Erica Riddle, CPC-A
Wrightsville,PA
Summary
Detail oriented Quality Assurance Coordinator II with extensive healthcare background. Seeking entry level coding position to utilize coding knowledge and continue educational growth. Experience working in charge review coding, registration, claim edit, and EPSDT work queues.
Overview
7
7
years of professional experience
Work History
Quality Assurance Coordinator II
Wellspan
York , PA
06.2024 - Current
- Manages charge review coding, claim edit, registration, and EPSDT work queues.
- Meets or exceeds productivity requirements consistently.
- Verifies and/or corrects patients' insurance coverage.
- Queries providers and clinical staff to update documentation, diagnosis codes, CPT codes, and other needed information promptly.
- Works with team when corrections are unclear and helps others when needed.
- Contacts supervisor when extra support is needed.
- Attends team building events, billing and registration meetings and monthly team meetings.
- Facilitates team huddle meeting once a month.
- Follows HIPAA, department guidelines, and policies.
Physician Office Assistant
Wellspan Neurosurgery
York, Pennsylvania
09.2020 - 06.2024
- Welcomed patients and visitors upon arrival.
- Verified patient demographics to ensure accurate check in.
- Communicated efficiently with providers and clinical staff any patient concerns during the check in process.
- Collected patient payments.
- Processed incoming consults, referrals and authorizations. Reached out to the requesting providers' office when needed.
- Researched patient billing inquiries and other in basket messages.
- Answered phones, scheduled appointments, and scanned/indexed incoming documents.
- Worked remotely to maintain charge review coding, registration and claim edit work queues.
- Worked remotely to complete chart prep(verifying insurances, and making sure we have authorizations and referrals 3 days prior to patients appointment)
- Queried providers to update documentation, correct CPT and dx codes when needed.
- Supported and collaborated with fellow co-workers with job duties, questions and trained new employees.
- Followed all HIPAA guidelines. Met all training/education and meeting requirements.
Occupational Health Technician
Wellspan Occupational Health
York, Pennsylvania
05.2019 - 09.2020
- Obtained and documented visit reason (pre-employment physical, DOT physical, yearly work physical)
- Documented vital signs. Reviewed health history including medications with patient to ensure comprehensive assessment.
- Verified test selections in patients' charts matched employer requirements, ensuring compliance with occupational health standards.
- Performed audiograms, spirometry test, ekgs, vision test, POC testing, drug testing (urine/blood) (DOT/Non DOT) breath alcohol testing and venipuncture
- Informed employers of failed instant read drug tests and breath alcohol test.
- Communicated with treating provider any abnormal vital signs or other abnormal test results.
- Followed HIPAA guidelines, DOT drug and breath alcohol guidelines and requirements. Participated in required department training sessions to enhance knowledge, compliance and improve training.
Education
CPC course
AAPC
09-2026
Medical Anatomy, Physiology and Terminology
AAPC Fundamentals of Medicine
03-2026
Wellspan Phlebotomy Program
Lebanon, PA 12-2018
CNA (Not currently certified)
02.2005
Kennard-Dale High School
Fawn Grove, PA 06.2004
Skills
- ICD 10
- CPT
- HCPCS
- Proficient in EPIC, Microsoft Word, Excel and Outlook applications
- Team collaboration
- Reliability
- Effective communication and problem solving skills
Timeline
Quality Assurance Coordinator II
Wellspan
06.2024 - Current
Physician Office Assistant
Wellspan Neurosurgery
09.2020 - 06.2024
Occupational Health Technician
Wellspan Occupational Health
05.2019 - 09.2020
CPC course
AAPC
Medical Anatomy, Physiology and Terminology
AAPC Fundamentals of Medicine
Wellspan Phlebotomy Program
CNA (Not currently certified)
Kennard-Dale High School