Summary
Overview
Work History
Education
Skills
Timeline
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Heather McAleer, CPC

Heather McAleer, CPC

Brownfield

Summary

Skilled medical coding professional prepared to drive accuracy and efficiency in healthcare documentation. Known for strong analytical skills, attention to detail, and comprehensive knowledge of medical coding systems and regulations. Excel in team collaboration, adapting to evolving requirements, and delivering consistent results. Recognized for reliability and commitment to upholding high standards in all tasks.

Overview

4
4
years of professional experience

Work History

Revenue Integrity Analyst I

MaineHealth
07.2024 - Current
  • Currently work as a revenue integrity analyst reviewing charges for drug code discrepancies, CLIA lab issues and Rev code issues. My role as Revenue Integrity Analyst within MaineHealth RCM is identifying and implementing process improvements in an effort to operate compliant revenue cycle. Analyze data to identify trends and patterns, and use this information to improve revenue cycle performance. Participate in special projects as needed, such as audits, system upgrades and high volume charge corrections.
  • 2 years 2 months

Patient Financial Service Representative Epic credentialed trainer

MaineHealth
04.2023 - 07.2024
  • Follow up/denial resolution of insurance claims within filing limits to support the proper account completion and closure prior to 120 days from the date of service. Works within a team-based setting and ensures that workloads are distributed evenly. Responsible to perform the necessary account research required to determine proper governmental requirements prior to any claims submission. As team trainer I am responsible for running new hire training as well as follow up staff. Creating new workflows and tip sheets for training purposes and running internal audits every month on follow up and billing staff. Supports the overall success of Patient Financial Services by demonstrating flexibility, collaboration, and cooperation. High Performance Work Team (HPWT) environment while maintaining a quality output and a high level of production.
  • 1 year 4 months

Medical Coder and Biller

Saco River Medical Group, PC
03.2021 - 01.2024
  • As a medical coder in a Rural health primary/walk-in posting claims, running internal audit's, working along side with providers to assure correct and effect coding compliance is being done. working denials, coding encounters and insurance verification. Hosting monthly provider meetings with coding presentations.
  • 2 years 11 months

Education

High School Diploma -

Chariho High Scool
Carolina, RI
06-2003

Skills

  • EPIC
  • Auditing
  • Provider Education
  • Denial management
  • Claims processing
  • Data validation
  • Revenue cycle management
  • Medical coding
  • Charge capture
  • Teamwork

Timeline

Revenue Integrity Analyst I

MaineHealth
07.2024 - Current

Patient Financial Service Representative Epic credentialed trainer

MaineHealth
04.2023 - 07.2024

Medical Coder and Biller

Saco River Medical Group, PC
03.2021 - 01.2024

High School Diploma -

Chariho High Scool

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Heather McAleer, CPC