Sarah Caldwell
Blue Springs,MO
Summary
Seasoned profee coding and billing professional with experience working for both a healthcare payor and diverse healthcare system. Applies official coding conventions and adheres to regulatory guidelines. Supports data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Specialized in disputes, appeals, data analysis, and research. Excellent time management, workload prioritization, and problem-solving skills. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Business Operations Analyst
GEHA - Federal Employee Healthcare Benefits
05.2021 - Current
- Issue determinations on provider disputes and member appeals for coding and billing accuracy, coding guideline compliance, and correct firing of internal edits as well as unlisted code evaluations.
- Provide coding guidance to leadership regarding CPT and diagnosis codes for benefit application, policy formation, and configuration.
- Skilled data analyst experienced in Excel, Word, and PowerPoint.
- Maintain excellent research skills to properly evaluate correct coding practices, industry standards, and code updates.
- Possess a wide-ranging knowledge base to review claims from any specialty.
Revenue Cycle Analyst
Saint Luke's Health System
06.2015 - 05.2021
- Processed complex professional billing charges with EPIC EMR.
- Supported Revenue Cycle leadership and peers with Excel reporting responsibilities, both standardized and ad hoc.
- Utilized Audit Manager software and report generation tools.
- Collaborated with IT configuration of coding scrubbing edits including new builds, troubleshooting errors, and testing for accuracy from a coding standpoint.
- Worked closely with charge review staff and revenue integrity analysts including auditing of charge review work.
Medical Transcriptionist/Office Assistant
Gerhard Cibis, MD
01.2010 - 06.2015
- Transcribed patient notes
- Scribed for physician
- Performed admin tasks related to research projects
- Assisted staff with billing and check-in and check-out duties.
Education
BS in Business Administration -
Avila University
Kansas City, MOSkills
- Attention to detail
- Regulatory guidelines
- Claims Processing
- Analytical skills
- Strong communicator
- Microsoft Excel expert
- Highly organized
Certification
- Certified Professional Biller, 08/2021, Present
- Certified Professional Coder, 05/2015, Present
Timeline
Business Operations Analyst
GEHA - Federal Employee Healthcare Benefits
05.2021 - Current
Revenue Cycle Analyst
Saint Luke's Health System
06.2015 - 05.2021
Medical Transcriptionist/Office Assistant
Gerhard Cibis, MD
01.2010 - 06.2015
- Certified Professional Biller, 08/2021, Present
- Certified Professional Coder, 05/2015, Present
BS in Business Administration -
Avila University
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