Katherine (Katie) Shotwell
Columbus
Summary
Efficient Medical Biller and Coder known for productivity and ability to complete tasks swiftly. Specialize in medical coding standards, billing software, and insurance claims management. Excel at time management, problem-solving, and communication, ensuring seamless billing processes and accurate coding practices.
Overview
2026
2026
years of professional experience
2005
2005
years of post-secondary education
1
1
Certification
Work History
Medical Biller and Coder
Electrophysiology and Pacing Interventionists
Columbus
03.2024 - Current
- Processed medical claims for electrophysiology procedures using industry-standard software.
- Verified patient information and insurance details for accurate billing submissions.
- Resolved claim denials by communicating with insurance providers and healthcare teams.
- Collaborated with physicians to ensure proper coding of procedures and diagnoses.
- Assisted in training new staff on coding practices and billing software usage.
- Ensured compliance with healthcare regulations and ethical standards in billing practices.
- Ensured timely filing of all claims within established guidelines.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Filed and submitted insurance claims.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Provided customer service support to patients regarding billing inquiries.
- Assessed medical codes on patient records for accuracy.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
- Prepared financial statements that summarize account activity over a period of time.
- Expertly assigned charges and payments for medical procedures.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Documented and filed patient data and medical records.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Assisted with the development of departmental policies related to charge capture processes and coding practices.
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Responded promptly to requests from insurance companies regarding clarification on claim submissions.
- Reviewed medical records to meet insurance company requirements.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Educated healthcare staff on coding standards and changes in coding guidelines.
- Safeguarded medical records to maintain patient confidentiality.
Medical Biller and Coder
Professionals For Women Health
Columbus
09.2017 - 03.2024
- Processed medical claims for electrophysiology procedures using industry-standard software.
- Verified patient information and insurance details for accurate billing submissions.
- Resolved claim denials by communicating with insurance providers and healthcare teams.
- Collaborated with physicians to ensure proper coding of procedures and diagnoses.
- Ensured timely filing of all claims within established guidelines.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Filed and submitted insurance claims.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Provided customer service support to patients regarding billing inquiries.
- Assessed medical codes on patient records for accuracy.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
- Developed an understanding of how various insurance plans process claims for reimbursement purposes.
- Prepared financial statements that summarize account activity over a period of time.
- Expertly assigned charges and payments for medical procedures.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Documented and filed patient data and medical records.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Assisted with the development of departmental policies related to charge capture processes and coding practices.
Pharmacy Technician
Express Scripts
Dublin
09.2016 - 09.2017
- Processed prescription orders using pharmacy management software efficiently
- Answered patients and physician calls in regards to prescription benefits.
- Troubleshooting claims not processing to get speciality medications en route to the office or patient
Patient Care Technician
Ohio Health Riverside Hospital
Columbus
09.2012 - 09.2013
- Assisted nursing staff with patient monitoring and basic care tasks.
- Maintained cleanliness and organization in patient care areas and equipment.
- Supported patients with daily activities like bathing, dressing, and feeding.
- Recorded vital signs and documented patient information in electronic health records.
- Communicated effectively with patients to ensure comfort and understanding of procedures.
- Collaborated with healthcare team to provide high-quality patient support services.
- Adhered to safety protocols during all patient interactions and procedures.
- Responded promptly to patient needs and concerns within the care environment.
- Obtained patient vital signs and reported results to staff nurse or physician to identify changes from prior measurements.
- Answered call lights promptly and responded appropriately to requests from patients, families, staff members.
- Provided direct patient care and assistance to healthcare team members.
- Assisted with patient admissions, discharges and transfers.
- Assisted in preparing patients for examinations and treatments, including vital signs monitoring.
- Conducted safety rounds regularly to ensure safe environment for patients.
- Observed changes in patient's conditions and reported any abnormalities to the RN on duty.
- Helped create a safe environment by following infection control policies.
- Responded quickly in emergency situations by providing appropriate first aid measures.
- Assisted with patient transfers from bed to wheelchair or stretcher as needed.
- Reported any observed changes in behavior or physical condition to the nursing staff immediately.
- Documented patient intake and dietary requirements and aided with feeding and monitoring.
- Provided emotional support for patients and families during difficult times.
- Promoted patient satisfaction by assisting with bathing, dressing, and exercising.
- Collected specimens such as urine samples for testing purposes according to established protocols.
- Restocked unit frequently with necessary medical supplies.
- Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
- Instructed new employees on proper techniques of performing daily tasks.
- Organized supplies in order to maintain adequate stock levels throughout shift.
- Supported healthy patient skin with bedside baths, wound care and integrity checks.
- Collaborated with interdisciplinary teams to provide comprehensive care services.
- Notified senior staff of patient emergencies to optimize outcomes.
- Managed multiple tasks simultaneously while maintaining attention to detail.
- Assisted patients with activities of daily living, including bathing, dressing and grooming.
Pharmacy Technician
Giant Eagle
Columbus
- Assisted pharmacists with prescription preparations and medication dispensing.
- Maintained accurate inventory of medications and supplies in the pharmacy.
- Processed prescription orders using pharmacy management software efficiently.
Education
Worthington Kilbourne High School
Worthington, OHCertificate - Coding
DeVry Education
Worthington, OHSkills
- Medical coding
- Claims processing
- Billing compliance
- CPT coding
- Insurance verification
- Customer service
- Data analysis
- Staff training
- Team collaboration
- Attention to detail
- Problem resolution
- Effective communication
- Time management
- Patient advocacy
- Medical billing procedures
- Payment posting
- CMS-1500 form completion
- Diagnostic coding
- Patient account management
- Medical coding expertise
- Anatomy and physiology
- ICD-10 proficiency
- HIPAA compliance
- Claim submission
- Appeals processing
- Medicare and medicaid billing
- Commercial insurance billing
- Ethical standards
- Patient data compilation
- Data verification
- Statement analysis
- Insurance coding (ICD-9 and CPT)
- Medical claims coding
- Data entry
- Error reporting
- Proficiency in Microsoft Office, Windows, Epic EMR, GEMMS EMR, Athena EMR
Certification
- CCA
Affiliations
- Karaoke Competitor
- Animal Lover
- Volunteer for Various animal rescue groups around the Columbus area.
Timeline
Medical Biller and Coder
Electrophysiology and Pacing Interventionists
03.2024 - Current
Medical Biller and Coder
Professionals For Women Health
09.2017 - 03.2024
Pharmacy Technician
Express Scripts
09.2016 - 09.2017
Patient Care Technician
Ohio Health Riverside Hospital
09.2012 - 09.2013
Pharmacy Technician
Giant Eagle
Worthington Kilbourne High School
Certificate - Coding
DeVry Education