Marianne Brenden
Billings,MT
Summary
Detail-oriented professional with a strong background in medical coding and billing. Proven track record of accurately assigning codes and processing claims in a timely manner. Skilled in utilizing various coding systems and software to ensure compliance with industry standards. Eager to contribute expertise to a dynamic healthcare team.
Overview
11
11
years of professional experience
Work History
Senior/Lead Coder
United Audit Systems Inc.
11.2022 - Current
- Conduct monthly internal audits focused on HCC coding.
- Deliver coding instruction to team members.
- Generate daily reports to track workflow.
- Conduct inquiries with clients and providers.
- Request necessary corrections for denied claims.
- Provide back up to project supervisor.
- Analyze external audits and provider education to the coders.
Certified Medical Coder/HIM Coder Level III/Team Lead
Billings Clinic
09.2017 - 11.2022
- Process a minimum of 75 claims a day using ICD-10 and CPT standards.
- Maintains a 95% or above accuracy rate.
- Advises Providers of missed opportunities.
- Currently code in Primary Care/Internal Medicine/Geriatrics, Same Day/Urgent Care, Pediatrics, Endocrinology, and Nursing Home/Assisted Living Facility.
- Oversee approximately 18 coders and manages workflow/monitoring queues as well as answer coding related questions.
- Approves time off requests.
- Assists and supports supervisors in coordinating day to day operational needs.
Claims Review Specialist
Employee Benefit Management Services
04.2014 - 09.2017
- Review and respond to provider/member inquiries and/or appeals in a timely manner.
- Audit claims for proper edits and verify claims for accuracy. Also review claims for medical necessity and apply criteria for Pre-authorization from healthcare provider.
- Determine appropriate benefit level for claims.
- Serve on both an appeal and medical review committees. Organize and facilitate bi-weekly meetings. Assist with training when necessary.
Education
Certified Risk Adjustment Course (CRC) -
American Academy of Professional Coders (AAPC)
12.2018
Certified Professional Coder (CPC)
American Academy of Professional Coders
10.2015
Skills
- Excellent Customer Service
- Optimum Encoder, 3M Encoder, Trucode
- Cerner, SoftMed, Meditech, NextGen, Emdeon, Health-e-Web, ImageNow, PowerChart, Collybus, GBAS, EPIC,
- HIPAA compliance
- Clinical documentation
- Training and mentoring
- Medical terminology
- Workflow management
- Proficiency in Microsoft and Google Docs
- Coding error resolution
- Teamwork and collaboration
- Critical thinking
- Verbal and written communication
- Medicare insurance regulations
- Organizational skills
- Problem-solving abilities
- Risk Adjustment coding
Timeline
Senior/Lead Coder
United Audit Systems Inc.
11.2022 - Current
Certified Medical Coder/HIM Coder Level III/Team Lead
Billings Clinic
09.2017 - 11.2022
Claims Review Specialist
Employee Benefit Management Services
04.2014 - 09.2017
Certified Risk Adjustment Course (CRC) -
American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC)
American Academy of Professional Coders
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