DIANNE DIBELLA
Lowell
Summary
Professional Coding Specialist skilled in medical surgical coding, data analysis, and compliance with healthcare regulations. Strong focus on teamwork and achieving results. Reliable and adaptable to changing needs. Proficient in ICD-10, CPT, and HCPCS coding, with keen eye for accuracy and efficiency.
Overview
53
53
years of professional experience
Work History
SURGICAL CODING SPECIALIST
REVERE MEDICAL/STEWARD MEDICAL GROUP/STEWARD HEALTHCARE/CARITAS CLINIC PATIENT FINANCIAL SERVICES
07.1999 - 10.2025
- Responsible for the assignment and quality control of CPT, ICD-10 CM, HCPCS, and modifier-related coding functions / activities. Responsible for reviewing and assisting in the creation of billing source documents. Reviews insurer remittances / denials to ensure reimbursement maximization. Acts as primary coding expert and resource for all company clients and employees and provides written responses to researched coding questions. Direct interaction with Compliance Department regarding real and suspect risks and exposures.
- (formerly - Physician Practice Support, Inc.)
HIM CERTIFIED CODER
HEALTHSOUTH N.E. REHABILITATION HOSPITAL
09.2002 - 12.2002
- Part-time. Classifies diseases and procedures according to established guidelines and coding systems (ICD-9-CM) for the purpose of providing quality data for reimbursement, statistical reporting, comparative analysis, and regulatory requests.
PHYSICIAN BILLING CODER
PENTUCKET MEDICAL ASSOCIATES
08.2005 - 12.2005
- Part-time – per diem. Classifies diseases and procedures according to ICD-9-CM and CPT guidelines for multi-specialty physician practices.
CLINICAL INFORMATION SERVICES MANAGER
FRANCISCAN CHILDREN’S REHABILITATION HOSPITAL
08.1986 - 07.1999
- Manage day-to-day operations of the Medical Record Dept. Provide functional guidance to seven staff members. Involved in the evaluation and hiring process of employees. Develop/implement policies and procedures. Knowledge of JCAHO standards and regulations. Compile data required for monthly statistical reports and data for the Quality Assurance Committee of the Medical / Dental staff meetings. Accountable for overall supervision of the subpoena process. Respond to all PRO, DPW, and other authorized agency requests.
MEDICAL RECORDS CODER
WINCHESTER HOSPITAL
03.1993 - 01.1997
- Part-time. Coded and abstracted ambulatory care day surgery and outpatient services according to ICD-9-CM and CPT conventions.
HEALTH SERVICES TECHNICAL ASSISTANT II
FAMILY HEALTH PLAN OF MA.
07.1985 - 08.1986
- Designated diagnostic (ICD-9-CM) and procedural (CRVS/CPT) codes for claims processing and data analysis. Identified, investigated, and resolved problem claims. Reported and recommended a plan of action. Identified offenders of precertification policy and generated letters to same. Maintained physician files. Trained and oriented new technical assistants. Provided assistance to utilization review committee and analyzed data for special projects.
MEDICAL RECORDS CODER / ANALYST
LAWRENCE MEMORIAL HOSPITAL
02.1984 - 07.1985
- Selected appropriate diagnosis and procedural codes. Conducted in-depth analysis of medical records according to JCAHO and Hospital standards. Obtained data for surveys, research studies, and medical staff. Operated computer to input data from discharge abstracts and corrected transmission control error reports.
DATA CODER
BAY STATE P.S.R.O.
01.1976 - 01.1979
- Monitored Hospital admissions and discharges on Medicare and Medicaid patients. Compiled data from coordinators in various hospitals and performed quality review. Corrected coding errors and reviewed with coordinators by phone major changes. Prepared monthly and quarterly State and Federal reports. Corrected transaction reports for subsequent computer input.
SENIOR CLAIMS EXAMINER
BLUE CROSS / BLUE SHIELD
10.1972 - 01.1976
- Supervised activities of twenty one subordinates. Reviewed, coded, and processed encounter forms submitted from physicians for services performed. Trained and oriented new employees within claims department. Answered questions from examiners regarding all aspects of operations.
Education
Certified Physician Coder Exam -
American Academy of Professional Coders
05.2002
High School Diploma -
Stoneham High School
05.1972
Skills
- Meditech computer system
- IDX computer system
- Mednet computer system
- 3M Encoder Grouper
- Athena billing system
- Microsoft Word
- ICD-10-CM, CPT, HCPCS Code Sets
Medical Terminology and Anatomy
Timeline
PHYSICIAN BILLING CODER
PENTUCKET MEDICAL ASSOCIATES
08.2005 - 12.2005
HIM CERTIFIED CODER
HEALTHSOUTH N.E. REHABILITATION HOSPITAL
09.2002 - 12.2002
SURGICAL CODING SPECIALIST
REVERE MEDICAL/STEWARD MEDICAL GROUP/STEWARD HEALTHCARE/CARITAS CLINIC PATIENT FINANCIAL SERVICES
07.1999 - 10.2025
MEDICAL RECORDS CODER
WINCHESTER HOSPITAL
03.1993 - 01.1997
CLINICAL INFORMATION SERVICES MANAGER
FRANCISCAN CHILDREN’S REHABILITATION HOSPITAL
08.1986 - 07.1999
HEALTH SERVICES TECHNICAL ASSISTANT II
FAMILY HEALTH PLAN OF MA.
07.1985 - 08.1986
MEDICAL RECORDS CODER / ANALYST
LAWRENCE MEMORIAL HOSPITAL
02.1984 - 07.1985
DATA CODER
BAY STATE P.S.R.O.
01.1976 - 01.1979
SENIOR CLAIMS EXAMINER
BLUE CROSS / BLUE SHIELD
10.1972 - 01.1976
Certified Physician Coder Exam -
American Academy of Professional Coders
High School Diploma -
Stoneham High School