Kristen Bricker, CPC
Sun Prairie,WI
Summary
Medical Coding specialist seeking a position at the intersection of Medical Coding and Epic Technical support.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Medical Coding Specialist
Group Health Cooperative of SouthCentral Wisconsin
08.2024 - Current
- Utilize Select Coder to determine correct CPT, ICD-10-CM, and HCPCS codes for Radiology global charges including X-Rays, CT scans, Ultrasounds, Mammograms, and Bone Mineral Density Tests
- Determine correct CPT, ICD-10-CM, and HCPCS codes for Behavioral Health encounters including Outpatient E/M, Telemedicine, Psychotherapy, Neuropsychological Testing, and Intensive Outpatient Program (IOP)
- Determine correct CPT, ICD-10-CM, and HCPCS codes for Primary Care encounters including Office visits, Preventative Health Examinations, Medicare Annual Wellness Visits, Procedures, Labs, DMEs, and Vaccines
- Determine correct CPT, ICD-10-CM, and HCPCS codes for Urgent Care encounters including Outpatient E/Ms, DMEs, Labs, Procedures, Medication administrations, and IV Infusions
- Resolve Denials for Radiology, Behavioral Health, Primary Care, and Urgent Care
- Troubleshoot missing medication charges via on-site collaboration with nursing staff
- Keep up to date on changing billing guidelines for Medicare, Badgercare, Quartz, and other commercial payers
- Query providers for additional information and educate them on billing guidelines
- Communicate with Billing team to resolve member inquiries
- Apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives to ensure coding accuracy
- Maintain a rate of more than 30 charge sessions per hour
Coder I, Professional
SLUCare Physician Group / SSM Health
11.2023 - 07.2024
- Utilized Optum EncoderPro to determine correct CPT, ICD-10-CM, and HCPCS codes for Radiology charges, including CT scan, MRI, X-Ray, and Ultrasound professional charges for SSM Health St. Louis University Hospital, a Level 1 Trauma Center and Academic Medical Center
- Determined correct CPT, ICD-10-CM, and HCPCS codes for Behavioral Health including Outpatient E/M, Inpatient E/M, Emergency Department, Nursing Home, Neuropsychological testing, Psychotherapy, and Telemedicine encounters
- Resolved Denials and Claim edits for both Radiology and Behavioral Health
- Queried providers for additional information and educated them on billing guidelines
- Communicated with Accounts Receivable team to resolve outstanding billing issues
- Maintained a rate of at least 20 charge sessions per hour
Quality Assurance Analyst
Epic
06.2012 - 03.2015
- Tested EpicCare Ambulatory software for functionality and patient safety concerns
- Tested new ICD-10 codes in the conversion from ICD-9 to ICD-10
- Maintained certifications in EpicCare Ambulatory, Willow Ambulatory, MyChart, Bridges/EDI, and Clarity Database Reporting
- Completed Surescripts Certification for Eligibility, Formulary, E-Prescribing and E-Prescribing Controlled Substances across all Epic clinical applications (Epic version 2014)
- Manually wrote and ran test scripts for regression testing
- Manually changed Epic system settings in test environments for more realistic testing scenarios
- Mentored new team members
- Collaborated with software developers on usability design and bug fixes
- Composed New Version Training instructional video and quiz for EpicCare Ambulatory version 2014
Teaching Assistant
University of Wisconsin-Madison
08.2009 - 06.2012
- Collaborated with professors on curriculum design
- Tutored students on writing skills and strategies
- Graded exams and papers
- Calculated and reported final grades
- Held office hours and review sessions
- Taught 72 students per semester in discussion sessions
Education
Certificate - Medical Billing And Coding
Auburn University
Auburn, AL (online)09.2023
Master of Arts - Political Science
University of Wisconsin - Madison
Madison, WI06.2012
Bachelor of Arts - Classics
University of Notre Dame
Notre Dame, IN06.2009
Skills
- ICD-10-CM Coding
- Epic EHR
- HIPAA Compliance
- CPT Coding
- Medical Terminology
- Anatomy and Physiology
- Reading Comprehension
- Deductive Reasoning
- Time Management
- Attention to Detail
- Interpersonal Communication
- Self-Motivated
- Multitasking Abilities
Certification
Certified Professional Coder (CPC) from the AAPC
Timeline
Medical Coding Specialist
Group Health Cooperative of SouthCentral Wisconsin
08.2024 - Current
Coder I, Professional
SLUCare Physician Group / SSM Health
11.2023 - 07.2024
Quality Assurance Analyst
Epic
06.2012 - 03.2015
Teaching Assistant
University of Wisconsin-Madison
08.2009 - 06.2012
Certificate - Medical Billing And Coding
Auburn University
Master of Arts - Political Science
University of Wisconsin - Madison
Bachelor of Arts - Classics
University of Notre Dame
Similar Profiles
Kimberly LeidichKimberly Leidich
Executive Assistant to Chief Information Officer at Group Health Cooperative South Central WisconsinExecutive Assistant to Chief Information Officer at Group Health Cooperative South Central Wisconsin
Shonda WieberschShonda Wiebersch
Lead Customer Care Representative at Group Health CooperativeLead Customer Care Representative at Group Health Cooperative
Leah EngstromLeah Engstrom
Certified Clinical Medical Assistant at Group Health CooperativeCertified Clinical Medical Assistant at Group Health Cooperative