Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Michelle Phillips, CPC

Florence,SC

Summary

Accomplished CPC at Change Healthcare, Optum, adept in medical coding and fostering team collaboration. Excelled in reducing claim denials and enhancing software transition through meticulous pathology report reviews and AI-assisted error minimization. Demonstrated expertise in HIPAA compliance and pathology coding, significantly improving client communication and problem resolution.

Overview

21
21
years of professional experience
1
1
Certification

Work History

CPC

Change Healthcare, Optum
2003.03 - Current

Review pathology reports for appropriate CPT, ICD 10 and HCPCS per AMA/CAP guidelines.

Assign MIPS/PQRS/PQRI to appropriate cases for both claim based and registry clients.

Review for MUE as well as NCCI edits to ensure that clean claims go out the first time to reduce denials as well as to cut cost for claims clearinghouses.

Train fellow coders new to currently used software.

Network with and assist Business Support Services and programmers with AI reviews looking to reduce potential errors as clients transition to new coding software.

Review hospital systems for signs and symptoms when not included on report.

Prepare spreadsheets for client communication when all information is not provided on reports.

Research into finding and implementing solutions to resolve problems as they arise and strive to eliminate them on a daily basis.




Education

High School Diploma -

Florence Christian School
Florence, SC
05.1992

Skills

    Medical Coding

    Medical Terminology

    Data Entry

    Customer Service/Call Center

    HIPPA requirements

    Ability to work in a team environment or independently

Certification

CPC through AAPC since September 16, 2006

Timeline

CPC

Change Healthcare, Optum
2003.03 - Current

High School Diploma -

Florence Christian School

CPC through AAPC since September 16, 2006

Michelle Phillips, CPC