Sharen J Craig
Tenet Healthcare Corporation
Cottonwood,AZ
1
Certification
19
Years of experience
Medical billing and coding professional with extensive experience in healthcare administration. Proven expertise in accurately processing claims, ensuring compliance with regulations, and maintaining detailed patient records. Highly collaborative team member focused on achieving results and adapting to changing needs.
Work History
Medical Biller and Coder
7 Years 3 Months- Worked remotely since 2021 assigning the Procedure and Diagnosis Codes
- Assigned procedure and diagnosis codes while working remotely since 2021, enhancing coding accuracy.
- Recorded patient charges accurately in the billing system.
- Reviewed denied claims for errors and corrected them.
- Performed appeals for denied claims.
- Querying physicians for questions or corrections.
- Audited physicians' reports and codes assigned to them for training.
- Audited ICD-10, CPT, and HCPCS coding for spine and brain services to ensure claim accuracy.
- Analyzed charge entries and documentation to resolve discrepancies before claim submission.
- Managed claim edits, rejections, and denials through payer portals and billing systems.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Resourcefully used various coding books, procedure manuals, and online encoders.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Input data into computer programs and filing systems.
- Scanned and uploaded medical records into electronic medical records system.
Medical Biller and Coder
4 Years 4 Months- Certified Coding Specialists for Pain and Anesthesia Specialties.
- Reviewed and analyzed medical records to assign appropriate ICD-10, CPT, and HCPCS codes for office and ASC procedures, ensuring coding accuracy.
- Processed and recorded patient charges in the billing system.
- Reviewed denied claims for coding errors and made corrections.
- Worked with AR providing updates and coding changes.
- Collaborated with accounts receivable to provide updates and implement coding changes, enhancing claim processing efficiency.
Auditor for Kidney and Hypertension Specialty
2 Years 3 Months- Audit and review physicians' office and hospital E&M records per Medicare Guidelines
- Delivered audit review results to physicians through Excel spreadsheets, enhancing understanding of compliance issues
- Provided audit review results to the physicians utilizing Excel Spreadsheets
- Supported A/R department in resolving denied claims, contributing to improved revenue recovery
- Conducted training and education sessions for ICD-10 implementation, facilitating smoother transition and compliance
- Executed various clerical tasks, including scanning, faxing, and retrieving records from EMR. i.e., scanning, faxing, retrieving records from EMR, etc.
Coding/Billing Manager for a Pediatrics Specialty
3 Years 4 Months- Coded Charge Tickets & Encounter forms using ICD-10, CPT, HCPCS
- Recorded patient charges and demographics into the billing system
- Managed aged accounts through written and phone appeals, charge corrections, payment posting, statement generation, and refunds
Education
AAS - Computer and Information Sciences
CPC - Medical Coding
Skills
ICD-10 coding
Procedure coding
EMR systems
3M encoder
Payment processing
Collections Management
HIPAA compliance
Medi Mobile
Doc Talk
Medical Manager
IDX
Aprima
Misys
Keane
CareCloud
Certification
- CPC - Certified Professional Coder
Timeline
Medical Biller and Coder
Tenet Healthcare Corporation
04.2019 - 07.2026Read More
Medical Biller and Coder
Arizona Pain Specialists
09.2014 - 01.2019Read More
Auditor for Kidney and Hypertension Specialty
AKDHC
02.2012 - 05.2014Read More
Coding/Billing Manager for a Pediatrics Specialty
Doctor's Resource Specialists (DRS)
01.2008 - 05.2011Read More
AAPC
CPC from Medical Coding
Read More
Central Arizona College
AAS from Computer and Information Sciences
Read More