Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Cheryl Foley

Scottsdale,AZ

Summary

Dynamic medical coder with extensive experience at Dignity Health St Joseph's Medical Center, excelling in coding accuracy and compliance. Proven ability in claims processing and patient eligibility verification, coupled with strong problem-solving skills. Adept at collaborating with healthcare providers to enhance documentation quality and reduce claim denials.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Coder 11

Dignity Health St Joseph's Medical Center
Phoenix, Arizona
06.2018 - Current
  • Review medical documentation for accuracy and compliance with coding standards.
  • Assigned appropriate codes to diagnoses and procedures for billing purposes.
  • Collaborate with healthcare providers to clarify ambiguous documentation.
  • Maintain up-to-date knowledge of coding regulations and payer requirements.
  • Coder for Internal Medicine, Gastroenterology, Endocrinology, Infectious Disease, Radiology, Hepatology, and neurology.

Coder 1

HonorHealth
Phoenix, Arizona
04.2015 - 04.2018
  • Coded primary care, laboratory and pathology

Selected CPT/ICD 10 codes for all aspects of primary care visits, wellness visits, lab draws, immunizations, and therapeutic injections for this Federally Qualified Health Center. I also extrapolated codes for all aspects of lab and pathology.

  • Worked closely with providers to clarify documentation and provider education.
  • Reviewed denied claims for possible coding errors.
  • Covered in other areas such as GI, heart and other specialties for coder cations, illnesses or leave.

AR Representative

HonorHealth
Phoenix, Arizona
09.2014 - 04.2015
  • Called Insurance companies to follow up on claim status
  • Answered patient questions regarding billing.
  • Adjudicating and posting payments.
  • Verify Insurance

Billing Manager/Coder

Airpark Medical Center
Scottsdale, Arizona
02.2006 - 09.2014
  • ICD-9 and CPT coding and billing.
  • Adjudicate and post insurance and patient payments
  • Submitted claims electronically and on paper.
  • Prepared month end reports.
  • Insurance and patient follow up
  • Verify patient Eligibility
  • Oversee the general running of the office, troubleshooting and covering the other positions in the office as necessary

Education

Bachelor of Science - Health Education

Worcester State College
Worcester
05-2000

Skills

  • medical coding
  • claims processing
  • billing compliance
  • document review
  • healthcare regulations
  • patient eligibility verification
  • insurance follow-up
  • customer billing inquiries
  • problem solving
  • attention to detail
  • time management
  • team building

Certification

  • Certified Professional Coder

References

References available upon request.

Timeline

Coder 11

Dignity Health St Joseph's Medical Center
06.2018 - Current

Coder 1

HonorHealth
04.2015 - 04.2018

AR Representative

HonorHealth
09.2014 - 04.2015

Billing Manager/Coder

Airpark Medical Center
02.2006 - 09.2014

Bachelor of Science - Health Education

Worcester State College
Cheryl Foley
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