Juslyn Leiataua-Nansen
Certified Professional Coder (CPC), AAPC
Summary
Detail-oriented coding quality analyst with over 5 years of experience in healthcare coding auditing and compliance. Demonstrated success in enhancing claim accuracy, surpassing productivity metrics, and ensuring regulatory adherence. Proficient in analyzing complex medical records and achieving quality outcomes in high-volume, deadline-driven environments.
Overview
7
7
years of professional experience
Work History
Coding Quality Analyst
Optum
09.2021 - Current
- Audited provider-submitted claims against medical records, identifying discrepancies that improved claim accuracy and reduced payment errors and compliance risks.
- Managed high-volume caseload of 800+ claim lines per month, consistently achieving 105% of productivity goals.
- Recognized for accuracy and compliance in claims auditing within SIU operations.
- Trained and mentored colleagues on newly developed software to enhance team efficiency.
Coder
Anchorage Neurosurgical Associates Inc.
07.2019 - 09.2021
- Led coding operations for a multi-provider neurosurgical practice, ensuring timely and accurate submission of surgical, inpatient, and outpatient claims
- Reducing payer denials and improving reimbursement turnaround
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Medical Office Receptionist
Orthopedic Physicians Alaska
12.2018 - 07.2019
- Scheduled patient appointments, collected co-pays and verified insurance coverage.
- Organized filing systems for patient records and other documents to ensure adherence to HIPAA regulations.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Education
Medical Billing And Coding
Alaska Career College
Anchorage, AK12-2018
Skills
- CPT and ICD-10 coding
- Coding Auditing & Compliance (CMS Guidelines)
- EHR Systems: Epic, NextGen, MDSuite
- Analytic Review & Problem Solving
- Time Management in High-Volume Environments
- Cross-functional Communications
Timeline
Coding Quality Analyst
Optum
09.2021 - Current
Coder
Anchorage Neurosurgical Associates Inc.
07.2019 - 09.2021
Medical Office Receptionist
Orthopedic Physicians Alaska
12.2018 - 07.2019
Medical Billing And Coding
Alaska Career College