Detail-oriented medical coder with expertise in medical terminology, HCPCS coding, and HIPAA compliance. Committed to accurate billing and coding practices to enhance revenue cycle efficiency.
Overview
4
4
years of professional experience
Work History
Medical Coder
Oak Street Health
Chicago, IL
03.2024 - 05.2026
Reviewed and assigned appropriate codes for medical services and procedures to ensure accurate billing.
Collaborated with healthcare providers to clarify documentation and resolve discrepancies in coding.
Maintained up-to-date knowledge of coding guidelines and regulations to ensure compliance with industry standards.
Conducted regular audits of coded data to identify errors and improve accuracy in submissions.
Medical Reimbursement Specialist
Aetna, a CVS Health
Dallas, TX
04.2023 - 03.2024
Processed medical claims accurately to ensure timely reimbursement for healthcare services.
Reviewed and validated documentation to maintain compliance with regulatory requirements.
Collaborated with healthcare providers to resolve billing discrepancies and optimize claim submissions.
Utilized advanced billing software to track claim statuses and expedite resolution processes.
Claims Representative
Gainwell Technologies
Dallas, TX Remote
01.2022 - 11.2023
Analyzed claims for accuracy and compliance with regulations.
Processed customer inquiries and resolved issues efficiently.
Maintained detailed records of claims and communications.
Collaborated with cross-functional teams to improve claims processing workflows.