Barbara Dozier
Copperas Cove,TX
Summary
Risk adjustment coder specializing in ICD-10 and HCC coding accuracy with strong HIPAA compliance. Conducts chart review documentation validation to support compliant Medicare Advantage claims. Delivers timely claims support with consistent, audit-ready documentation.
Overview
1
1
Certification
4
4
years of professional experience
Work History
Medicare Risk Adjustment Coder (Remote)
InnovaCare Health
Orlando, Florida
11.2024 - 09.2026
- Submitted claims through medical billing systems and payer portals.
- Maintained accurate data entry across medical billing workflows.
- Verified patient details carefully to support billing accuracy.
- Coordinated with healthcare providers to address and resolve billing inquiries.
- Worked closely with team members to streamline billing processes and improve efficiency.
- Participated in team meetings to discuss challenges and share best practices.
- Processed medical billing claims in accordance with industry regulations and guidelines.
- Reviewed and submitted claims, facilitating timely reimbursement from insurance companies.
- Reviewed insurance claims for accuracy and missing information.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Collaborated closely with other departments to resolve claims issues.
- Conducted reviews of member charts to ensure accurate coding. for risk adjustment coding accuracy.
- Coded diagnoses using ICD-10 guidelines and payer requirements.
- Validated documentation against provider notes and clinical records to ensure accuracy.
- Flagged chart gaps for provider clarification and follow-up.
- Applied risk adjustment edits for healthcare organization compliance.
- Communicated coding questions with clinical and compliance teams.
- Monitored coding changes for Medicare Advantage documentation standards.
Accounts Receivable Analyst
Anthony’s Medical & Chiropractic Center.
Temple, Texas
07.2024 - 10.2024
- Posted insurance remittances in accounts receivable records.
- Followed up on denied claims with payers and patients.
- Resolved billing discrepancies across accounts to ensure accurate patient billing and timely payments.
- Reviewed patient balances and updated account notes.
- Researched disputed invoices and payments.
- Worked with other departments when needed to resolve billing issues quickly and efficiently.
- Processed incoming cash receipts according to company policies.
- Prepared monthly reports summarizing account activity, including aging analysis and outstanding balance summaries.
- Kept accurate records of all accounts receivable activity for audit purposes.
- Verified and posted account transactions while providing weekly and monthly AP aging reports to senior management and keeping accounting ledgers current.
- Developed collection process improvements that streamlined operations and enhanced customer satisfaction.
- Followed applicable laws, regulations, accounting standards, and internal controls related to accounts receivable processes.
- Reviewed customer payment plans and payment history to effectively research and resolve delinquent accounts.
- Oversaw monthly financial activity to ensure accuracy and compliance. and managed vendor invoicing to prepare financial reports.
Remote Coding Quality Analyst (Contract)
United Health Group
Orlando, Florida
10.2022 - 01.2023
- Reviewed medical codes for UnitedHealth Group claims accuracy and compliance.
- Reviewed coding documentation to ensure accuracy and completeness.
- Reviewed documentation to verify diagnosis and procedure assignments.
- Identified coding errors in medical files during review process. in UnitedHealth Group medical files.
- Tracked recurring coding issues to inform process improvement discussions.
- Prepared quality findings for UnitedHealth Group compliance reporting.
- Documented code review findings to highlight areas for development process improvement.
- Supported root cause analysis when defects were found during testing phases.
- Applied secure coding best practices across projects.
- Followed industry standards for coding quality assurance work.
- Assigned patients to diagnosis-related groups using computer software.
- Responded to inquiries and addressed requests with exceptional customer service. and handled requests with helpful service.
Education
Associate of Arts - Health Information Technology
Central Florida College
Winter Park, FL02-2006
Skills
- ICD-10 coding
- Risk adjustment coding
- HCC coding
- Medical record review
- Payer guidelines
- Claims adjudication
- Insurance billing
- Chart auditing
- Medicare compliance
- Revenue cycle management
- Analytical thinking
- Attention to detail
- Problem solving
- Cross functional collaboration
- Deadline oriented approach
- Medical coding expertise
- Healthcare reimbursement
- Medical billing procedures
- ICD-10 proficiency
- Diagnostic coding accuracy
- HCC coding experience
- Electronic health records management
- Clinical documentation review
- Medical terminology mastery
- Continuous learning attitude
- Process improvement strategies
- Risk adjustment principles
- HIPAA compliance
- CMS guidelines
- Negotiation strategies
- Staff training
- Quality assurance practices
- Medical record auditing
- Procedural coding precision
- Medical Software Familiarity
- Medical coding certification
- Medical Regulations
- Data analysis
- Microsoft Excel
- Inpatient outpatient records
- Professional communication
- Report preparation
- Electronic health record specialist (CEHRS)
- Certified health data analyst
- Claims validation
- Insurance verification
- Denial resolution
- Compliance auditing
- Accounts receivable
- Medical billing systems
Certification
- Certified Professional Coder
Timeline
Medicare Risk Adjustment Coder (Remote)
InnovaCare Health
11.2024 - 09.2026
Accounts Receivable Analyst
Anthony’s Medical & Chiropractic Center.
07.2024 - 10.2024
Remote Coding Quality Analyst (Contract)
United Health Group
10.2022 - 01.2023
Associate of Arts - Health Information Technology
Central Florida College