Shannon Iverson CPC, COC

• Reviewed and coded outpatient medical records accurately and efficiently.
• Reviewed IP and OP NCCI edits, ensuring accurate claim submissions leading to improved revenue cycle efficiency.
• Collaborated with billing teams to resolve coding issues
• Reviewed Coding for Medical Necessity, adding missing codes when needed
• Collaborated closely with team members to correct coding trends and errors
• Cerner, Epic, Citrix, CAC coder, RevCycle Pro, Optum, EFR MS4, AS400

• Reviewed patient records and added ICD-10, CPT coding for Same Day Surgery, Endoscopy, Observation, Interventional Radiology
• Worked with healthcare providers to clarify documentation requirements, fostering stronger communication and reducing coding errors.
• Maintained 98- 100% on audit reviews
• Proficient in Cerner, 3M, Windows, coding clinics, CDM, Coding Clinics, Chargemaster

Executed audits of medical records, ensuring compliance and accuracy, which resulted in substantial improvements in billing accuracy.

• Analyzed claims data to identify discrepancies
• Maintained comprehensive documentation of audit findings, communicating results back to departments
• Trained new employees
• Resolved coding errors and NCCI edits
• Coded Inpatient/ billed as outpatient encounters for CAU
• Worked close with denial team resolving claim edits and claim denials
• Conducted thorough reviews of medical records, ensuring adherence to regulatory
  standards
• Promoted a team-oriented environment by mentoring junior auditors, enhancing skill
  development and boosting team morale and performance.
• Cerner, Claim Scrubber, Chargemaster, CDM

• Applying ER codes and modifiers with precision, ensuring timely reimbursements and
  minimizing outstanding claims for improved cash flow.
• Analyzed billing discrepancies, implementing corrective measures that reduced errors and
  enhanced overall billing accuracy.
• Demonstrated strong communication skills while assisting Revenue Integrity, ensuring clarity and building trust.
• Billed IV therapy, Wound Care, Pro Fee ICU
  

Maintained accurate patient records and documentation, ensuring compliance with healthcare regulations and enhancing data integrity.

• Demonstrated strong interpersonal skills while providing compassionate care, building
  trust and rapport with patients.
• Coded and billed encounters
  Filling, Accounts receivable and payable
• Submitting claims