Priscilla Johnson
Houston
Summary
Healthcare professional with over 10 years of experience in outpatient and emergency department coding, patient registration, and insurance verification. Proven track record in resolving documentation discrepancies and enhancing patient access workflows. Recognized for accuracy and exceptional customer service, with a strong ability to educate staff and collaborate effectively across teams. Aiming to leverage expertise in insurance verification and patient financial counseling in a Patient Registration Specialist role.
Overview
10
10
years of professional experience
Work History
Outpatient ER Certified Coder
Harmony Healthcare
Houston
07.2024 - 08.2025
- Validated patient demographics and insurance details for accurate billing and reimbursement.
- Collaborated with billing teams to resolve discrepancies and reduce claim denials.
- Coordinated workflows across departments to enhance patient access and documentation efficiency.
- Achieved over 95% accuracy in coding and documentation review.
Outpatient ER Certified Coder
AMD Global Healthcare LLC
Houston
01.2019 - 05.2024
- Conducted comprehensive insurance verifications and documentation reviews to ensure coding compliance.
- Educated physicians and staff on documentation standards to improve accuracy and minimize rejections.
- Analyzed denial cases to pinpoint issues related to medical necessity, insurance coverage, and authorization requirements.
- Employed coding software to accurately assign codes for diagnoses and procedures.
Outpatient ER Certified Coder
Neighbors Emergency Center
Houston
10.2015 - 11.2018
- Reviewed patient records to ensure accurate linkage among diagnoses, procedures, and payer requirements.
- Supported emergency department workflows with documentation checks and insurance validation.
- Collaborated with clinical and administrative teams to uphold compliance and enhance reimbursement processes.
- Entered coded data into electronic health record systems with precision and efficiency.
Education
Certification - Billing Specialist
Texas School of Business
Houston, TX06-2015
High School Diploma -
M.B. Smiley High School
Houston, TX05-2004
Skills
- Coding software proficiency
- Prior authorization processing
- Skilled in 3M Encoder, Epic
- ICD-10 coding
- CPT coding
- HCPCS
- Emergency department coding
- Claim resolution
- Patient access management
- Insurance coverage verification
Timeline
Outpatient ER Certified Coder
Harmony Healthcare
07.2024 - 08.2025
Outpatient ER Certified Coder
AMD Global Healthcare LLC
01.2019 - 05.2024
Outpatient ER Certified Coder
Neighbors Emergency Center
10.2015 - 11.2018
Certification - Billing Specialist
Texas School of Business
High School Diploma -
M.B. Smiley High School