Brandy Vaughn
Simpsonville,SC
Summary
CPC-A certified medical coding professional with 6+ years of experience in insurance verification, patient services, and medical records. Proficient in CPT, ICD-10, HCPCS coding, EHR systems, and HIPAA compliance. Committed to improving healthcare workflows and ensuring accurate documentation.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Patient Services Representative
Prisma Health Pediatric Upstate Specialties
Greenville, SC
08.2022 - Current
- Assisted patients with medical billing inquiries and follow-up scheduling
- Resolved 20+ claim errors per day in billing workflows to ensure timely reimbursement
- Coordinated maternal/fetal echocardiogram referrals with regional providers
- Handled high-volume incoming calls, delivering professional and efficient service
- Transcribed practitioner diagnoses to improve accuracy of medical record documentation
- Uploaded critical data into EPIC system, ensuring precise chart entries and billing integrity
- Collaborated with coding staff to verify patient demographics and echo interpretations
Referral Coordinator & Patient Services Representative
Prisma Health Pediatrics
Greenville, SC
01.2019 - 07.2022
- Managed referrals across multi-specialty practices; reduced delays through proactive communication
- Verified insurance, processed payments, and scheduled appointments
- Ensured check-in documentation compliance; clarified policies and obtained patient consent
Education
Associate Degree - Administrative Office - Medical Concentration
01.2018
- Cum Laude
- GPA: 3.6
Certificate - Physician Practice Specialist
01.2019
Certificate - Medical Clerical
01.2018
Skills
- CPT
- ICD-10
- HCPCS II Coding
- EHR Management
- Claims Resolution
- Patient Registration
- Referral & Authorization Coordination
- Insurance Verification & Billing
- HIPAA Compliance
- Medical Terminology & Anatomy
- Attention to Detail
Certification
- AAPC CPC-A Certified
- CPC Exam Prep Course, 80 Hours, 97.8%, 04/25
- AAPC Practicode, Enrolled, 600 coding scenarios
- Certified Medical Coding Professional
References
Available upon request
Timeline
Patient Services Representative - Prisma Health Pediatric Upstate Specialties
08.2022 - Current
Referral Coordinator & Patient Services Representative - Prisma Health Pediatrics
01.2019 - 07.2022
Greenville Technical College - Associate Degree, Administrative Office - Medical Concentration
Greenville Technical College - Certificate, Physician Practice Specialist
Greenville Technical College - Certificate, Medical Clerical
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