Danielle Richardson, CMC
Duncanville,TX
Summary
Adaptable and detail-oriented healthcare professional with extensive experience in medical coding, data entry, claims submission, charge entry, patient admissions, and customer service. Knowledgeable in ICD-9-CM, ICD-10-CM, and HCPCS coding systems, with a strong understanding of coding guidelines, documentation standards, and regulatory compliance. Skilled at collaborating with physicians, patients, and cross-functional teams to ensure accurate documentation, timely claims processing, and quality patient care. Proven ability to identify and resolve discrepancies, improve workflow efficiency, maintain data integrity, and support organizational goals through accuracy, compliance, and exceptional attention to detail.
Overview
12
12
years of professional experience
Work History
Billing Specialist II
UTSW
Dallas, TX
12.2021 - Current
- Analyzed, investigated, and cleared complex Epic Charge Review Workqueue edits and warnings for E&M services, diagnostic studies, and minor procedures, ensuring clean claim submission.
- Identified and corrected CPT mismatches, ICD-10-CM sequencing errors, missing modifiers, and duplicate charges to maximize revenue integrity and prevent front-end denials.
- Executed comprehensive weekly charge reconciliation protocols to identify missing or delayed charges, successfully minimizing revenue leakage.
- Demonstrated strong attention to detail by managing accurate manual charge entry for complex, non-automated clinical scenarios as required.
- Analyzed billing trends to identify areas for improvement, contributing to strategic decision-making initiatives within the department.
- Researched and resolved billing discrepancies to enable accurate billing.
- Proactively participated in monthly coding and billing in-services and continuing education to stay aligned with annual AMA, CMS, and payer-specific policy changes.
- Maintained a monthly average of 150 encounters per day.
- Adhered to six-day billing metrics.
Medical Records Coder II
Baylor Scott & White
Dallas, TX
08.2014 - 12.2021
- Accurately selected and sequenced principal and secondary diagnoses for complex outpatient records, consistently maintaining a [95%+] audit accuracy rating in alignment with AHA Coding Clinic and CMS official guidelines.
- Abstracted clinical data from the Epic EHR system to independently assign CPT, ICD-10-CM, and HCPCS Level II codes, validating medical necessity for outpatient procedures and diagnostics.
- Initiated compliant, professional documentation queries to physicians when clinical indicators were insufficiently specific.
- Analyzed complex clinic progress notes, laboratory data, and procedure results to confirm proper modifier application and prevent front-end claim denials.
- Participated in monthly health system compliance meetings and continuing education to stay ahead of rapid regulatory and payer-specific policy changes.
Education
High School Diploma -
Rich East High School
Park Forest06-1995
Skills
- Codify-ICD-10-CM, CPT, and HCPCS
- Medical terminology
- Excel
- Epic
- Outlook
Timeline
Billing Specialist II
UTSW
12.2021 - Current
Medical Records Coder II
Baylor Scott & White
08.2014 - 12.2021
High School Diploma -
Rich East High School