Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shalene Scherr

Madison,AL

Summary

Detail-oriented Senior Review Analyst with expertise in case review and appeals for major healthcare providers. Proven ability to mentor analysts and enhance quality through effective training and leadership.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Senior Review Analyst

Optum
Eden Prairie, MN
01.2020 - Current
  • Review cases for Florida Blue, Health First, Humana, and HPHC
  • Escalations
  • Mentor other analysts in data interpretation and best practices for reviews.
  • Appeals Review
  • Pricing for Humana
  • Training other analysts

Coding Supervisor

Tenet Healthcare Corporation
Modesto
05.2018 - 11.2019
  • Gastroenterology Coding
  • Gener Surgery Coding
  • Internal Medicine Coding
  • Appeals
  • Quality Review Audits
  • Physician's Education

Assistant to Office Manager

Quality Care Transportation
Modesto, CA
04.2017 - 04.2018
  • Coordinated transportation schedules to optimize efficiency and meet client needs.
  • Managed documentation processes, ensuring compliance with regulatory standards.
  • Billing
  • Collection
  • Insurance verification
  • Appeals

Medical Coder

Oak Valley Hospital
Oakdale, CA
01.2016 - 01.2017
  • Entered charges for all ER departments.
  • Reviewed CPT codes for correct coding.

Medical Coder

Vituity/MBSI
Modesto, CA
01.2013 - 01.2015
  • E/M and CPT coding
  • Emergency Coding
  • Inpatient Coding
  • Surgical Coding
  • Observation coding

Education

High School Diploma -

Ripon High School
Ripon, CA
06-2003

Skills

  • Verbal communication
  • Microsoft off
  • Multitasking
  • Reliability
  • Organizational skills
  • Adaptability and flexibility
  • Teamwork and collaboration
  • Problem-solving
  • Attention to detail

Certification

  • CPC through AAPC

Timeline

Senior Review Analyst

Optum
01.2020 - Current

Coding Supervisor

Tenet Healthcare Corporation
05.2018 - 11.2019

Assistant to Office Manager

Quality Care Transportation
04.2017 - 04.2018

Medical Coder

Oak Valley Hospital
01.2016 - 01.2017

Medical Coder

Vituity/MBSI
01.2013 - 01.2015

High School Diploma -

Ripon High School
Shalene Scherr