Joyce Koolhaas
Richmond,VA
Summary
Knowledgeable medical office professional talented at resolving billing and claims issues. Expertise with NCCI, ICD-10, CPT, HCPCS , DMAS, CMS and revenue coding .
Overview
18
18
years of professional experience
1
1
Certification
Work History
Claims Reimbursement Coder
Sentara Healthcare
07.2020 - Current
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Supported end-users through effective troubleshooting and problem resolution, ensuring optimal user experience.
Prepayment Auditor Coder
Virginia Premier Health Plan
01.2011 - 07.2020
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Researched and resolved complex medical claims issues to support timely processing.
- Managed large volume of medical claims on daily basis.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Medical Coder
Virginia Commonwealth University Medical Center
12.2006 - 01.2011
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Education
Associate of Applied Science - Data Processing
Southwestern Illinois College
Belleville, IL05.1984
Skills
- Insurance claims analysis
- Coding Error Resolution
- State and Federal Coding guidelines
- Research
- Medical Terminology
Certification
- CPC - Certified Professional Coder
Timeline
Claims Reimbursement Coder
Sentara Healthcare
07.2020 - Current
Prepayment Auditor Coder
Virginia Premier Health Plan
01.2011 - 07.2020
Medical Coder
Virginia Commonwealth University Medical Center
12.2006 - 01.2011
Associate of Applied Science - Data Processing
Southwestern Illinois College