Dawn Sellon
Turtle Lake,ND
Summary
Detail-oriented and certified professional coder (CPC-A) with extensive experience in medical coding, billing, and claims processing. Proven track record in ensuring accurate coding for maximum reimbursement, maintaining strict confidentiality in compliance with HIPAA, and educated healthcare staff on evolving coding standards. Adept at resolving coding discrepancies, managing billing operations, and collaborating with providers and insurers to optimize revenue cycles.
Medical coding professional with extensive experience in accurately coding patient records and ensuring compliance with healthcare regulations. Known for strong focus on team collaboration and achieving results, adaptable to changing needs. Skilled in utilizing coding software and maintaining detailed documentation, with reputation for reliability and precision.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Processing Plant Operator
Dakota Gasification Company
Beulah, ND
10.2007 - Current
- As a Processing Plant Operator at Dakota Gasification Company, I am responsible for monitoring and controlling plant equipment to ensure safe and efficient operations. My duties include conducting routine inspections, troubleshooting mechanical issues, and adjusting controls to maintain optimal production levels. I collaborate closely with team members to uphold safety standards and respond promptly to any operational concerns.
Medical Coder & Billing Specialist
Northland Community Health Center
Turtle Lake, ND
04.1998 - 10.2007
- Reviewed patient records & assigned accurate codes for diagnosis and procedures to capture maximum reimbursement.
- Achieved seamless communication across departments to improve workflow. Optimized the use of MS Word, Excel, and Outlook for efficient project management. Enhanced billing accuracy and coding efficiency through proficient use of healthcare software.
- Maintained confidentiality of patient's information according to HIPAA regulations.
- Extensive knowledge of Medicare and Medicaid coding guidelines.
- Educated healthcare staff on coding standards and changes in coding guidelines.
- Resolved coding discrepancies and denials to maximize reimbursement.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Maintained up-to-date records of all billing activity including charges, adjustments, denials, and collections.
- Verified insurance eligibility for patients by calling appropriate parties.
- Educated and worked closely with Providers and healthcare staff on coding standards and changes in coding guidelines.
Medical Coder & Billing Specialist
Northland Community Health Center
Turtle Lake, ND
04.1998 - 10.2007
- Reviewed patient records & assigned accurate codes for diagnosis and procedures to capture maximum reimbursement.
- Maintained confidentiality of patient's information according to HIPAA regulations.
- Extensive knowledge of Medicare and Medicaid coding guidelines.
- Educated healthcare staff on coding standards and changes in coding guidelines.
- Resolved coding discrepancies and denials to maximize reimbursement.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Maintained up-to-date records of all billing activity including charges, adjustments, denials, and collections.
- Verified insurance eligibility for patients by calling appropriate parties.
- Educated and worked closely with Providers and healthcare staff on coding standards and changes in coding guidelines.
Claims Processing Representative
Aetna US Health Care
Bismarck, ND
09.1995 - 04.1998
- Review and process medical claims to ensure compliance with insurance policies and regulations.
- Managed inbound and outbound communications with customers, providers, and insurers to resolve claim issues.
- Conducted audits on claims payments, identifying discrepancies and recovering overpayments.
- Investigated and analyzed claims to avoid fraud.
Education
Certified Professional Coder-A -
AAPC
Salt Lake City, UT09-2024
Applied Science Degree - Anatomy, Medical Terminology & Psychology
Bismarck State College
Bismarck, ND05-1993
Skills
- Knowledge of Medicare and Medicaid regulations
- Insurance claims analysis
- Medical terminology
- Medical billing
- HIPAA compliance
- HCPCS coding
- Insurance coding (ICD-9 and CPT)
- Clinical documentation
Certification
- CPC-A - Certified Professional Coder
Timeline
Processing Plant Operator
Dakota Gasification Company
10.2007 - Current
Medical Coder & Billing Specialist
Northland Community Health Center
04.1998 - 10.2007
Medical Coder & Billing Specialist
Northland Community Health Center
04.1998 - 10.2007
Claims Processing Representative
Aetna US Health Care
09.1995 - 04.1998
Applied Science Degree - Anatomy, Medical Terminology & Psychology
Bismarck State College
Certified Professional Coder-A -
AAPC