JUANITA CROSS
Ellenwood,USA
Summary
Certified Professional Coder (CPC) with over a decade of experience in professional and facility fee, clinic, and hospitalist coding across diverse multi-specialty outpatient settings, including Veterans Affairs (VA) healthcare environments. Expertise includes E/M services (2023 guidelines), ICD-10-CM, CPT, HCPCS, and precise modifier application, demonstrating meticulous attention to detail and unwavering compliance with industry standards. Proven track record of maintaining coding accuracy and supporting revenue integrity while thriving in remote environments and fostering collaboration with multidisciplinary healthcare teams. Currently pursuing a Bachelor’s degree in Healthcare Administration with a focus on Health Information Management to enhance industry proficiency and contribute to organizational success.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Certified Professional Coder (CPC)
Signature Performance
03.2022 - Current
- Accurately code high-volume outpatient professional fee encounters across multiple departments and specialties, including Primary Care, Internal Medicine, Family Practice, Emergency Medicine, Dermatology, Preventive Care, Outpatient Ancillary; Facility labs, Radiology and Telehealth services.
- Apply 2023 E/M guidelines. Review documentation for accuracy and medical necessity. Utilize Cerner, CPSI, and 3M Encoder. Meet productivity and quality benchmarks in a remote environment.
- Review provider documentation for accuracy, completeness, and medical necessity prior to code assignment.
- Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers in compliance with CMS and payer-specific guidelines.
- Independently manage simultaneous departmental workloads, meeting productivity, turnaround time, and quality benchmarks in a remote environment.
Remote Certified Professional Coder – CPC III
CHRISTUS Health
03.2020 - 03.2022
- Reviewed, corrected, audited, and followed up on claims. Applied advanced medical terminology knowledge. Maintained AHIMA ethical standards. Collaborated with providers and teams in a remote setting.
- Maintained up-to-date knowledge of ICD-10, CPT, and HCPCS coding systems for optimal performance.
Certified Professional Coder (CPC)
Harmony Healthcare- Temp Agency
10.2019 - 03.2020
- Reviewed and corrected claims. Resolved coding edits and billing rejections. Ensured regulatory compliance.
Certified Professional Coder (CPC)
Morehouse School of Medicine
08.2017 - 10.2019
- Assigned ICD-10-CM, CPT, and HCPCS codes. Queried providers. Reviewed records for accuracy and compliance.
Medical Assistant / Certified Professional Coder (CPC)
Family Practice of Conyers
08.2009 - 08.2017
- Assigned ICD-10-CM, CPT, HCPCS, and HCC codes. Maintained HIPAA compliance.
- Assisted in patient intake processes, ensuring accurate data entry and efficient scheduling.
- Coordinated communication between patients and medical staff, enhancing overall patient experience.
Education
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
New Hampshire, OH12.2026
Medical Billing & Coding Diploma -
Sanford Brown Institute
Fort Lauderdale, FL01.2007
High School Diploma -
Santaluces High School
Hypoluxo, FL06.2002
Skills
- Professional Fee (ProFee) & Outpatient Coding; E/M Coding (Clinic & ED – 2023 Guidelines); ICD-10-CM, CPT, HCPCS, Modifiers; Coding Audits & Claim Review; Compliance & Ethical Coding Standards (AHIMA); Provider Documentation Review & Queries; Telehealth & Preventive Services; Epic, Cerner, CPSI, 3M Encoder, eClinicalWorks (ECW); Microsoft Word & Excel; Remote Work Productivity
- Certified professional coder (CPC)
Certification
Certified Professional Coder (CPC) – AAPC
Timeline
Certified Professional Coder (CPC)
Signature Performance
03.2022 - Current
Remote Certified Professional Coder – CPC III
CHRISTUS Health
03.2020 - 03.2022
Certified Professional Coder (CPC)
Harmony Healthcare- Temp Agency
10.2019 - 03.2020
Certified Professional Coder (CPC)
Morehouse School of Medicine
08.2017 - 10.2019
Medical Assistant / Certified Professional Coder (CPC)
Family Practice of Conyers
08.2009 - 08.2017
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Medical Billing & Coding Diploma -
Sanford Brown Institute
High School Diploma -
Santaluces High School