Overview
Work History
Education
Skills
Timeline
Certification
Work Preference
Generic

KAREN GORHAM

Medical Coder
Cheyenne,WY

Overview

15
15
years of professional experience

Work History

Office Assistant

North Platte Physical Therapy
11.2017 - Current
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Prepared patient charts by gathering and organizing medical records ahead of appointments.
  • Ensured smooth daily operations by managing incoming calls professionally while addressing inquiries or directing them to appropriate personnel.
  • Used WEBPT to schedule appointments for physical therapy services.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Assigned correct ICD-10, CPT, and HCPC codes to ensure accurate billing of insurance claims.
  • Verified insurance benefits and obtained authorizations for physical therapy services.


Customer Service Representative

Community Home Oxygen (Rotech)
04.2015 - 11.2017
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Enhanced patient satisfaction by efficiently processing physician orders for home oxygen and durable medical equipment .
  • Scheduled prompt delivery of products and services .
  • Assigned ICD-10, HCPC, and CPT codes to ensure accurate billing of home oxygen and durable medical equipment.
  • Verified insurance benefits and obtained authorizations.
  • Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
  • Knowledgeable in Medicare, Medicaid, private health insurance billing guidelines and regulations.
  • Compliant in following OSHA, FDA, CMS, JCAHO, state, federal, and corporate rules and regulations.

,

Patient Access Representative

Regional West Medical Center
05.2009 - 08.2015
  • Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system for approximately 20 inpatient admissions per day.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.

Education

Associate of Applied Science - Business Administration

National College
Rapid City, SD

Skills

  • AAPC Certified Professional Coder (CPC)
  • NJA Certified Billing and Coding Specialist (CBCS)
  • Medical Coding Guidelines & Ethics
  • Medical claims coding
  • Medical terminology expertise
  • HIPAA Compliance
  • ICD-10 Proficient
  • CPT coding knowledge
  • Attention to Detail
  • Insurance Verification
  • Customer Service
  • Positive Attitude
  • Time Management
  • Data Entry

Timeline

Office Assistant

North Platte Physical Therapy
11.2017 - Current

Customer Service Representative

Community Home Oxygen (Rotech)
04.2015 - 11.2017

Patient Access Representative

Regional West Medical Center
05.2009 - 08.2015

Associate of Applied Science - Business Administration

National College

Certification

  • Certified Professional Coder AAPC
  • Medical Billing and Coding Specialist NHA

Work Preference

Work Type

Part Time

Work Location

Remote

Important To Me

Work from home option
KAREN GORHAMMedical Coder