Detail-oriented CPC-A with expertise in ICD-10-CM and CPT coding. Proven ability to accurately verify codes and process prior authorizations, ensuring compliance with healthcare regulations.
Overview
19
19
years of professional experience
Work History
Surgery Office Assistant
Bon Secours Mercy Health
Willard
07.2024 - Current
Review procedure case requests and accurately verify/assign appropriate ICD-10-CM and CPT IV codes.
Review and process prior authorization requests for outpatient infusions.
Assign appropriate HCPCS codes for infusion medications.
Correctly abstract data from medical records.
Ensure infusion is medically necessary per Medicare or commercial payer guidelines.
Excellence in communicating with healthcare providers, patients, and insurance companies.
Lead Inspector
Whirlpool Corporation
Clyde
05.2007 - 05.2024
Recruit internal talent through bidding process.
Training/Mentoring new team members.
Inspect production of units throughout shift.
Excellent skills in leadership throughout multiple departments.
Education
Certified Professional Coder Certificate - Medical Coding
AAPC
Online
02-2026
Medical Coding And Billing Certificate - Medical Coding and Billing
Tiffin University
Tiffin, OH
05-2024
Skills
Medical coding
ICD-10-CM coding
CPT coding
Healthcare communication
Data abstraction
Prior authorization processing
Timeline
Surgery Office Assistant
Bon Secours Mercy Health
07.2024 - Current
Lead Inspector
Whirlpool Corporation
05.2007 - 05.2024
Certified Professional Coder Certificate - Medical Coding
AAPC
Medical Coding And Billing Certificate - Medical Coding and Billing
Medical Coding/Surgery Scheduling/Pre and post authorizations/Eligibility and benefits/Credentialing/Office Watchman Coordinator/Clinical Tech at Cardiology Consultants, PCMedical Coding/Surgery Scheduling/Pre and post authorizations/Eligibility and benefits/Credentialing/Office Watchman Coordinator/Clinical Tech at Cardiology Consultants, PC
Certified Clinical Medical Assistant (CCMA) Plastic/Reconstructive Surgery at UofL PhysiciansCertified Clinical Medical Assistant (CCMA) Plastic/Reconstructive Surgery at UofL Physicians