Andrea Koos
Bellevue
Summary
Coding Configuration Specialist skilled in auditing documentation for accurate coding and enhancing departmental efficiency through education. Adept at analyzing payer policies and implementing claim scrubber edits, while fostering effective communication with patients and staff to resolve billing inquiries.
Overview
2027
2027
years of professional experience
1
1
Certification
Work History
Coding Configuration Specialist
Medical Associates Clinic, P.C.
Dubuque, IA
2019 - Current
- Review insurance denials, making coding changes based on provider documentation and/or write appeal letters to support the billed charge(s)
- Identify trends based on payer policies, and create claim scrubber edits to prevent future denials
- Communicate regularly within our team as well as other departments regarding updates/changes and provide education and training
- Assess patient inquiries regarding billing, updating coding when appropriate and providing explanation of billed charges to staff and patients
- Maintain the Payer Contracts for both Medical Associates Clinic and Tri-State Surgery Center
- Most recently, assisted with the SSI conversion, creating and maintaining informational documents for both Oracle and SSI, reduced total number of health plans used at MA to simplify the insurance set-up process, and currently working with SSI to create necessary edits to improve our claim scrubber program
Insurance Clerk II
Medical Associates Clinic, P.C.
Dubuque, IA
2015 - 2019
- Performed payment posting, including electronic remittances and manual batches
- Ensured open balances from Finance were resolved in a timely manner
- Served as a lead for the posting team, researching issues and providing education on changes affecting the role
- Reviewed incomplete encounters (credit balance, EOB variance, etc.) and resolved any issues
Registration & Reception Associate
Medical Associates Clinic, P.C.
Dubuque, IA
2014 - 2015
- Registered patients, updating demographic and insurance information
- Verified insurance eligibility, and communicated with Patient Accounts regarding any coverage issues in a timely manner
- Attended Cerner Super User training, and provided training and support to other registration/reception associates during the transition to Cerner
- Communicated regularly with patients in a calm and pleasant manner
Education
Bachelor of Arts - Health And Human Physiology, Health Promotion
University of Iowa
12-2012
Skills
- Auditing documentation for appropriate coding
- Reviewing and understanding policies
- Improving efficiency within the department through workflows and education
- Time management
Certification
CPC
Timeline
Coding Configuration Specialist
Medical Associates Clinic, P.C.
2019 - Current
Insurance Clerk II
Medical Associates Clinic, P.C.
2015 - 2019
Registration & Reception Associate
Medical Associates Clinic, P.C.
2014 - 2015
Bachelor of Arts - Health And Human Physiology, Health Promotion
University of Iowa