Results-driven senior healthcare coding specialist and HIM professional with 15+ years of progressive experience in coding operations, developing high-performing teams, and driving compliance across complex healthcare systems. Proven track record of managing coding workflows, mentoring staff, and implementing process improvements that optimize revenue cycle performance and coding accuracy. Deep expertise in CPT, ICD-10-CM/PCS, HCPCS, and DRG coding methodologies, combined with strong knowledge of U.S. healthcare policy, physician and facility reporting, and emerging technologies including healthcare AI. Skilled at partnering with physicians, specialty societies, clinical leadership, and cross-functional stakeholders to advance coding quality and education initiatives. Committed to building collaborative teams, ensuring regulatory compliance, and elevating organizational performance through data-driven decision-making.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Healthcare Coding Consultant
Atheneum Partners, AlphaSights
New York, NY
01.2023 - Current
Developed and implemented coding solutions for diverse client projects, enhancing operational efficiency.
Spearheaded initiatives for adopting new technologies, driving innovation within the consulting team's service offerings.
Senior Healthcare Coding Analyst
American Medical Association
Chicago, IL
04.2016 - Current
Team lead for coding educators that write monthly coding articles and Q&As published in the AMA’s publication CPT Assistant.
Collaborative review and coordination in publishing the American College of Radiology’s quarterly publication Clinical Examples in Radiology.
Timely maintenance of online learning content development for the AMA’s Ed Hub platform.
Content reviewer for AMA’s publication of Principles of CPT Coding, 9th ed.
Contributing author for AHIMA’s 4th and 5th ed. publications of Healthcare Code Sets, Clinical Terminologies, and Classification Systems textbooks.
SME for educational content developed for eLearning partnerships with Elsevier and Optum.
Close collaboration with the American Hospital Association’s curation of coding material for Coding Clinic.
Resolving over 150 complex coding inquiries received annually on the AMA’s CPT Knowledge Base or CPT Network online platform.
Active participation in annual meetings of the CPT Editorial Panel and CPT Assistant Editorial Board, creating coding content for annual CPT Symposiums, E/M publications (E/M Compendium, Companion), webinars and other events.
Directed cross-functional technical teams to enhance enterprise coding solutions, including accurate ICD-10-PCS and DRG coding, CPT-to-SNOMED and LOINC interoperability, and AI model training for coding scenarios—resulting in measurable improvements in accuracy, integrity, and efficiency.
Developed and maintained coding guidelines, ensuring compliance with regulatory standards and best practices.
Mentored junior analysts, providing guidance on complex coding scenarios and promoting professional growth within the team.
Disability Claims Specialist
Lincoln Financial Group
Atlanta, GA
11.2015 - 03.2016
Assessed and processed STD and LTD disability claims ensuring adherence to company policies and state regulations using online case management systems and policy data, verifying eligibility, calculating benefits, and updating case status with legal and medical staff.
Applied medical record review, benefits analysis, contract terms and financial risk assessment skills to deliver strong customer service and timely communication in claims processing.
Senior Health Information Technician
Kaiser Permanente
Atlanta, GA
05.2010 - 10.2015
Served as Team Lead for coding operations and performance improvement initiatives, providing mentorship and training to new hires on DRGs, ICD-9/10, and HCPCS coding standards.
Managed Epic EHR data queries and revenue cycle analytics, maintaining dashboard metrics to support organizational decision-making.
Developed and maintained standard operating procedures (SOPs) and training resources that improved team consistency and compliance.
Oversaw processing of STD and LTD claim form applications, billing claims management, medical records fulfillment, and document production for legal discovery.