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Lorena Evans
East Windsor
Summary
Medical coder with extensive experience in documentation review and coding accuracy. Known for strong critical thinking and collaboration skills, contributing to improved billing processes and compliance with industry standards.
Overview
1
1
Certificate
13
13
years of professional experience
Work History
CPC
NJM Insurance Group
06.2022 - Current
- Analyzed medical codes for accuracy and compliance with industry standards.
- Collaborated with healthcare providers to resolve coding discrepancies promptly.
- Maintained up-to-date knowledge of coding guidelines and regulations.
- Reviewed patient records to ensure correct code assignment for billing processes.
- Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
Advanced Bill Processor
NJM Insurance Group
09.2013 - 06.2022
- Processed insurance claims efficiently, ensuring accuracy and compliance with company policies.
- Reviewed documentation to identify discrepancies and facilitated prompt resolutions.
- Collaborated with colleagues to streamline workflows and improve processing times.
- Trained new team members on software systems and best practices for claim processing.
- Increased productivity by effectively managing workload and prioritizing tasks.
- Provided outstanding customer service by promptly addressing inquiries and resolving issues.
Education
Certified Professional Coder
AAPC
Salt Lake City, UT02.2024
CBCS -
Prism Career Institute
Cherry Hill, NJ2010
Skills
- ICD-10 proficiency
- HIPAA compliance awareness
- Claims processing efficiency
- Team collaboration
- Documentation review expertise
- Continuing education commitment
- Medical coding expertise
- Surgical coding experience
- CPT coding
- Procedural coding precision
- Auditing and quality assurance
- HIPAA compliance
- Coding appeals
- Medicare insurance regulations
- Code assignment research
- Critical thinking
Timeline
CPC
NJM Insurance Group
06.2022 - Current
Advanced Bill Processor
NJM Insurance Group
09.2013 - 06.2022
Certified Professional Coder
AAPC
CBCS -
Prism Career Institute
Certification
- CBCS - Certified Billing and Coding Specialist
- CPC - Certified Professional Coder