Nathan Udogwu

About Nathan Udogwu

Certified Medical Coding Specialist and Care Coordination Professional with 7+ years of experience in healthcare administration, medical coding (ICD-10, CPT, HCPCS), and patient care coordination. Proven expertise in ensuring accurate coding for billing compliance, optimizing reimbursement, and reducing claim denials. Expertise in collaborating with physicians, nursing staff, and insurance providers to streamline workflows, improve care transitions, and enhance patient outcomes. Adept at using EMR/EHR systems (Epic, Cerner, Meditech) and maintaining strict adherence to HIPAA regulations. Recognized for strong analytical, communication, and problem-solving skills with a track record of supporting both clinical and revenue cycle efficiency.7+ years in medical coding, care coordination, and healthcare administration.Proficient in ICD-10, CPT, HCPCS, DRG assignment, and HCC coding.Experienced in prior authorizations, patient scheduling, and care plan management.Strong knowledge of insurance guidelines, CMS regulations, and quality reporting measures.Collaborative team player with proven ability to bridge gaps between clinical staff, patients, and payers.

Experience

1. Medical Coding Specialist Clinical Trial Associate

   Premier Research

   Jan 2021 — Present

   Ensure coding compliance with CMS, AHA, and hospital guidelines, reducing coding-related claim denials by 20%.• Review and assign accurate ICD-10-CM, CPT, and HCPCS codes for inpatient, outpatient, and emergency services, consistently maintaining 95%+ audit accuracy.• Perform E/M leveling, injections/infusions, and apply NCCI edits with appropriate modifiers (25, 59, X) to ensure compliance and maximize reimbursement.• Utilize Epic, 3M Encoder, and eCharms to process records efficiently, maintaining high productivity while meeting daily and monthly coding targets.• Collaborate with physicians and clinical staff to improve documentation quality, reducing coding-related claim denials by 20%.• Support internal and external audits, ensuring adherence to HIPAA, CMS, and AHA coding guidelines.• Collaborate with physicians and clinical staff to clarify documentation, improving coding accuracy and completeness.• Utilize EMR/EHR systems (e.g, Epic, Cerner) to process and update patient records efficiently.• Support audits and compliance reviews, consistently achieving high audit pass rates.

Education

• Ternopil State Medical University

  Medical Doctor

  2010 — 2016