Revenue Cycle Specialist/Certified Professional Coder working towards a CRC certification with experience at Providence Community Health Centers across multiple specialties. Adept in E/M, HCPCS, CPT, and ICD 10 CM coding. Compliant with Medicare regulations and HIPAA standards. Strong collaborator, dedicated to enhancing coding accuracy and educating clinical staff on documentation best practices.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
Providence Community Health Centers
Warwick, RI
08.2025 - Current
Reached out to insurance companies to verify coverage.
Provided regular updates on billing status to upper management through detailed reports.
Balanced and reconciled accounts.
Maintained clear documentation of all activities related to unpaid claims or denied services.
Collaborated with clinical staff to ensure accurate coding and documentation of services provided.
Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
In addition to all coding responsibilities outlined below under Medical Coder
Medical Coder
Providence Community Health Centers
Warwick, RI
04.2022 - 08.2025
Applied E/M, CPT, ICD CM and HCPCS codes to claims after reviewing outpatient records and interpreted documentation to identify diagnoses and procedures.
Coding across multiple specialties including Family Practice, Internal Medicine, Family Planning, OBGYN, Dental, Behavioral Health, Pediatrics, Optometry, Nephrology, Podiatry, Dermatology, Asthma and Allergy and Medicare/Medicaid.
Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
Verified, coded and added modifiers to diagnoses.
Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
Educated clinical staff on proper documentation techniques and terminology to ensure accurate representation of patient conditions and treatments for optimal coding outcomes.
Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
Verified signatures and checked medical charts for accuracy and completion.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Followed up with medical staff regarding missing information in patient records.
Northern RI CO-OP Director
ENRICH RI
RI
09.2015 - 08.2021
Facilitated and Organized Homeschool Co-Op classes, workshops and events for all grade levels and ages of homeschooled children in RI, MA and CT.
Led strategic initiatives to enhance community engagement and program development.
Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
Oversaw all office operations, maintenance and management of rental property, opening and closing the building.
Human Resources Administrator
Shaws Star Market
South Attleboro, North Attleboro, East Providence
01.1997 - 01.2003
Managed employee onboarding and orientation processes to enhance new hire integration.
Managed employee data and privacy to keep employee data confidential per organizational privacy policies.
Managed payroll and timekeeping to track hours and accurately pay employees.
Oversaw hiring, staffing, and labor law compliance.
Conducted thorough exit interviews with departing employees to gather feedback on company culture and identify areas for improvement.
Updated HR database with new employee information, changes in benefits, and other details.
Answered employee inquiries regarding health benefits and 401k options.
Managed employee leaves of absence, ensuring compliance with applicable laws and maintaining clear communication channels between employees and management.
Managed benefits enrollment by answering questions and aiding employees with login details.
Assisted with writing job postings and job descriptions for boards.
Partnered with departmental managers to ascertain hiring needs and subsequently provide candidate recommendations.
Completed human resource operational requirements by scheduling and assigning employees.
Collaborated with managers to identify and address employee relations issues.
Monitored labor laws and regulations compliance to protect employers from litigations and employees from discrimination and harassment.
Monitored OSHA compliance and maintained all records related to any OSHA compliance issues.
Administered CBT training for all departments.
Office Manager
The Child Guidance Center
North Attleboro, MA
02.1995 - 01.1997
Managed office operations, ensuring efficient workflow and resource allocation.
Trained and mentored administrative staff, fostering professional development within the team.
Conducted regular audits of office supplies and equipment, maintaining optimal inventory levels.
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
Oversaw facility maintenance requests, coordinating with building management to address repairs or improvements efficiently.
Provided comprehensive administrative support to senior management, enabling them to focus on strategic decision-making.
Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Oversaw appointment setting and dispatching of sales personnel to customers homes.
Conducted follow up communication with customers after appointments.