DruAnne Nostdahl
Anthem
Summary
Certified Professional Medical Coder (CPC) with experience in physician's offices, ambulatory surgery centers, hospitals, DME, and specialty coding. Adept in assigning accurate Evaluation and Management (E&M) codes, ICD-10 diagnoses, current professional terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) for all office, clinic, outpatient, and hospital encounters.
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively, unsupervised, when given the proper tools to succeed.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Performance Analyst
Dignity Health
Phoenix
05.2022 - Current
- Provide direct revenue cycle support to the coding team.
- Analyzing reports and data associated with revenue cycle performance to identify trends in coding while following payer and correct coding guidelines.
Provider Reimbursement Admin Medical Billing & Coding
Anthem, Inc.
Phoenix
12.2021 - 05.2022
- Provided coding reviews on provider denials for commercial and governmental entities using current professional coding guidelines, as well as utilizing Anthem and CMS payer policies.
Billing Manager/Certified Medical Coder
Advanced Spine and Pain
Phoenix
03.2021 - 12.2021
- Responsible for maintaining, overseeing, and completing the billing department for multiple entities for professional, facility, anesthesia, DME, remote patient monitoring, and chronic care management care billing, as well as financial reporting.
- Employee hiring and training, payer management, payment posting, and accounts payable support.
- Resolved billing issues by applying knowledge and completing in-depth research.
Billing Director/Billing Manager/Certified Medical Coder
Recovia
Scottsdale
04.2020 - 03.2021
- Responsible for maintaining and overseeing the billing department and revenue cycle for a multidisciplinary behavioral health management practice, which included clinic and facility billing.
- The medical practice used a treatment modality that included physical therapy, medication therapy, and behavioral health modification.
- Applied current CPT and ICD-10 billing and coding guidelines.
- I managed multiple billers while overseeing the entire billing and revenue cycle using a team approach, bringing their revenue cycle and billing current per MGMA's recommendations.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
- Trained staff in billing systems and procedures to ensure compliance with standards.
- Analyzed current billing processes for areas of improvement and cost savings opportunities.
Billing Director/Billing Manager/Certified Medical Coder
The Pain Center of AZ
Peoria
08.2005 - 04.2020
- I was responsible for maintaining the coding and billing for a multidisciplinary pain management practice, which included the clinic, ASC, inpatient and outpatient hospital consultations, inpatient hospital coding for a specialty hospital, anesthesia, physical therapy, behavioral health, chiropractic, DME, and other modalities using current CPT, ICD-10, and payer guidelines.
- I managed a team of coders and billers, creating workflows while simultaneously working with the accounts receivable team to reduce the A/R and maximize reimbursement.
- I followed MGMA's recommended billing and coding standards.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
- Trained staff in billing systems and procedures to ensure compliance with standards.
- Maintained accurate records of all billing transactions.
- Analyzed current billing processes for areas of improvement and cost savings opportunities.
Education
Certified Professional Coder -
AAPC
05-1989
Medical Transcription
Gateway CC
Phoenix, AZ05-1989
Skills
- Microsoft Office
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Google Docs
- Google Slides
- Zoom
- Teams
- Encoder
- Find a code
- Payers' websites and coding tools
- Medicare and AHCCCS guidelines/resources
- Various practice management software
- Various EMR/EHR software
- Analytics programs
- AAPC coding tools
- Transcription
- Revenue Cycle Management
- Created job aides and workflows
- Team management as a team player
- Managed EDI reports
- End-of-month reporting
- Coding Auditing
Hobbies and Interests
- Professional Education
- Volunteering
- Walking
- Crafts
- Cooking
- Baking
References
- Teresa DaviR, Lead Coder, 623.414.8671
- Camille Duran, Medical Practice Consultant, 602.625.3343
- Karla Roe, Business Professional, 623.939.8445
- Tina Fay, Certified Coder, 623.414.8671
Timeline
Revenue Cycle Performance Analyst
Dignity Health
05.2022 - Current
Provider Reimbursement Admin Medical Billing & Coding
Anthem, Inc.
12.2021 - 05.2022
Billing Manager/Certified Medical Coder
Advanced Spine and Pain
03.2021 - 12.2021
Billing Director/Billing Manager/Certified Medical Coder
Recovia
04.2020 - 03.2021
Billing Director/Billing Manager/Certified Medical Coder
The Pain Center of AZ
08.2005 - 04.2020
Certified Professional Coder -
AAPC
Medical Transcription
Gateway CC