Certified Medical Coder with 4+ years of healthcare coding experience specializing in professional-fee, outpatient, and multispecialty coding. Skilled in ICD-10-CM, CPT, E/M leveling, charge capture, documentation review, coding guidelines.
Overview
1
1
Certification
4
4
years of professional experience
Work History
Coding and Compliance Specialist
Ensource RCM
06.2025 - 03.2026
Analyze and assign ICD-10-CM, CPT, and modifiers across multispecialty clinic, home health and hospice, and ED facility and profee multispecialty clinic encounters.
Perform E/M leveling using current E/M guidelines, including Medical Decision Making (MDM) and time-based coding, to support accurate charge capture and reduce audit risk.
Collaborated with clinical teams to clarify ambiguous notes, accelerating clean claims and improving payer acceptance.
Maintain up-to-date coding references and guideline interpretations to ensure consistent application and minimize downstream corrections.
Eliminated 14-day queue bottleneck by processing 200+ backlogged items within initial weeks of onboarding at 96% accuracy.
Coding Advocate
Trubridge Inc
06.2024 - 01.2025
Entered and validated physician charges for professional services, ensuring accurate linkage of CPT/HCPCS procedures, modifiers, and ICD-10-CM diagnoses to the appropriate encounter type.
Conducted documentation compliance review for FQHC Indian Health Services and behavioral health encounters, ensuring adherence to regulatory standards.
Maintained 100% accuracy across assigned coding reviews.
Designed streamlined coding checklists tailored to FQHC and behavioral health workflows, improving reviewer consistency and reducing documentation follow-ups.
Certified Medical Coder
Kiwi-Tek LLC
04.2022 - 06.2024
Performed ProFee coding for family medicine, general surgery, dermatology, and emergency department encounters.
Reviewed and validated demographic, provider, and clinical data to maintain claim integrity and accuracy.
Ensured compliance with Medicare and Medicaid coding policies, LCDs, and NCDs to uphold regulatory standards.
Consistently achieved 97%+ accuracy while meeting and exceeding established productivity and quality standards.
Appealed coding discrepancies with evidence-based rationale, increasing claim acceptance rates.
Education
Associate of Applied Science - Health information technology
Moraine Park Technical College
Skills
ICD-10 CM, CPT, HCPCs
Professional Fee Coding
Outpatient Coding
Charge capture
HCC validation
Documentation review
LCD/NCD
Medical Decision Making (MDM)
Cerner, EPIC, Optum, TruBridge CPSI
Encoder Software
Interdisciplinary Communication
Certification
CPMA
CCS
CPC
RHIT
Timeline
Coding and Compliance Specialist
Ensource RCM
06.2025 - 03.2026
Coding Advocate
Trubridge Inc
06.2024 - 01.2025
Certified Medical Coder
Kiwi-Tek LLC
04.2022 - 06.2024
Associate of Applied Science - Health information technology