Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
21
21
years of professional experience
6
6
years of post-secondary education
1
1
Certification
Work History
Medical Coder
Virginia Mason Franciscan Health
Silverdale
05.2013 - Current
Reviewed patient records for accurate coding and billing compliance.
Collaborated with healthcare providers to clarify documentation requirements.
Utilized coding software to assign appropriate codes for diagnoses and procedures.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained high accuracy rate on daily production of completed reviews.
Claims Adjuster
Kps Health Plans
Bremerton
03.2005 - 05.2010
Analyzed insurance claims to determine validity and compliance with policy guidelines.
Reviewed documentation to ensure accuracy and completeness of submitted claims.
Collaborated with healthcare providers to clarify claim details and resolve discrepancies.
Managed a high volume of claims efficiently while adhering to company protocols.