mark benini
@markbenini
Certified outpatient medical coder specializing in ICD-10/CPT, EHR review, and precise claims edits for HIM workflows.
United StatesWhat I'm looking for
I’m a certified outpatient medical coder (AAPC) with experience using electronic health record workflows and HIM processes to extract data from clinical documentation and diagnostic results. I apply appropriate diagnostic and procedure codes using official ICD-10/CM and CPT-4 guidelines, and I also have ICD-9/CM experience.
In each role, I enter procedures and diagnostic information using the 3M encoding and abstracting program, ensuring I abide by the Standards of Ethical Coding set forth by the American Academy of Professional Coders (AAPC). I review clinical documentation for coding errors on completed claims and make edit corrections to support accurate submissions.
My background spans outpatient coding across multiple healthcare systems, including encounters such as Emergency Department, Endoscopy, Same Day Surgery, and Observation stay. I also bring revenue-cycle experience as a Patient Accounts Biller/Collector, researching self-pay balances, verifying insurance coverage eligibility, and assisting with payment plan setups.
Experience
Work history, roles, and key accomplishments
Outpatient HIM Coder
Optum Health
Jul 2024 - Present (1 year 9 months)
Reviewed outpatient clinical documentation and diagnostic results to extract data and assign ICD-10-CM and CPT codes using 3M encoding/abstracting software. Performed claim edit corrections and adhered to AAPC ethical coding standards.
Outpatient HIM Coder
Conifer Health
Aug 2015 - Jul 2024 (8 years 11 months)
Reviewed clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT codes using official guidelines. Entered procedure and diagnostic information via the 3M encoding/abstracting program, completed claim review edits, and followed AAPC ethical coding standards.
Outpatient HIM Coder
Berkshire Health Systems
Nov 2007 - Jul 2015 (7 years 8 months)
Reviewed clinical documentation and diagnostic results to assign ICD-9-CM and CPT codes using official guidelines. Coded emergency department, endoscopy, same-day surgery, and observation stay encounters using 3M encoding/abstracting and followed AAPC ethical coding standards.
Patient Accounts Biller
Berkshire Medical Center
Jan 2006 - Nov 2007 (1 year 10 months)
Researched and analyzed self-pay balances and contacted patients to determine insurance coverage eligibility. Assisted with payment plan setup and prepared reports to document trends and outstanding issues for management.
Education
Degrees, certifications, and relevant coursework
MCManchester Community College
Associate's degree, Business Administration
Completed 3 semesters toward an associate’s degree in Business Administration.
American Academy of Professional Coders (AAPC)
AAPC Certified Outpatient Coder–Hospital, Medical Coding
2011 -
Earned AAPC Certified Outpatient Coder–Hospital credential in January 2011.
Availability
Location
United StatesAuthorized to work in
Job categories
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