Summary
Overview
Work History
Education
Skills
References
Timeline
BusinessAnalyst
Samuel Harris

Samuel Harris

Chattanooga,TN

Summary

I am a dedicated certified medical coder and auditor who is eager to lend combined knowledge and skills to enhance business performance. I have 2 years of experience working at a busy GI practice and 9 years coding Urgent Care and Cardiology. I believe my positive and professional attitude along with my technical training and experience is a formula for success.

Overview

25
25
years of professional experience

Work History

HIM Coder II

CommonSpirit Health
07.2023 - Current
  • Apply ICD-10, CPT and HCPCS codes as well as modifiers to claims for accurate reimbursement
  • Review diagnostic test results, operative reports, pathology reports and other clinical documents to assign codes according to guidelines
  • Demonstrate expertise in resolving coding issues and responding to inquiries from healthcare providers
  • Submit clean claims in a timely manner to insurance companies for payment processing

HIM CODER II

Kaiser Permanente
04.2014 - 06.2023
  • Applied ICD-10-CM, CPT, and HCPCS coding for a variety of services to include: Ambulatory Surgery, Hospital Cardiology, Family Practice/Urgent Care visits and procedures, Pathology and EKGs
  • Extensive knowledge of organizational billing system and payor policy to assure production of clean claims
  • Professional communication with service providers using a coding compliant provider query process to ensure
    claim accuracy
  • Assisted with and performed any special coding projects as needed by HIM leadership
  • Maintained organizational coding standards of accuracy through monthly quality assurance reviews by a dedicated
    in-house auditor
  • Exceeded organizational productivity standards on average of 10 charts per day
  • Navigated Epic, 3M Coding and Reimbursement, Encoder Pro and Microsoft Suite programs

CODER/AUDITOR

Digestive Health Specialists
01.2012 - 03.2014
  • Promoted to the Auditor/Educator position in 2013 where I would perform provider and coder audits
  • Resolved compliance issues
  • Provided coding education for providers and coders ensuring the organization was up to date on coding changes
  • Gained extensive experience coding and auditing E/M, infusion and various GI procedures performed in clinics,
    ASCs and hospitals
  • Used Epic, Medical Manager, Doc-Link, Netpractice, Provations and Microsoft Office Suite programs daily
  • Demonstrated expertise in resolving coding issues and responding to inquiries from healthcare providers

DEPARTMENT MANAGER

Smart & Final Cash and Carry
08.1998 - 01.2012
  • Managed the frozen foods and deli departments, buying and maintaining stock for sales
  • Maintained knowledge of product ranges and services to improve customer experience
  • Maximized sales and long-term profitability to achieve department goals
  • Delivered excellent customer service, driving quality shopping experiences
  • Acted as a backup cashier

Education

COMPLETED COURSEWORK TOWARDS ANATOMY, MEDICAL TERMINOLOGY AND MEDICAL CODING TRAINING -

AAPC

CPMA -

AAPC
01.2014

CPC -

AAPC
01.2011

Skills

  • Procedural Coding
  • ICD-10 (International Classification Of Disease Systems)
  • Hospital Inpatient And Outpatient Records
  • HIPAA compliance
  • Epic Systems
  • Medical Terminology
  • Analytical thinking
  • 3M Encoder
  • Human Anatomy
  • Risk Management
  • Coding Error Resolution
  • Workers' Compensation Forms

References

  • KRISTIE BUSHMAN, Kaiser Permanente, HIM Coder II Co-worker, (253) 820-6872, krstb5@yahoo.com
  • JULI LUKANA, Kaiser Permanente, HIM Operations Coding Manager Manager, (253) 219-4137, Julianne.Lukana@KP.org
  • RACHEL CONLEY, Seattle Children's Hospital, Coder II Previous Supervisor, (360) 584-2261, rfreeman78@gmail.com

Timeline

HIM Coder II

CommonSpirit Health
07.2023 - Current

HIM CODER II

Kaiser Permanente
04.2014 - 06.2023

CODER/AUDITOR

Digestive Health Specialists
01.2012 - 03.2014

DEPARTMENT MANAGER

Smart & Final Cash and Carry
08.1998 - 01.2012

COMPLETED COURSEWORK TOWARDS ANATOMY, MEDICAL TERMINOLOGY AND MEDICAL CODING TRAINING -

AAPC

CPMA -

AAPC

CPC -

AAPC
Samuel Harris