Francine Humphries
Forney,TX
Summary
Detail-oriented medical coder with experience in ICD-10, CPT, and HCPCS coding, medical record review, and claims preparation. Known for accuracy, compliance, and clear communication.
Overview
1
1
Certification
3
3
years of professional experience
Work History
Medical Coder/Certified Nursing Assistant
Terrell Private Clinic
Terrell, Texas
04.2025 - Current
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Interpreted medical terminology and pharmacological information to translate the information into a coding system.
- Maintained high accuracy rate on daily production of completed reviews.
- Prepared claims for submission through clinic billing systems.
- De-escalated frustrated callers with calm and professional communication.
- Maintained high levels of professionalism while interacting with customers via phone or email.
Call Center Representative
Harmony Cares Medical Center
Michigan Center, Michigan
02.2025 - Current
- Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
- Resolved billing concerns using call center systems and knowledge base.
- Resolved customer complaints in a timely manner to ensure customer satisfaction.
- De-escalated frustrated callers with calm and professional communication.
- Engaged actively with callers, confirming or clarifying information and diffusing anger.
- Verified customer information before processing account updates.
- Documented customer interactions in CRM and ticketing records.
- Updated customer accounts, addresses and contact information within call management databases.
- Managed schedule changes and resolved conflicts for staff and clients.
- Coordinated appointments, calendars, and meeting rooms across departments.
- Communicated daily schedules needs to supervisors and team members.
- Utilized MS Office and Excel to analyze data and create spreadsheets.
- Maintained up-to-date records of staff availability, absences, holidays, vacations.
C.N.A/Medical Coder/Medication Aide
Kaufman Care Center
Forney, Texas
01.2024 - 04.2025
- • Coded resident charts using ICD-10, CPT, and HCPCS guidelines at care center.
- • Supported diagnosis and procedure verification with nursing staff and care center providers.
- • Reviewed clinical documentation for accuracy before claim and billing record submission.
- • Audited patient files to identify and rectify missing details and coding inconsistencies.
- Ensured confidentiality of resident information while managing sensitive medical records at care center.
- Checked and confirmed coding and sequencing of diagnoses, ensuring accuracy of procedures in patient records.
- Collaborated with healthcare personnel and practitioners to enhance accuracy in documentation and coding.
Education
Medical Billing And Coding
TSC Career Institute
Mesquite, TX07-2024
Certified Nurse Assistant
Terrell CNA Center
Terrell 03-1998
Skills
- ICD-10 coding
- CPT coding
- HCPCS coding
- Medical record review
- Claims processing
- Revenue cycle
- Verbal communication
- CNA:
- Medical records review
- Patient care
- Appointment scheduling
- Electronic health records
- Electronic charting
- Supporting personal needs
- Vital sign recording
- EHR management
- Condition monitoring
- Recording vital signs
- Patient-focused care
- Medical records management
- Patient relations
- Basic life support
- Geriatric care
- Alzheimer's and dementia care
- Call Center Representative
- Call center systems
- CRM documentation
- Billing resolution
- Problem solving
- Account updates
- Microsoft Excel
- Gathering information
- Verbal and written communication
- Call center customer service
- Inbound phone calls
- Professional phone voice
- Resolving issues
- Script adherence
- Problem-solving skills
- Customer service
Certification
- CERTIFIED NURSE ASSISSANT
- CERTIFIED MEDICAL BILLING AND CODING
Timeline
Medical Coder/Certified Nursing Assistant
Terrell Private Clinic
04.2025 - Current
Call Center Representative
Harmony Cares Medical Center
02.2025 - Current
C.N.A/Medical Coder/Medication Aide
Kaufman Care Center
01.2024 - 04.2025
Medical Billing And Coding
TSC Career Institute
Certified Nurse Assistant
Terrell CNA Center