Experienced medical billing and coding specialist with expertise in claims processing, revenue cycle management, and healthcare auditing. Proven track record of improving billing efficiency, accuracy, and compliance.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Coding Specialist Sr.
Minnesota Oncology
Saint Paul, MN
01.2026 - Current
Performed full abstraction and coding for the complete range of Colorectal Oncology surgeries, including bowel resections, colectomies, hemicolectomies, rectal surgeries, ostomy revisions, and complex multiorgan oncology procedures; assigned accurate ICD 10 CM, CPT, and HCPCS codes based on operative reports. Completed comprehensive GYN Oncology surgical, and E/M coding for inpatient and outpatient encounters including procedures, follow up visits, and oncology related evaluation services.
Coded oncology injections and infusions, enduring correct code selection, sequencing, and compliance with payer and organization requirements.
Demonstrated strong understanding of AHA Coding Clinic and AMA CPT assistant guidelines and applied them to support compliant, accurate coding practices.
Researched and resolved edits and denials, identifying rootcause issues, correcting coding or documentation gaps, and ensuring clean claim resubmission; knowledgeable in assigning appropriate modifiers based on payer policy.
Walked through operative reports to determine correct procedures, diagnoses, and coding hierarchy, accurately abstracting all billable services surgical oncology cases.
Accessed and utilized multiple systems including Epic, Cerner, Athena IDX, Medic, Encoder Pro, and 3M Encoder to retrieve documentation, validate coding accuracy, and submit clean charges; able to learn new systems quickly and efficiently.
Maintained daily charge accuracy by validating provider information, diagnoses, procedures, POS, DOS, and referral data while meeting productivity and accuracy metrics and adhering to certification and compliance requirements.
Achieved accurate coding for surgery inpatient and outpatient evaluation and management services through diligent record assembly.
Enhanced billing accuracy by efficiently accessing practice and hospital information systems for physician records. Improved coding precision by reviewing medical records with current ICD-10, CPT, and HCPCS classification systems.
Confirmed billable services through comprehensive documentation review.
Identified and reported documentation trends to senior coding manager for resolution.
Accelerated billing processes by entering coding results into practice management system.
Ensured daily charge accuracy by verifying provider and procedure details.
Supported corporate financial goals through collaboration with specialty team.
Maximized reimbursement by coordinating with corporate billing office for thorough patient account follow-up.
Fostered effective communication with physicians and practice managers to streamline operations.
Utilized coding resources to maintain high standards of accuracy.
Contributed to productivity analysis and departmental objectives.
Maintained high productivity standards and certification status annually. Completed additional assigned duties as necessary.
Student Nurse
Florida Hospital South
Orlando, FL
01.2000 - 07.2001
Assisted in patient assessments and documentation under supervision of registered nurses.
Administered medications and managed intravenous therapy for diverse patient populations.
Collaborated with healthcare team to implement care plans tailored to individual patient needs.
Monitored vital signs and reported changes to nursing staff promptly, ensuring patient safety.
Education
Associate of Science - Medical Office Administration
Valencia College
Orlando, FL
12-2011
Associate of Science - Medical Information Billing And Coding Admin
Valencia Community College
Kissimmee, FL
05-2011
High School Diploma -
John Marshall High School
Los Angeles, CA
1988
Skills
Medical Coding and Billing
HIPAA Compliance
Claims Processing
Electronic Health Records
Patient Data Management
Revenue Cycle Management
Healthcare Auditing
Insurance coding (ICD-10 and CPT)
Medical claims coding
Medical terminology
Workflow management
Inpatient records coding
Evaluation and Management(E/M)
Coding appeals
Medical coding and abstracting
Microsoft Excel and Word
ICD-10 coding
Document management
Epic, Athena IDX, G2, PMD, Cerner Software
Type 70wpm
Certification
Certified Professional Coder (CPC) - AAPC
Certified of ICD-10-CM Proficiency-AAPC
Certified of ICD-9-CM Proficiency-AAPC
Technical Certificate-Office Support-VCC
Licensed-Sales Associate/Realtor-Cameron Academy of Real Estate
Timeline
Coding Specialist Sr.
Minnesota Oncology
01.2026 - Current
Physician Enterprise Coder
Advent Health Corporate
02.2012 - 01.2025
Student Nurse
Florida Hospital South
01.2000 - 07.2001
Associate of Science - Medical Office Administration
Valencia College
Associate of Science - Medical Information Billing And Coding Admin
Medical Office Administrative Assistant at Richards Family Practice Physicians OfficeMedical Office Administrative Assistant at Richards Family Practice Physicians Office