Rachael Fussell

• Identified opportunities to optimize accurate coding capture for the Neonatology division of the practice, achieving a denial rate of 8%
• Managed neonatology coding denials through corrected claims, documentation, and appeals, maintaining average days in AR below ___
• Developed training documents for Athena Health FAQs, neonatology-specific coding, denials management, and payer guidelines to enhance staff understanding
• Analyzed payer trends and guidelines to ensure coding accuracy and compliance
• Assign ICD-10, CPT, and HCPCS codes for all neonatology inpatient and outpatient procedures
• Remote

• Developed and implemented engaging activities for cross-functional teams, aligning with educational objectives to improve team and student engagement
• Promoted supportive and collaborative work culture, strengthening team cohesion and boosting productivity
• Maintained student and team engagement during remote and hybrid learning environments
• Benjamin Franklin Charter School- Queen Creek, AZ

• Monitored and resolved claim status and denials, reducing denial rates by 20% through effective follow-up and appeals
• Managed and processed oncology claims at a 95% first-pass acceptance rate
• Supported patients by reconciling credit balances, ensuring accurate account management
• Reviewed aging accounts receivable balances to maintain financial integrity
• Maintained patient demographics and records in EHR and PMS systems, ensuring data integrity and confidentiality compliance

Summa Cum Laude

• Honoree of [Honor Name]