Christy Turner
Connelly Springs,NC
Summary
Experienced Medical Auditor with six years of expertise in reviewing medical claims and ensuring compliance with coding standards. Brings over 20 years of hands-on experience as a medical assistant with extensive medical knowledge. Proficient in identifying billing errors and optimizing revenue integrity, while dedicated to boosting operational efficiency and reimbursement outcomes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Auditor/Denials Specialist
Weller HIT (University of Louisville Medical Center)
01.2023 - Current
- Conducts detailed audits of outpatient claims to ensure compliance with ICD-10-CM, CPT, and HCPCS coding standards.
- Identifies and corrects coding errors, reducing billing discrepancies and improving reimbursement accuracy.
- Reviews payer-specific guidelines to ensure proper claim submission and minimize rejections.
- Reviews CMS manuals and LCD/NCD policies relevant to services.
- Conducts detailed reviews as part of RARC audit cycle.
- Collaborates with coding teams to provide education on documentation improvement and coding guidelines.
- Prepares reports and supporting documentation for audit findings.
- Reduces financial risk by detecting and addressing errors in medical billing and coding practices.
- Stays current with CMS coding and billing regulations, NCCI edits, and payer policy changes to ensure coding integrity.
Medical Auditor Edit/Denials Specialist
Lexicode (Orlando Healthcare)
01.2019 - 01.2023
- Conducted comprehensive claim reviews to validate coding accuracy, ensuring proper reimbursement for services rendered.
- Corrected coding errors to ensure accurate reimbursement.
- Collaborated with billing departments to resolve claim denials and implement corrective actions.
- Utilized claims editing software (e.g., 3M, EPIC) to validate coding accuracy and potential compliance issues.
- Stayed current with AHA Official Coding and Reporting Guidelines, Coding Clinics, ICD-10-CM/PCS, and CPT/HCPCS changes to ensure coding integrity.
- Operated as backup Medical Coder for all Outpatient Departments (e.g., ED, Recurring, Ancillary, OBS, SDS, Wound Care, Oncology, Pain Management), maintaining a 99% coding accuracy rate.
Medical Coding Specialist
Frye Regional Medical Center
10.2016 - 01.2019
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
- Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
- Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
- Promoted a collaborative work environment through effective communication and teamwork among fellow Medical Coding Specialists.
- Supported accurate reimbursement rates for services rendered by applying appropriate modifiers when necessary during the coding process.
Registered Medical Assistant
Piedmont Plastic Surgery and Dermatology
09.2010 - 10.2016
- Ensured accurate coding in compliance with payer guidelines and reducing claim denials.
- Documented complete information about examinations, treatment plans, diagnosis, and prescriptions.
- Maintained strict confidentiality while handling sensitive patient information in accordance with HIPAA guidelines.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Prepared lab specimens for diagnostic evaluation.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
Education
Associate of Applied Science - Health Information Technology
DeVry University
Chicago, IL05-2016
Skills
- ICD-10/CPT/HCPCS proficiency
- Medical record review
- HIPAA compliance
- Compliance monitoring
- Auditing techniques
- Revenue cycle management
- Certification maintenance
- Medicare/Medicaid guidelines
- Teamwork and collaboration
- Microsoft Applications
- EHR-Epic, Cerner, Allscripts
- Claims Denials Review
- Time management
- Attention to detail
- Effective communication
Certification
RHIT #0048727
Timeline
Medical Auditor/Denials Specialist
Weller HIT (University of Louisville Medical Center)
01.2023 - Current
Medical Auditor Edit/Denials Specialist
Lexicode (Orlando Healthcare)
01.2019 - 01.2023
Medical Coding Specialist
Frye Regional Medical Center
10.2016 - 01.2019
Registered Medical Assistant
Piedmont Plastic Surgery and Dermatology
09.2010 - 10.2016
Associate of Applied Science - Health Information Technology
DeVry University
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