Shannon Moore, CPC, CPMA
New Braunfels,Texas
Summary
Certified Medical Coder (CPC) and Auditor (CPMA) with over 20 years of experience in healthcare. Expertise in ICD-10 and CPT coding, with a strong focus on accuracy and compliance. Proven track record in medical practice management, enhancing operational efficiency. Seeking part-time opportunities to leverage extensive coding and auditing skills.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Certified Professional Medical Coding Auditor
Modernizing Medicine
Boca Raton, FL
09.2022 - Current
- Consistently exceeded weekly audit metrics.
- Acted as point of contact and coding compliance SME for various specialties
- Ensured accurate diagnosis, procedural coding, and modifier usage per guidelines.
- Provided guidance and training on proper coding practices to onshore and offshore RCM teams.
Certified Professional Medical Coding and Billing Specialist (part-time position)
Iron Health
Washington, DC
03.2024 - 07.2025
- Served as key point of contact for all coding compliance and billing challenges.
- Supported growth of coding and billing department, evaluated pr
- Guided providers in best practices for medical documentation.
- Managed insurance claim holds and denials for numerous customers.
Certified Professional Coder (HCC Coder)
Capital Medical Clinic
Austin, TX
10.2021 - 09.2022
- Completed daily E/M queue posting at a 95% error rate and managed preparing A/P for providers with focus on HCC.
- Conscientiously reviewed medical records to identify appropriate coding based on ICD, CPT, HCPCS, Modifier guidelines, and CMS HCC categories for RA.
- Provided documentation education to providers as needed.
Certified Professional Coder
Austin Gastroenterology
Austin, TX
11.2017 - 10.2021
- Achieved 95% accuracy by consistently exceeding daily performance metrics to include E/M, procedures, and pathology.
- Reduced claim denials through diligent pre-claim audits and performed post-claim audits for resubmission or appeal.
- Effectively managed high-volume workloads by prioritizing urgent and important tasks.
- Trained new coding staff and facilitated task delegation among team members as needed.
Stay-at-home Parent
Family Home
Cedar Park, TX
05.2001 - 11.2017
- Managed household with three children. Volunteered as the Head Room Parent, organized events for the teacher, and enlist other parent volunteers as needed.
Medical Office Business Manager
Edward Tomaneng, MD
San Marcos, TX
04.1994 - 05.2001
- Fostered positive work environment, mentored junior staff to enhance professional growth. Hired and trained new employees. Managed IT system setup and training to ensure efficient technology use. Entered CPT/ICD-9 codes, and patient information accurately into billing system. Filed medical claims for HMO, PPO, Medicare, and Medicaid, ensuring optimal reimbursement through appeals as necessary.
Front Office Administrator/Office Manager
Warren Albrecht, MD
New Braunfels, TX
08.1989 - 04.1994
- Increased patient satisfaction by promptly addressing inquiries and resolving issues proactively. Enhanced office efficiency by streamlining administrative processes. Answered multiple line phone system, greeted patients, scheduled appointments, prepared patient charts, performed medical transcription, filed medical insurance claims to all payers, and wrote clear and detailed phone messages for physicians. CPT/ICD-9 coding, payment posting, and chart filing. Assisted in onboarding new employees, providing comprehensive training and guidance as needed.
Education
Associate of Applied Science - Word Processing (Business Admin. & Accounting)
San Antonio College
San Antonio, TXHigh School Diploma - undefined
New Braunfels High School
New Braunfels, TXSkills
- Medical billing and coding expertise
- Auditing and quality assurance
- Analytical and critical thinking
- Mulyiple EMR systems experience
- Specialty exposure
- Medical terminology proficiency
- Health insurance knowledge
- Remote work skills
- Microsoft Office proficiency
Certification
- CPMA - Certified Professional Medical Auditor - AAPC, September 2023 - #01556372
- CPC - Certified Professional Coder - AAPC, November 2019 - #01556372
Timeline
Certified Professional Medical Coding and Billing Specialist (part-time position)
Iron Health
03.2024 - 07.2025
Certified Professional Medical Coding Auditor
Modernizing Medicine
09.2022 - Current
Certified Professional Coder (HCC Coder)
Capital Medical Clinic
10.2021 - 09.2022
Certified Professional Coder
Austin Gastroenterology
11.2017 - 10.2021
Stay-at-home Parent
Family Home
05.2001 - 11.2017
Medical Office Business Manager
Edward Tomaneng, MD
04.1994 - 05.2001
Front Office Administrator/Office Manager
Warren Albrecht, MD
08.1989 - 04.1994
Associate of Applied Science - Word Processing (Business Admin. & Accounting)
San Antonio College
High School Diploma - undefined
New Braunfels High School