Sophe Goodwin

Review medical records for completeness and accuracy of documentation supporting the diagnosis and treatment as recorded by the physician. Review CPT, ICD 10 and HCPCS, Evaluation and Management codes for accuracy. CMS documentation requirements for State and Federal regulations. TES edit maintenance and resolution, work on special projects, deceased A/R monthly.

Radiation Oncology Coder - Emory Healthcare

(2016-09 - 2025-08)

Review medical records for completeness and accuracy of documentation supporting the diagnosis and treatment as recorded by the physician. Review CPT, ICD 10 and HCPCS, Evaluation and Management codes for accuracy. CMS documentation requirements for State and Federal regulations. TES edit maintenance and resolution, work on special projects, deceased A/R monthly.

Medical Coder - Altegra Health

(2016-04 - 2016-08)

Performed audits of medical records to ensure all assigned ICD-9/ICD-10 codes are accurate and supported by written clinical documentation. Maintain accuracy and exceed daily productivity standards.

Medical Coder - CSI Companies

(2015-10 - 2016-01)

Abstracted medical chart utilizing ICD-9, ICD 10 coding. Developed and maintained standard auditing policies and procedures. Maintained accuracy and daily exceed productivity standards.

Coder - Inovalon

(2007-10 - 2015-10)

Audited charts for different projects HCC (Hierarchal Condition Categories), RxHCC, HIX, HEDIS (Healthcare Effectiveness Date & Information Set) with multi-specialty, utilizing ICD-9 & ICD 10 coding. Responsible for validating submissions for internal data validation. Trained and educated providers & staff, maintained standard audition policies and procedures.

Evaluated improved efficient operations and compliance with regulations. Maintained 95% accuracy and daily productivity standards.

Certified CPC; Certified Risk Adjustment Coder - CRC - National Medical Coding Institute (2007 - 2007)