NICOLE BARTHULY
Jonesborough,TN
Summary
Detail-oriented Certified Professional Coder (CPC) with over 10 years in healthcare specializing in professional and outpatient medical coding. Expertise in high-volume, multi-specialty coding across various fields, including primary care, OB/GYN, and radiology. Strong knowledge of ICD-10-CM, CPT, HCPCS, and compliance regulations, ensuring accuracy and audit readiness in remote settings.
Overview
1
1
Certification
18
18
years of professional experience
Work History
MEDICAL CODING SPECIALIST
Banyan Health Systems
07.2025 - 09.2026
- Code outpatient encounters using E/M, ICD-10-CM, CPT, and HCPCS.
- Code primary care, OB/GYN, surgical, and procedural services.
- Conduct coding audits and compliance reviews ensuring adherence to CMS and payer guidelines.
- Identify and resolve documentation and coding discrepancies through collaboration with providers and billing teams.
- Deliver feedback to providers enhancing documentation quality and minimizing coding errors.
- Remote
OUTPATIENT DHA MEDICAL CODER
Mindseeker
03.2025 - 07.2025
- Coded high-volume, multi-specialty outpatient encounters, ensuring compliance with DHA requirements.
- Coded primary care, endocrinology, rheumatology, OB/GYN, physical therapy, minor procedures, and infusions.
- Assigned E/M, CPT, HCPCS, and ICD-10-CM codes while applying modifiers, units, and payer guidelines.
- Reviewed documentation for gaps and inconsistencies, upholding productivity standards with MHS Genesis.
- Executed coding tasks remotely to ensure efficiency to manage coding tasks effectively.
MEDICAL CODING SPECIALIST
ETSU Health
Johnson City, TN
08.2023 - 03.2025
- Validated diagnoses, modifiers, charges, and billing completeness against provider documentation to enhance billing accuracy and support reimbursement processes.
- Coded high-volume records for family medicine, behavioral health, inpatient, and chronic care management to ensure accurate billing and compliance.
- Supported workflow improvements that reduced errors and ensured sustained regulatory compliance.
CODING SPECIALIST (CBO)
State of Franklin Healthcare
Johnson City, TN
04.2022 - 08.2023
- Assigned E/M, ICD-10-CM, CPT, and HCPCS codes for family medicine, radiology, and diagnostic procedure.
- Reviewed documentation and encounter forms for accuracy and specificity, enhancing overall coding quality.
- Confirmed accuracy of charges for patient encounters and completed encounters prior to monthly closing, facilitating timely billing processes.
- Verified charges and encounter completion before monthly closing.
BILLING SPECIALIST
CBS Medical Billing
06.2021 - 04.2022
- Managed billing accounts to resolve claim denials, ensuring timely reimbursements.
- Managed billing accounts and resolved claim denials.
- Coordinated with clients and internal teams to ensure accuracy in billing and documentation, minimizing errors and enhancing compliance.
- Distributed tasks among team members to enhance workflow efficiency. and team productivity.
- Remote
INSURANCE VERIFICATION SPECIALIST
Sahara Behavioral Health
Glendale, AZ
07.2020 - 10.2020
- Resolved insurance discrepancies, preventing billing errors and reducing claim denials.
- Verified insurance eligibility and benefits, ensuring accurate patient financial responsibility.
- Communicated with patients and insurers to clarify coverage and benefits.
MEDICAL BILLER
UC Irvine Health
Anaheim, CA
07.2018 - 07.2020
- Resolved claim denials by collaborating with internal departments and third-party payers to facilitate timely reimbursements.
- Reviewed clinical documentation for coding accuracy and ensured compliance with HIPAA regulations to maintain data integrity.
- Verified patient demographics and insurance information to ensure accurate billing outcomes.
PRINCIPAL ADMITTING CLERK
UC Irvine Health
Orange, CA
03.2009 - 07.2018
- Coordinated patient registration, admissions, discharges, scheduling, and insurance verification to ensure smooth front-office operations.
- Verified insurance and third-party coverage prior to service.
- Assisted with registration and admissions processes for laboratory, surgery, and radiology services to enhance patient flow.
Education
High School Diploma -
Loara High School
Anaheim, CAMedical Billing And Coding
Career Step
Skills
- Medical Coding ICD-10-CM CPT HCPCS E/M Coding Modifier usage Outpatient Coding Specialty coding Documentation analysis Compliance Denial Management Claims management Medicare billing NCCI LCD MUE Charge Validation Eligibility verification Provider training EMR Systems
- Epic Allscripts/Veradigm 3M Coding System eClinicalWorks MHS Genesis Microsoft Word Excel Access Outlook Teams
- ICD-10-CM coding
- CPT coding
- HCPCS coding
- E/M coding
Certification
AAPC Certified Professional Coder (CPC) — Certified Professional Coder Program, Career Step Academy — Professional Billing and Coding
Timeline
MEDICAL CODING SPECIALIST
Banyan Health Systems
07.2025 - 09.2026
OUTPATIENT DHA MEDICAL CODER
Mindseeker
03.2025 - 07.2025
MEDICAL CODING SPECIALIST
ETSU Health
08.2023 - 03.2025
CODING SPECIALIST (CBO)
State of Franklin Healthcare
04.2022 - 08.2023
BILLING SPECIALIST
CBS Medical Billing
06.2021 - 04.2022
INSURANCE VERIFICATION SPECIALIST
Sahara Behavioral Health
07.2020 - 10.2020
MEDICAL BILLER
UC Irvine Health
07.2018 - 07.2020
PRINCIPAL ADMITTING CLERK
UC Irvine Health
03.2009 - 07.2018
High School Diploma -
Loara High School
Medical Billing And Coding
Career Step