Kristina Porter
Layton,UT
Summary
Results-oriented coding specialist with extensive experience in hierarchical condition categories, dedicated to enhancing coding accuracy and ensuring compliance with medical standards. Recognized for strong collaboration skills and a proactive approach to problem-solving, effectively adapting to the evolving needs of the healthcare industry. Committed to driving quality improvements and optimizing processes to contribute to overall organizational success. Proven ability to work cross-functionally, fostering teamwork and communication to achieve shared goals.
Overview
5
5
years of professional experience
1
1
Certification
Work History
HCC Coder
CSI Companies / Optum
Jacksonville, FL
08.2025 - Current
- Analyzed medical records to ensure accurate coding and compliance with regulations.
- Collaborated with healthcare teams to resolve coding discrepancies and improve documentation accuracy.
- Reviewed clinical data for completeness, ensuring optimal reimbursement for services rendered.
- Enhanced coding accuracy by consistently reviewing and updating knowledge of HCC guidelines and regulations.
- Stayed current with evolving industry standards, attending professional development seminars and workshops related to HCC coding advancements.
- Maintained strict compliance with HIPAA regulations, ensuring the privacy and security of patient information during the coding process.
- Managed a high volume of medical records efficiently while maintaining exceptional attention to detail during the coding process.
Authorization Specialist
Rotech Healthcare
Jacksonville, FL
06.2025 - 08.2025
- Reviewed and processed authorization requests, ensuring compliance with company policies.
- Collaborated with healthcare providers to gather necessary documentation for approvals.
- Streamlined authorization workflows, enhancing processing speed and accuracy.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Maintained accurate records of all authorizations within electronic health record systems.
Medicare Customer Service Representative
Aetna/CVS Caremark
07.2021 - 10.2023
- Educated members about their benefits and medical claim information
- Navigated multiple systems to locate information for the member
- Efficiently completed online forms and located data to fulfill requests
- Explained policy and procedure over the phone
- REMOTE
Family Enrollment Counselor
Connections Academy/Pearson Virtual Schools
04.2024 - Current
- Maintained accurate and detailed records
- Managed incoming inquiries from prospective families via phone, email and chat
- Worked with other department to ensure a seamless enrollment experience
- REMOTE
Education
Certificate of Completion - Medical Billing and Coding
Salt Lake Community College
SLC, UT03.2025
Bachelor of Science - Early Childhood
Weber State University
Ogden, UT12.2009
Skills
- Strong wrtitten and verbal communicaion
- Proficient in conveying information clearly
- Organizational Skills
- Active Listening
- Analytical thinking
- Detail-oriented
- Experience with ICD-10 documentation standards
- HIPAA compliance
- Healthcare vocabulary
Certification
- CPC - Certified Professional Coder
Timeline
HCC Coder
CSI Companies / Optum
08.2025 - Current
Authorization Specialist
Rotech Healthcare
06.2025 - 08.2025
Family Enrollment Counselor
Connections Academy/Pearson Virtual Schools
04.2024 - Current
Medicare Customer Service Representative
Aetna/CVS Caremark
07.2021 - 10.2023
Bachelor of Science - Early Childhood
Weber State University
Certificate of Completion - Medical Billing and Coding
Salt Lake Community College