MONICA HENDERSON, CPC, CPB
Revenue Cycle Management
Atlanta,GA
Summary
Results-driven healthcare leader as a Certified Professional Coder and Biller with over 20 years of experience spanning revenue cycle management, medical coding, compliance, and team development. A U.S. Army veteran with a proven ability to lead in high-pressure environments, bringing discipline, adaptability, and a commitment to excellence. Currently completing a Bachelor’s in Health Information Management (graduating December 2025) to obtain RHIA certification and expand leadership impact. Skilled in streamlining workflows, mentoring cross-functional teams, and navigating complex regulatory environments with integrity and attention to detail. Passionate about continuous learning, clear communication, and driving innovation to support organizational growth and quality patient care.
Overview
26
26
years of professional experience
Work History
Billing/Coding Specialist
Recuro Health
10.2023 - Current
- Submit accurate, compliant claims to payers using CPT, ICD-10-CM, and HCPCS codes
- Ensure timely reimbursement by reviewing claims against insurer requirements, correcting errors, and incorrect coding
- Monitor and resolve denials or rejections through investigation, appeal research, and appropriate follow-up to secure payment
- Identify root causes (e.g. coding errors, documentation gaps), and coordinate appeals to secure payments and reduce claim rejections.
- Maintain coding expertise by staying current with updates to coding manuals, payer policies, and reimbursement regulations
- Worked collaboratively with physician/clinical staff to improve the quality of medical documentation for compliance
- Collaborate with support staff by facilitating and improving the clinical documentation practices that support appropriate billing
- Medical Billing and Coding for Virtual Care
Billing/Coding Manager
Synapticure
10.2023 - 01.2025
- Managed full billing cycle for neurodegenerative disease care across multiple locations.
- Led benefit verification, preauthorization, and referral requirements, coding audits, and appeals
- Managed end-to-end billing and collections while addressing patient inquiries to resolve outstanding balances.
- Conducted thorough review of medical records to verify charge accuracy, assign appropriate codes to submit clean claims
- Identified and analyzed leading causes of claim denials by payers to drive proactive denial prevention initiatives.
- Prepared and submitted appeals and reconsideration requests to secure appropriate reimbursement for denied claims.
- Implemented revenue optimization strategies and implemented solutions to reduce aging accounts receivable (A/R) days through daily A/R report analysis and follow-up. Denial Management
- Evaluated EOBs and ERAs to ensure accurate payment posting, process refund requests, and recoupments.
- Collaborated closely with providers to maintain coding compliance and implement proactive denial prevention strategies.
- Medical Billing and Coding for Neurodegenerative diseases
Billing/Coding Specialist
Cerium Medical Group
03.2021 - 10.2023
- Optimized patient account and front desk process on payment collection and delinquent accounts
- Posted ERA/EOB payments, resolve recoupments and underpayments discrepancies from payers accurately
- Increased revenue by billing clean electronic claims for reimbursement with a reduction in denials on all insurance types
- Managed denied claims and appeals from payer and clearinghouse including implementing a denial prevention and resolution tragedy
- Managed and work A/R reports daily on aging claims to prevent loss of revenue and evaluate denial trends
- Worked collaboratively with physician/clinical staff to improve the quality of medical documentation for compliance
- Trained, Develop, and Educate providers and support staff by facilitating and improving the clinical documentation practices that support appropriate billing
- Facilitated and review medical records for claims processing/billing and for QPP/HEDIS measures
- Ensured highest specificity ICD-10 codes, if applicable, is used in the medical records/claims for proper reimbursement
- Medical Billing and Coding for Primary Care
Business/Billing Office Manager
Mesun Health Services, Inc
08.2020 - 02.2022
- Oversaw and managed billing, coding, registration, and financial counseling
- Managed medical records, data entry, new patients and payment posting
- Oversaw and executed billing, coding, and accounts receivables process flow
- Managed denials of claims
- Obtained precertification and authorizations as needed
- Conducted interviews, new hires, and training a productive medical office team
- Developed and implemented office policies and procedures.
- Ensures regulatory compliance with HIPAA, OSHA, labor laws, and other federal, state, and local regulations
- Collaborated with managed care, commercial, private, and government payers to analyze claims and maintain payer contract data.
- Medical Billing for Home Health Agency
Billing/Coding Specialist
Park Springs, LLC
09.2017 - 05.2020
- Managed, analyzed, and improved the revenue cycle revenue activities
- Oversaw monthly close reports of financial revenue generated for the clinic
- Analyzed medical record for correct diagnoses and coding for procedures rendered
- Submitted claims electronically or hard copy for processing to insurance payers
- Charge entry and payment posting on accounts
- Managed denied/rejection reports and file appeals on unpaid claims for reimbursement
- Checked patient eligibility, ensured patient inquires solved, and generated billing statements.
- Worked with managed care, commercial, private, and government payers
- Revenue Cycle Management of a Clinic.
Medical Coder/Biller
Henderson’s Coding Consultant
10.2016 - 09.2017
- Reviewed medical records to provide appropriate diagnostic and procedural on medical records
- Billed managed care, commercial, private, and government payers electronically for reimbursement
- Assisted with development of educational material for departmental consistency and provider education
- Executed coding and billing audits.
- Billed outpatient and ER surgeries
- Managed denials and rejections with coding issues
- Medical Coding and Billing for ENT, GYN, ORTHO, and General Surgery.
Professional Coder I
EMORY HEALTHCARE
12.2012 - 10.2016
- Reviewed medical record charts electronically in order to abstract diagnosis and procedure codes
- Coded appropriate injections, infusions, chemotherapy E&M coding as needed
- Performing ongoing analysis of medical record charts for coding compliance
- Optimize revenue collections by performing denial resolution, and other special projects
- Charge Entry and payment posting when needed
- Working knowledge of medical terminology, anatomy, and physiology
- Charge capture, including reviewing physician documentation and assigning CPT& ICD-10-CM codes.
Insurance Verifier
Children’s Healthcare of Atlanta
03.2009 - 04.2011
- Verified patient’s surgery benefits with commercial and government payers for reimbursement
- Obtained pre-authorization/ prior authorization for future surgeries to be performed
- Worked with providers on additional information needed for approved authorizations
- Provided financial counseling on benefits regarding deductibles, co-pays and co-insurance amounts
- Processed payments, set-up patient arrangements, and some soft collections
- Controlled a large volume of scheduled surgeries for approval process
- Responsible for obtaining pre-authorization for surgeries with the proper CPT codes, collecting deductibles and making payment arrangements with patients
Patient Account Representative
Hospital Corporation of America
06.2006 - 10.2008
- Handled inbound/outbound calls on a predictive dialer system
- Received and posted payments to patient’s account
- Soft collections of patient accounts to collect full payment or set payment arrangements
- Worked EOBs and correspondence from insurance company
- Preformed routine follow-up on insurance claims for resolution
- Ensured customer satisfaction was accurate and timely for assigned patients.
Department Manager
Risk Management Alternative, Inc
04.1999 - 03.2006
- Supervised a large team of 20 employees in an in/outbound call center
- Updated members of management to create improvement standards
- Trained and developed new employees on the job function
- Monitored and excessed productivity of the team to maintain the quality of service provided
- Reviewed and managed employee time for payroll processing
- Maintained and analyzed weekly and monthly financial reports on company goals
- Directed the maintenance of data integrity to ensure policies and procedures were followed
- Submitted and reviewed medical claims for reimbursement as needed
- Managed customer services team on hospital accounts.
Education
Bachelor of Science - Health Information Management
American Public University System
Online12.2025
Associate of Applied Science - Medical Office Technology
Brown Mackie College
Atlanta05-2004
Certified Professional Coder (CPC)
AAPC
12-2015
Certified Professional Biller (CPB)
AAPC
09-2022
Skills
- Certified Professional Coder
- Certified Professional Biller
- Medical Terminology
- ICD-10/CPT/HCPCS
- E&M/ Injection/Infusion Coding
- Payment Posting
- Accounts Receivables
- Insurance Verification
- Denials/Appeal Resolutions
- Government, Commercial, and TPA Insurance f/up
- Revenue Cycle Management
- Medical Records/HIPPA Compliance
- Knowledge of performance measures
- ECW, Epic, NextGen, Athena EHR software
- Microsoft Word and Excel
Timeline
Billing/Coding Specialist
Recuro Health
10.2023 - Current
Billing/Coding Manager
Synapticure
10.2023 - 01.2025
Billing/Coding Specialist
Cerium Medical Group
03.2021 - 10.2023
Business/Billing Office Manager
Mesun Health Services, Inc
08.2020 - 02.2022
Billing/Coding Specialist
Park Springs, LLC
09.2017 - 05.2020
Medical Coder/Biller
Henderson’s Coding Consultant
10.2016 - 09.2017
Professional Coder I
EMORY HEALTHCARE
12.2012 - 10.2016
Insurance Verifier
Children’s Healthcare of Atlanta
03.2009 - 04.2011
Patient Account Representative
Hospital Corporation of America
06.2006 - 10.2008
Department Manager
Risk Management Alternative, Inc
04.1999 - 03.2006
Bachelor of Science - Health Information Management
American Public University System
Associate of Applied Science - Medical Office Technology
Brown Mackie College
Certified Professional Coder (CPC)
AAPC
Certified Professional Biller (CPB)
AAPC
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