Katie Hammer
Phoenix,AZ
Summary
I am passionate about the healthcare industry and want to pursue opportunities that continue my growth within an organization. I have a bachelor's degree from Boise State University in Health Sciences with an emphasis on Health Informatics and Information Management. I have thirteen years of experience in healthcare. My experience and education have provided me with a clear understanding of the industry and various healthcare-related topics including claims, coding, data analysis, and industry standards.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Payment & Coding Strategist
Blue Cross Blue Shield of Arizona
Phoenix, AZ
09.2023 - Current
- Ensure pricing and coding policies are maintained and integrated into the claims processing system.
- Explore, Analyze, and implement opportunities for reimbursement policy changes that support reimbursement goals and engage with key business partners for final decision.
- Work with provider networking and coding to develop coding and reimbursement policies that align with corporate decisions and goals.
- Drive and analyze complex initiatives with minimal oversight.
Configuration Analyst II
SELECT Health Network
Salt Lake City, UT
11.2022 - 09.2023
- Configuration of Plan Benefits into the claims adjudication system
- Communicate with other departments to deliver the appropriate solution to complex problems
- Excellent written and verbal skills
- Excellent customer service skills
Health Data Analyst
Blue Cross of Idaho
Boise, Idaho
02.2022 - 08.2022
- Gathered data from multiple sources to assimilate meaningful inputs for databases.
- Utilized knowledge of data modeling and statistical analysis to note trends and draw conclusions.
- Strong knowledge of provider contracts, payment mythology, payer rules and regulations, and medical coding.
- Worked collaboratively with contract managers to present meaningful data for business decision-making.
Charge Capture Specialist II
Saint Lukes
Boise, Idaho
11.2017 - 02.2022
- Met with OR Leaders to discuss revenue discrepancies and identify any revenue leakage.
- Responsible for coding outpatient surgical procedures for multiple locations across the health system utilizing 3M coding encoder.
- Project manager and collaborative team leader of internal processes and improvement.
- Mentor to other team members.
- Understand Revenue Cycle workflows and assist clinical leaders with EPIC HIM practices.
- Build, Analyze, and provide support related to EPIC workflows and reporting.
Configuration Analyst II
AmeriBenIEC Group
Meridian, ID
06.2011 - 11.2017
- Sit in client implementation meetings to offer assistance, guidance, and knowledge regarding benefits in coloration with system configuration.
- Project manager and collaborative team leader.
- Work under pressure to transpose benefit information into our claims adjudication system.
- Strong understanding of state laws and regulations to ensure benefit configuration meets those requirements.
Education
Bachelor of Science - Health Informatics And Information Management
Boise State University
Boise, Idaho05-2020
Skills
- Certified Professional Coder (CPC)
- Problem-Solver
- SQL
- Managing deadlines
- EPIC
- Detail Oriented
Certification
- Certified Professional Coder (CPC)
Timeline
Payment & Coding Strategist
Blue Cross Blue Shield of Arizona
09.2023 - Current
Configuration Analyst II
SELECT Health Network
11.2022 - 09.2023
Health Data Analyst
Blue Cross of Idaho
02.2022 - 08.2022
Charge Capture Specialist II
Saint Lukes
11.2017 - 02.2022
Configuration Analyst II
AmeriBenIEC Group
06.2011 - 11.2017
Bachelor of Science - Health Informatics And Information Management
Boise State University
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