Joanna Cheney
COLCHESTER,VT
Summary
Medical Coding Specialist with 4 years providing administrative and patient support in hospital and medical office settings, and 2 years Medical Coding experience. Advanced knowledge of private insurance processes and codes. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Focused Professional well-versed in medical terminology, coding and compliance procedures. Proficient at answering requests quickly and delivering exceptional results.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Group Coder Staff (level II)
University Of Vermont Medical Center
Burlington, Vermont
08.2021 - Current
- Interacted with physicians and other healthcare staff to ask questions regarding patient services, missing documentation, and code changes/additions.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders including 3M, CMS website, Elite, and more.
- Use payer resources to identify appropriate payer specific info and use appropriately.
- Easily navigate Epic to gather all necessary information and add charges through our unit charge entry.
- Educate new Providers by pulling a sample of 10 or more encounters and reviewing use of proper CPT and diagnosis codes.
- Guide our Medicine team of 5 to properly code, and locate necessary payer specific information, as well as how to communicate with the Providers.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Pre-Certification Specialist
University Of Vermont Medical Center
Burlington, Vermont
11.2020 - 08.2021
- Followed document protocols to safeguard confidentiality of patient records.
- Used appropriate Diagnosis and CPT codes to obtain a prior authorization for multiple surgeries.
- Supplied all necessary documentation to support the request for prior authorizations using payer websites, and phone numbers.
- Captured all information in the referral to provide accurate reimbursement for approved surgeries.
- Use all possible venues to appeal denied prior authorizations including requesting more information from Provider to show necessity of the surgery for the patient.
Patient Service Specialist
University Of Vermont Medical Center
Burlington, Vermont
08.2019 - 11.2020
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Obtained current insurance information from patient's while checking them into their visit. Entered appointments with appropriate follow up visits upon check out.
- Answered incoming calls to schedule, New, Est., Consult, and Triage visits for Clinic patient's.
- Captured important information regarding the visit to ensure the Provider had good knowledge of chief complaints for the visit.
Education
Associate of Applied Science - Human Services
Community College of Vermont
Winooski, VT05.2002
Skills
- Diagnostic Codes
- Operational Requirements
- Reviewing Patient Information
- CPT Code Modifiers
- 3M Encoder
- EMR Systems
- Complex Problem-Solving
- Protected Health Information
- Coverage Determination
- ICD-10 (International Classification of Disease Systems)
- Hospital Inpatient and Outpatient Records
- Certified Professional Coder
Accomplishments
I currently hold the Certified Professional Coder certificate from AAPC. I am studying the CPCO course material to become a Certified Compliance Officer with an exam date of January 28, 2023. I also have the CEMC training materials to begin the Certified Evaluation and Management certification.
Certification
- CPC - Certified Professional Coder
Timeline
Medical Group Coder Staff (level II)
University Of Vermont Medical Center
08.2021 - Current
Pre-Certification Specialist
University Of Vermont Medical Center
11.2020 - 08.2021
Patient Service Specialist
University Of Vermont Medical Center
08.2019 - 11.2020
Associate of Applied Science - Human Services
Community College of Vermont
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