Katie Vermeire CPC, CPB, CRC, RCMS
Capital Health Plan
Tallahassee,USA
1
Certification
17
years of professional experience
Oversaw coding accuracy and compliance with ICD-10-CM, CPT, HCPCS, and HIPAA guidelines across all departments.Championed Provider education initiatives to enhance understanding of coding standards and improve documentation practices.,Streamlined Revenue cycle operations to optimize reimbursement processes and minimize claim denials. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Work History
HCC Documentation & Claims Coder
1 Year 2 Months- Review claims submitted by more than 25 physicians to ensure accurate, compliant coding and complete documentation.
- Assign ICD-10-CM diagnoses to the highest level of specificity in accordance with CMS and coding guidelines.
- Validate coding accuracy to support clean claim submission and appropriate reimbursement.
- Identify documentation trends and provide actionable feedback to improve provider documentation quality.
- Develop and deliver provider education on coding updates, documentation requirements, and compliance standards.
- Created a comprehensive Prospective Coding & Billing Manual used for training and departmental reference.
- Consistently exceed productivity and quality benchmarks while maintaining coding accuracy.
- Serve as a coding and billing resource for internal departments and cross-functional teams.
- Utilize multiple EHR and billing platforms to support efficient coding workflows.
HCC Coder
2 Years 11 Months- Conducted retrospective HCC coding reviews to identify missed, unsupported, or inaccurate diagnoses.
- Retrieved and analyzed medical records from Epic, Athenahealth, NextGen, and other EHR systems.
- Assigned accurate ICD-10-CM diagnosis codes based on provider documentation.
- Maintained compliance with CMS Risk Adjustment Data Validation RADV and risk adjustment coding guidelines.
- Remained current on ICD-10-CM updates, HCC model revisions, and regulatory changes.
- Reviewed medical records for accurate coding and compliance with CMS guidelines.
- Analyzed coding trends to drive continuous improvement in accuracy and efficiency.
Medical Coding & Billing Specialist / Authorization Specialist
3 Years 3 Months- Obtain prior authorizations for office-based procedures across multiple commercial and government insurance carriers.
- Verify insurance eligibility, benefits, deductibles, coinsurance, and copayment responsibilities.
- Educate patients regarding insurance coverage and anticipated financial responsibility.
- Review Explanation of Benefits EOBs, submit corrected claims, and manage denied claims through appeals.
- Research payer policies, LCDs, and medical necessity requirements to ensure compliant billing practices.
- Maintain accurate patient demographics and insurance information within the EHR.
- Schedule patient appointments while providing exceptional customer service.
- Utilize Athenahealth and eMDs daily for scheduling, coding, billing, and documentation.
- Develop Excel-based tracking tools and workflow improvements that increased departmental efficiency.
- Collect patient balances and support revenue cycle operations.
Receptionist / Administrative Assistant
1 Year 2 Months- Managed a high-volume front desk and multi-line phone system.
- Coordinated interviews and supported hiring and onboarding activities.
- Maintained confidential records and administrative documentation.
- Improved office efficiency by developing standardized administrative procedures.
- Created reports and maintained documentation using Microsoft Office and Google Workspace.
- Provided administrative support to multiple departments while delivering excellent customer service.
Dental Assistant
11 Months- Assisted dentists with chairside clinical procedures.
- Prepared treatment rooms and sterilized instruments in accordance with infection control standards.
- Obtained dental radiographs and intraoral photographs.
- Maintained accurate patient records and treatment documentation.
- Educated patients on pre- and post-procedure care.
Head Dental Assistant
3 Years 8 Months- Supervised daily clinical operations and managed dental supply inventory.
- Assisted with restorative and general dental procedures using four-handed dentistry techniques.
- Obtained and processed intraoral and extraoral radiographs.
- Maintained accurate patient documentation and treatment records.
- Ensured compliance with infection control and sterilization protocols.
Education
High School Diploma
Skills
Coding & Compliance: ICD-10-CM
CPT
HCPCS
HCC Coding
Risk Adjustment
Documentation Improvement CDI
Claims Auditing
Revenue Cycle Management
Prior Authorizations
Medical Billing
Appeals & Denials
Insurance Verification
HIPAA
Systems: Epic
Athenahealth
NextGen
eMDs
EMR/EHR Systems
Software: Microsoft Office Suite Excel
Word
Outlook
Google Docs
Google Sheets
Certification
- Certified Professional Coder CPC
- Certified Professional Biller CPB
- Certified Risk Adjustment Coder CRC
- Revenue Cycle Management Specialist RCMS
CORE COMPETENCIES
- Risk Adjustment HCC Coding
- ICD-10-CM, CPT & HCPCS Coding
- Medical Billing & Claims Processing
- Claims Review
- Documentation Improvement CDI
- Provider Education & Coding Compliance
- Prior Authorizations
- Insurance Verification & Benefits
- Denials Management & Appeals
- CMS Risk Adjustment Guidelines
- Local Coverage Determinations LCDs
- HIPAA Compliance
- Electronic Health Records Epic, Athenahealth, NextGen, eMDs
- Microsoft Excel, Word, Outlook & Google Workspace
- Process Improvement & Workflow Optimization
Timeline
HCC Documentation & Claims Coder
Capital Health Plan
2025.07 - CurrentRead More
HCC Coder
Capital Health Plan
2022.08 - 2025.07Read More
Medical Coding & Billing Specialist / Authorization Specialist
Tallahassee Neurology Specialists
2019.05 - 2022.08Read More
Receptionist / Administrative Assistant
OneLoanPlace.com
2018.03 - 2019.05Read More
Dental Assistant
LaRock Dental
2013.07 - 2014.06Read More
Head Dental Assistant
Dr. Tim Zielinski
2009.09 - 2013.05Read More
Central Catholic High School
High School Diploma
Read More