Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jennifer Fleming

E8796 570th Ave., Elk Mound,WI

Summary

Experienced with accurately coding patient records and ensuring compliance with healthcare regulations. Utilizes coding software to maintain detailed and precise documentation. Strong understanding of healthcare billing processes and regulatory requirements.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Coding Supervisor

Oakleaf Clinics
08.2024 - Current
  • Supported continuous improvement initiatives within the department by actively participating in relevant conferences, workshops, or seminars related to medical coding best practices.
  • Ensured adherence to organizational policies regarding patient privacy and confidentiality while handling sensitive medical information during the coding process.
  • Managed a team of coders, providing guidance, support, and mentorship to enhance their professional growth and development.

Medical Coder III

Oakleaf Clinics
02.2014 - 08.2024
  • CPT and ICD-10 coding and billing of the gastroenterology providers medical clinic charges, inpatient and outpatient hospital charges, procedures and surgeries.
  • Sleep studies, outreach pulmonary function tests, radiology including mammograms, ultrasounds, x-rays, CT’s, CTA’s, MRI’s, and nuclear medicine.
  • Working denied claims and helping with patient inquiries.
  • Working with the coding team on their questions, new codes, trends, and new insurance requirements.
  • Previous responsibilities included CPT and ICD-10 coding and billing of medical clinic and hospital charges for primary care, pulmonary providers, obstetrical/gynecological procedures, nursing home visits, and hyperbaric chamber wound care.

Medical Coder

Krohn Clinic
10.2007 - 02.2014
  • Assign ICD-10 and CPT codes for services provided, including office, hospital, nursing home, procedures, labs, x-rays, medical supplies, and surgeries performed by the general surgeon and podiatrist.
  • Review medical record for complete documentation to support services being billed.
  • Work with providers for continuing education and compliance efforts.
  • Work with business office to resolve billing issues.

Medicaid Claims Processor

United Health Group-Uniprise
02.2007 - 10.2007
  • Processing Arizona and New York Medicaid hospital and physician claims, researching prior authorizations, determining benefits, issuing payments or denials, verifying member eligibility, checking provider contracts and reimbursement amount.
  • Coordinating benefits and requesting additional information for incomplete claims.

Medical Coder/Billing Specialist

Pine Grove Family Practice
11.2002 - 01.2007
  • CPT and ICD-9 coding for family practice physicians, entering charges, filing insurance and patient billing, collections, payment posting and daily bank deposit, researching and appealing denied claims, and customer service.

Education

Accounting

Chippewa Valley Technical College
Eau Claire, WI

Skills

  • Medical terminology
  • HIPAA compliance
  • Medical billing
  • Clinical documentation
  • Medical claims coding (ICD-10, CPT, and HCPCS)
  • Regulatory guidelines
  • Coding error resolution
  • Coding appeals
  • Data entry and management
  • Medicare insurance regulations
  • Code assignment research
  • Attention to detail

Certification

  • CPC - Certified Professional Coder
  • CGIC - Gastroenterology Certified Coding Specialist

Timeline

Coding Supervisor

Oakleaf Clinics
08.2024 - Current

Medical Coder III

Oakleaf Clinics
02.2014 - 08.2024

Medical Coder

Krohn Clinic
10.2007 - 02.2014

Medicaid Claims Processor

United Health Group-Uniprise
02.2007 - 10.2007

Medical Coder/Billing Specialist

Pine Grove Family Practice
11.2002 - 01.2007

Accounting

Chippewa Valley Technical College

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Jennifer Fleming