JULIE NACEY
Sauk Rapids,MN
Summary
Reliable Medical Coder with a background in document oversight, data security procedures and resolving coding errors. Detail-oriented performer with medical terminology knowledge. Considered a team player with exemplary multitasking skills. Specializing in Laboratory and Pathology claims.
Overview
17
17
years of professional experience
1
1
Certification
Work History
CODING SPECIALIST II
CentraCare Health System
Saint Cloud, MN
2013.08 - Current
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Applied charges and updated patient records by using EPIC
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Coded outpatient lab claims at rate of 400 per day
Insurance Analyst
Centracare Clinic
Saint Cloud, MN
2010.01 - 2013.08
- Providing excellent billing practices for CentraCare Laboratory Services
- Filing and appealing insurance claims to Government and third-party payers
- Maintaining excellent customer service to patients and clients
- Submission of claims on PB-Resolute
- On-line claim submission on MN-ITS
- Medicare Claim submission on PC-ACE
- Claim appeal process for all insurances
- Excellent Customer Service via phone
- Maintaining updated insurance information
- Training new employees on numerous systems
- Prepared insurance claim forms or related documents and reviewed for completeness
Claims Analyst
Saint Cloud Hospital
Saint Cloud, MN
2004.10 - 2010.01
- Provided excellent billing practices for CentraCare Laboratory Services
- Claims submission for all insurances
- Online Claims submission
- Appealing claims to insurances in timely manner
- Trained in numerous computer systems: SMS, IDX, PC-ACE
- Updated patient demographic and insurance information
- Trained new employees on billing practices
- Viewed reports regularly to make sure processing was conducted efficiently
Education
Associates Degree - Medical Laboratory Technician
Alexandria Technical College
Alexandria, MN05.1987
High School Diploma -
Paynesville High School
Paynesville, MN05.1985
Skills
- Information Classification
- Clerical Functions
- Medical History Recording
- Medical Billing Processing
- Time Management
- Insurance Billing
- Certified Professional Coder
- Problem Solving
- Attention to Detail
- Epic Systems
- ICD-10 Coding
Certification
- CPC-P - Certified Professional Coder-Payer
Timeline
CODING SPECIALIST II
CentraCare Health System
2013.08 - Current
Insurance Analyst
Centracare Clinic
2010.01 - 2013.08
Claims Analyst
Saint Cloud Hospital
2004.10 - 2010.01
Associates Degree - Medical Laboratory Technician
Alexandria Technical College
High School Diploma -
Paynesville High School