Lauren Ervin
Salt Lake City,UT
Summary
Dependable medical coder with anatomy and medical terminology education. I have hands-on experience in pro-fee coding, E/M outpatient coding as well as HCC coding. Focused on delivering exceptional results through strong time management, communication, and teamwork abilities.
Overview
11
11
years of professional experience
Work History
HCC Coding Specialist
Corrohealth
Plano, TX
10.2023 - Current
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
- Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
RISK ADJUSTMENT CODER
CSI Companies
Miami, FL
10.2022 - Current
- Locate and code Medicare specific HCC coding from patient's medical encounters
- Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes
- Accurately assigned codes using software and official print copy of code book
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal
- Reviewed account information to confirm patient and insurance information is accurate and complete.
CLAIMS PROCESSER
UST Global
Alpharetta, GA
09.2021 - 10.2022
- Verified claim data correctness in preparation for processing
- Reviewed history records to determine benefit eligibility for services
- Researched medical claims for validity to resolve discrepancies
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems
- Verified policy holder data, including age, contact number and physical address
- Processed claims for payment or forwarded to appropriate personnel for further investigation.
CERTIFIED PROFESSIONAL CODER
Revere Health
Provo, UT
12.2020 - 07.2021
- Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal
- Accurately assigned codes using software and official print copy of code book
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
ACCOUNT MANAGER
Overstock.Com Inc.
Murray, UT
09.2013 - 01.2020
- Managed and grew vital customer accounts, including contract review, production scheduling and customer engineering support
- Tracked and analyzed weekly sales reports, implemented corrective action plans and streamlined sales operations
- Developed productive relationships with business representatives and consulted closely to uncover needs and match available solutions
- Connected with current customers to assess satisfaction, determine needs and offer new services.
Education
CPC - Medical Coding and Billing
Career Step
Lehi, UtahHigh School Diploma -
Brighton High School
Salt Lake City, UTSkills
- Risk adjustment/ HCC coding for Medicare
- Customer relationships
- Project Management
- Cross-functional collaboration
- Proficient in Microsoft Word and Excel
- Insurance terminology
- Medical terminology
- Insurance plan verification
- Knowledgeable in Encoder Pro and Allscripts
Timeline
HCC Coding Specialist
Corrohealth
10.2023 - Current
RISK ADJUSTMENT CODER
CSI Companies
10.2022 - Current
CLAIMS PROCESSER
UST Global
09.2021 - 10.2022
CERTIFIED PROFESSIONAL CODER
Revere Health
12.2020 - 07.2021
ACCOUNT MANAGER
Overstock.Com Inc.
09.2013 - 01.2020
CPC - Medical Coding and Billing
Career Step
High School Diploma -
Brighton High School