced with emergency medical coding procedures. Passionate about effective and efficient coding practices and ensuring regulatory compliance to ensure appropriate medical care documentation and optimize reimbursement strategies.
Professional Experience
Tower Healthcare
Specialist Coding ED 2021-
- Provided coding services for the professional and facility side of the ED 2023
- Provided coding services for surgical procedure performed in the OR
Medical Coder QA Reviewer – Grand Rapids, MI 2019-2020
Provided expert medical coding for outpatient services and surgical procedures
Reviewed for CMS and coding compliance (ICD-10 and CPT codes), medical necessity, manual charge(s) accuracy, and claim edits, and completed documentation as necessary (medical record number, patient arrival, or disposition times)
Evaluated medical coding and documentation to prepare responses for denials and appeals
Accurately assigned codes using software and official print copy of code book.
Served as a resource for coding inquires, coding requirements, and continuing education and certification renewal
McKesson
Medical Coder 3 – Grand Rapids, MI 2011-2019
Lead Medical Coder 2009-2011
Certified Medical Coder 2008-2009
Provided coding for outpatient services, posted manual charges, and acted as a resource for physicians and staff, providing guidance and coaching about medical coding practices and requirements
Reviewed coding for appropriateness, medical necessity, claims, and evaluated documentation for insurance follow-up
Verified and abstracted medical data to assign appropriate codes for hospital emergency department care
Evaluated documentation for thoroughness and coding compliance in patient health data, including histories, physician diagnoses and treatments, and added modifiers as appropriate, coded narrative diagnoses, and verified diagnoses
Served as a resource for training and inquiries related to coding and auditing of procedure, ICD-9 and ICD-10 codes
Education
Davenport University – Grand Rapids, MI
Health Information Management course study 2011-2013
Olympia Career Training Institute – Grand Rapids, MI
Medical Billing & Coding 2006
Training & Certification
Certified Outpatient Coder (COC), American Academy of Professional Coders (AAPC) 2010-current
Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC) 2007-current
Professional Affiliations
American Academy of Professional Coders (AAPC) 2007 - present
Skills
Professional Medical Coding, Physician Coding, Outpatient Coder, Coding Compliance, CMS Coding Requirements and Regulations, Medical Necessity, Reimbursement, Documentation, Denials and Appeals, ICD-10 Codes, CPT Codes, Procedure Codes, Emergency Procedure Codes, Staff Training, Self-directed, Attention to Detail, Time Management, Deadlines
Technical Electronic Medical Records (EMR), MS Office
samantha.bridenstein@gmail.com