ANDRE R. LEE
Peachtree City,GA
Summary
Coding Supervisor and Medical Auditor with extensive experience in medical coding, denial management, and revenue cycle optimization. Proven ability to reduce denials, improve coding accuracy, streamline workflows, and lead high-performing teams. Expert in CPT, ICD-10, HCPCS, reimbursement guidelines, compliance, documentation accuracy, and payer requirements. Strong background in training, onboarding, auditing, and provider collaboration across urgent care and specialty environments.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Coding Supervisor
Fourwinds Health
07.2024 - Current
- Managed coding activities for multiple urgent care sites, prioritizing accuracy and adherence to compliance standards while optimizing workflow efficiency.
- Created and launched a detailed step-by-step onboarding and training initiative focused on elevating coder competency and streamlining the onboarding process.
- Created and implemented standard work instructions (SWI) and workflow documentation to ensure consistency and improve overall efficiency.
- Conducted personalized coaching sessions and skills training to elevate team coding accuracy and expertise.
- Reviewed and applied appropriate ICD-10-CM, CPT, and relevant codes for various office visits and diagnoses, optimizing coding efficiency in a production setting.
- Analyzed denial trends and developed solutions that led to a 94% reduction in denials, thereby boosting revenue recoupment and elevating coding standards.
- Engaged with RCM leadership to investigate denial root causes and develop strategies for workflow improvement.
Medical Records Auditor
Mitchell International
08.2023 - Current
- Performed comprehensive evaluations of medical records to uphold regulatory compliance and quality assurance.
- Perform routine and focused audits of medical records for: ICD-10-CM, CPT, and HCPCS accuracy Correct E/M level selection Modifier usage
- Medical necessity and documentation support
Identify overcoding, undercoding, unbundling, and missed charges. - Prepare audit reports summarizing findings, error trends.
- Created comprehensive training resources to ensure adherence to best practices in record-keeping.
- Demonstrates ability to identify and communicate trends in provider coding and documentation.
Medical Coding Denial Specialist
Fourwinds Health
01.2022 - 01.2024
- Conducted comprehensive ICD-10 and CPT coding for various urgent care facilities to maintain compliance with payer and regulatory requirements.
- Conducted thorough denial research and corrected coding discrepancies to ensure accurate claims processing and maximize reimbursements.
- Addressed clearinghouse rejections on a daily basis to ensure accurate cash posting and coding processes.
- Coordinated efforts with billing and RCM teams to optimize workflows and improve claim accuracy.
Patient Service Representative (Front Desk)
Piedmont Urgent Care WSK
01.2021 - 01.2022
- Checked in patients, verified insurance, collected payments, and ensured positive patient experience.
- Documented patient information accurately in the EMR.
- Maintained HIPAA compliance and supported clinical staff as needed.
Billing Specialist
Veterans Medical Transport
01.2019 - 01.2021
- Managed billing functions including coding, charge entry, payment posting, and insurance verification.
- Prepared CMS-1500 forms and researched payer policies to ensure accurate claim submission.
- Supervised a 10-member billing team and maintained 24-hour claim turnaround.
- Supported implementation of new practice management software.
Billing Manager
Trade-link Network USA
01.2015 - 01.2019
- Oversaw billing operations, reviewed claims for accuracy, and maintained compliance with billing regulations.
- Processed workers’ compensation and other specialty claims using appropriate guidelines.
- Managed appeals, reconsiderations, and PPO contract application.
- Ensured accurate records and resolved billing discrepancies.
Office Assistant
Trade-link Network USA
01.2015 - 01.2015
- Managed incoming mail, organized records, and assisted with billing documentation.
- Supported leadership with reports, presentations, and confidential communication.
Customer Service / Receptionist
St. Catherine Health Services
01.2012 - 01.2014
- Provided front desk and clerical support in a healthcare environment.
Associate
Jenny Jenny Productions
Kingston, Jamaica
01.2011 - 01.2014
Education
High School Diploma - undefined
Eltham High School
St. Catherine, Jamaica W.I.01.2006
Skills
- Epic
- Smart Advisor
- Microsoft Excel
- Microsoft Word
- MS Office Suite
- QuickBooks
- MD-Online
- Availity
- Coding Encoders
- Practice Management Systems
- EMR/EHR Platforms
Certification
- AAPC Certifications – License (1581590)
- Certified Professional Coder (CPC)
- Certified Professional Biller (CPB)
- Certified Professional Medical Auditor (CPMA)
- Anatomy Certification (2018)
- Medical Terminology Certification (2018)
Timeline
Coding Supervisor
Fourwinds Health
07.2024 - Current
Medical Records Auditor
Mitchell International
08.2023 - Current
Medical Coding Denial Specialist
Fourwinds Health
01.2022 - 01.2024
Patient Service Representative (Front Desk)
Piedmont Urgent Care WSK
01.2021 - 01.2022
Billing Specialist
Veterans Medical Transport
01.2019 - 01.2021
Billing Manager
Trade-link Network USA
01.2015 - 01.2019
Office Assistant
Trade-link Network USA
01.2015 - 01.2015
Customer Service / Receptionist
St. Catherine Health Services
01.2012 - 01.2014
Associate
Jenny Jenny Productions
01.2011 - 01.2014
High School Diploma - undefined
Eltham High School