Adrienne Johnson
Dallas,TX
Summary
Accomplished Certified Professional Coder with over 10 years experience, enhancing revenue cycle efficiency by coding clean claims, resolving denied claims and reducing aged claims. Skilled in claims processing and problem-solving, I excel in multitasking and maintain meticulous attention to detail, significantly improving cash flow and client satisfaction through competent billing and coding optimizations.
Overview
11
11
years of professional experience
1
1
Certification
Work History
AR Specialist
Orthomed Staffing LLC
01.2024 - 07.2024
- Analyze trends in denied claims, identifying billing & coding opportunities for clean claims submission.
- Resolved denied Anesthesia claims in a timely manner increasing & maximize reimbursement, resolves rejected claims in clearinghouse.
- Reduced aged accounts receivable balances through diligent follow-up on outstanding claims.
- EMR, NCCI, claims corrections, denial management & appeals.
- Verify & updated insurance / COB.
- Forward pended claims to appropriate department for additional information.
- F/U claims status on payer portals & take appropriate action to resolve patient accounts.
- ASC Coding & Professional Claims.
Billing Reimbursement Specialist (Remote)
CVS Healthcare
03.2020 - 08.2022
- Strengthened cash flow management through effective monitoring of billed services and prompt collection efforts.
- Promoted efficiency in billing operations by identifying opportunities for process improvement and implementing changes as needed.
- Prevented revenue loss due to incorrect or outdated patient demographic information with regular database reviews and updates.
- Increased revenue by identifying and rectifying errors in coding, pricing, and data entry.
- Managed high volume of claim submissions while maintaining strict adherence to deadlines for optimal reimbursement results.
- Maximized reimbursements by staying current on industry regulations, payer policies, and coding updates.
- Supported financial stability of the organization by timely submission of clean claims to various payers.
Account Consultant
WageWorks
10.2019 - 01.2020
- Delivered exceptional customer service by addressing clients concerns promptly and professionally.
- Streamlined account processes for improved efficiency, reducing client response times significantly & enhancing company reputation.
- Conducted regular account reviews to assess performance, implementing adjustments as needed for optimal results.
- Maintained up-to-date knowledge of industry regulations, ensuring full compliance in all aspects of account management.
- Managed a diverse portfolio of clients, maintaining strong professional relationships and high levels of satisfaction.
Coding Analyst
Texas Oncology
07.2017 - 07.2019
- Supported departmental goals by consistently meeting or exceeding productivity expectations while maintaining high-quality work standards.
- Reviewed billing sheets to obtain daily service charges.
- Enhanced revenue cycle management processes through diligent charge entry and reconciliation tasks.
- Continuously updated professional knowledge by attending industry conferences, participating in webinars, and pursuing relevant certifications to remain at the forefront of charge capture best practices.
- Improved charge capture accuracy by meticulously reviewing EMR and identifying missing charges.
- Maintained detailed knowledge of payer-specific guidelines, ensuring all charges were submitted according to required standards.
- Optimized data quality by verifying patient information, diagnosis codes, and procedure codes before claim submission.
Revenue Validation Coordinator
NuMotion
03.2013 - 09.2017
- Correctly coded and billed medical claims for durable medical equipment.
- Reviewed patient EMR to better understand health histories, diagnoses, and treatments to accurately bill medical equipment per payer and coding guidelines.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Review and maintain updates of payer fee schedules and contracts to ensure quality assurance methodologies and documentation requirements.
- Collaborated with Revenue Integrity to improve front - end process to minimize & prevent claim denials.
Education
Medical Coding Certificate - Professional Medical Billing & Coding
St. Louis College of Health Careers
St Louis, MO12.2006
Skills
- Claims Processing
- Problem-Solving
- Time Management
- Attention to Detail
- Excellent Communication
- Organizational Skills
- Multitasking
Affiliations
- The American Academy of Professional Coders
Certification
- CPC - Certified Professional Coder
Timeline
AR Specialist
Orthomed Staffing LLC
01.2024 - 07.2024
Billing Reimbursement Specialist (Remote)
CVS Healthcare
03.2020 - 08.2022
Account Consultant
WageWorks
10.2019 - 01.2020
Coding Analyst
Texas Oncology
07.2017 - 07.2019
Revenue Validation Coordinator
NuMotion
03.2013 - 09.2017
Medical Coding Certificate - Professional Medical Billing & Coding
St. Louis College of Health Careers
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