Jesse Lester
Gaffney,SC
Summary
Certified Professional Coder with expertise in medical coding, insurance verification, and data entry. Proficient in ICD-10 and CPT coding, skilled in managing electronic health records, and knowledgeable in Epic systems. Ready to leverage coding expertise and critical thinking skills to support a healthcare team’s efficiency and accuracy.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
OB Hospitalist Group
11.2025 - Current
- Reviewed and coded medical records for accuracy, ensuring compliance with industry standards.
- Collaborated with healthcare providers to clarify documentation and improve coding practices.
- Implemented process improvements that enhanced coding efficiency and reduced claim denials.
Prior Authorization Specialist
Spartanburg Regional Healthcare System
12.2023 - 11.2025
- Reviewed medical records thoroughly before submitting them for preauthorization review process.
- Used ICD-10-CM and CPT coding to complete records.
- Verified diagnosis and procedure codes for accuracy prior to submission of claims for reimbursement.
- Maintained up-to-date knowledge of insurance policies and procedures related to prior authorization requirements.
- Analyzed provider contracts for specific information related to prior authorizations or benefit coverage details.
- Performed data entry accurately into computer systems while adhering to established deadlines.
- Initiated contact with insurance companies when additional information is needed for prior authorization requests.
- Processed appeals for denied services according to company policy guidelines.
- Created and maintained detailed coding documentation for each case assigned.
Patient Access Representative
Spartanburg Regional Healthcare System
01.2022 - 12.2023
- Ensured compliance with all HIPAA regulations regarding patient privacy and confidentiality.
- Registered patients by obtaining necessary and accurate financial and demographic information.
- Provided excellent customer service to patients and their families.
- Created new patient charts to include personal and insurance information and reason for visit.
- Provided excellent customer service to patients and healthcare professionals while managing patient scheduling and registration.
Unit Secretary
Spartanburg Regional Healthcare System
05.2020 - 10.2022
- Answered patient call signals or bells to determine patient needs.
- Organized patient records and medical charts in an efficient manner to ensure accuracy of data.
- Assisted in managing patient flow for unit by performing bed coordination and discharge duties.
- Prepared discharge documents and completed other paperwork.
- Provided assistance to physicians, nurses and other healthcare personnel with their daily needs.
Education
CPC -
AAPC
Remote10.2025
Skills
Effective communication skills
Certification
- Certified Professional Coder
- Pharmacy Technician
Timeline
Certified Professional Coder
OB Hospitalist Group
11.2025 - Current
Prior Authorization Specialist
Spartanburg Regional Healthcare System
12.2023 - 11.2025
Patient Access Representative
Spartanburg Regional Healthcare System
01.2022 - 12.2023
Unit Secretary
Spartanburg Regional Healthcare System
05.2020 - 10.2022
CPC -
AAPC