Brenda Henley
Overview
19
19
years of professional experience
Work History
Charge Associate/Coder
PACIFIC MEDICAL DATA SOLUTIONS
01.2019 - 04.2021
- Review documentation to ensure coding by provider is supported
- Ensure that all coding rules and use of CPT and ICD codes with appropriate modifiers are selected
- Assist all staff with coding
- Review all denied claims for possible CPT or ICD code revision
- Adhere to contractual requirements of Medicare, Medicaid and managed care plans.
Patient Acct Rep
HCA, DENVER INTERNATIONAL SPINE CENTER
05.2017 - 08.2018
- Verification of insurance benefits (co-pay, out of pocket, network, and deductible), and verification of Medicaid eligibility for each new patient
- Required verification of proper CPT coding, and correct application of insurance provider payment, ensuring the patient liability is correct
- Collecting prepayment for surgical procedures, explaining benefits to patients, and providing information regarding other surgical associated billers
- Checking schedule of patients daily to ensure the possible collection of past due amounts
- Receiving incoming callers and providing answers, including scheduling, billing and cancellations
- Able to work both check-in and check-out front desk positions
- Knowledge of ledger system, and verbally competent to explain patient liability
- Awareness of CPT procedures and guidelines to verify that charges and payment are assigned appropriately.
Administrative II, Employment Appeals Unit
COLORADO DEPARTMENT OF LABOR AND UNEMPLOYMENT
02.2017 - 04.2017
- Transcribe dictation from hearing officers regarding appealed cases
- Once approved I assigned signature, prepare copies and mailed to claimant
- Worked with Salesforce software
- Filing, scanning, mailings and purging documentation.
Senior Mapping Specialist/Coder - REMOTE
INTELLIGENT MEDICAL OBJECTS
01.2015 - 07.2015
- Create and maintain mappings between Terminologies and Classification Systems for national and international vendors
- Batches were assigned by supervisor to control work load
- Responsible for one quarterly release to vendor 100% error free.
Consultant/Coder
INT'L HEALTH TERMINOLOGY STANDARDS DEVELOPMENT ORG
06.2014 - 12.2014
- Contracted to aid in completion of mapping project SNOMED CT to ICD-10.
Clinical Mapping Analyst/Coder
HEALTH LANGUAGE
03.2014 - 05.2014
- One-time contract to map project for IHTSDO -SNOMED to ICD-10
Clinical Mapping Specialist/Coder
SNOMED TECHNOLOGY SERVICES
12.2001 - 10.2012
- Designed, developed and created equivalence and reimbursement rule-based maps from SNOMED-CT to ICD-9-CM, ICD-10-CM/PCS, and CPT
- Responsible for preparation of training documentation for new-hires
- Prepared mapping/coding guidelines for AMA project
- Other projects completed for Mayo Clinic, AORN, CPT, and National Library of Medicine, Marshfield project
- Privileged to be selected to work on special project for IHTSDO involving mapping/coding
- Active member of National SNOMED working group
- Increase of $460,512 in consulting revenue.
Education
Associates in Health Information Management -
ARAPAHOE COMMUNITY COLLEGE
Littleton, COAssociates in Medical Transcription -
NATIONAL AMERICAN UNIVERSITY
Rapid City, SDSkills
- Billing (10 years)
- Medical Billing
- Collections
- Accounts Receivable
- Claims
- ICD Coding (10 years)
- CPT Coding (10 years)
- Outlook
- Accounting
- Data Entry
- Training
- CPT
- Quickbooks
- Receptionist
- ICD-9
- ICD-10
- Excel
- Coding
- Microsoft Office
- Microsoft Excel
- Epic
- Filing
- Accounts Payable
- Medical Coding
- Medical Records
- Physiology Knowledge
- EMR Systems
- Customer Service
- Anatomy Knowledge
- Insurance Verification
- HIPAA
- Hospital Experience
- Medical Office Experience
- Medical Receptionist
- Transcription
- Medical Terminology
Timeline
Charge Associate/Coder
PACIFIC MEDICAL DATA SOLUTIONS
01.2019 - 04.2021
Patient Acct Rep
HCA, DENVER INTERNATIONAL SPINE CENTER
05.2017 - 08.2018
Administrative II, Employment Appeals Unit
COLORADO DEPARTMENT OF LABOR AND UNEMPLOYMENT
02.2017 - 04.2017
Senior Mapping Specialist/Coder - REMOTE
INTELLIGENT MEDICAL OBJECTS
01.2015 - 07.2015
Consultant/Coder
INT'L HEALTH TERMINOLOGY STANDARDS DEVELOPMENT ORG
06.2014 - 12.2014
Clinical Mapping Analyst/Coder
HEALTH LANGUAGE
03.2014 - 05.2014
Clinical Mapping Specialist/Coder
SNOMED TECHNOLOGY SERVICES
12.2001 - 10.2012
Associates in Health Information Management -
ARAPAHOE COMMUNITY COLLEGE
Associates in Medical Transcription -
NATIONAL AMERICAN UNIVERSITY