Shaunda Winchester
Summary
Certified Professional Coder (CPC) with 10 years of experience in physician's office billing and coding as well as three years of facility coding. Comprehensive knowledge of ICD-10, CPT, and HCPCS coding systems. Knowledge of medical terminology, anatomy, and physiology. Adept in reviewing documentation for correct coding.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Coding/Reimbursement Specialist III
Atrium Health
10.2015 - Current
- Perform reconciliation process to ensure all charges are captured
- Apply CPT and ICD-10 codes to guarantee appropriate revenue generation and compliance with billing guidelines
- Append all necessary modifiers
- Process automated or manually entered charges into applicable billing system
- Research and process coding related edits
- Adheres to department guidelines for timeliness of processing charges
- Communicates with physicians related to coding issues
- Identify trends and streamline new process to decrease errors and denials.
Denial Coordinator
OrthoCarolina
01.2015 - 10.2015
- Resolved claim edits
- Reviewed coding related denials
- Appealed coding related denials with supporting documentation
- Tracked and communicated denial patterns to management.
Coding Tech
Atrium Health/ Mecklenburg Medical Group
05.2013 - 01.2015
- Manually entered charges for office visits from encounter forms
- Resolved claim edits
- Managed denial data and compiled monthly report for management
- Posted patient payments
- Resolved coding related denials
- Communicated with physicians regarding coding related matters.
Skills
- ICD-10, CPT, and HCPCS Coding
- Medical terminology
- Electronic Health Record (EHR)
- Attention to detail
- Data entry
- HIPAA Regulations
- Time management
- 3M CRS
Page
2
Certification
American Academy of Professional Coders (AAPC), Certificate
Timeline
Coding/Reimbursement Specialist III
Atrium Health
10.2015 - Current
Denial Coordinator
OrthoCarolina
01.2015 - 10.2015
Coding Tech
Atrium Health/ Mecklenburg Medical Group
05.2013 - 01.2015
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