Sherrie Brown
Caldwell
Summary
Dedicated Customer Service Representative and Certified Professional Coder with 14 years of experience in high-volume environments. Achieved a 90% first-call resolution rate and reduced call resolution time by 20%, enhancing customer satisfaction and operational efficiency. Committed to improving service quality and team collaboration.
Overview
12
12
years of professional experience
Work History
CERTIFIED PROFESSIONAL CODER/BILLER
BAP CONSULTING
Nampa
02.2023 - 03.2026
- Assigned appropriate codes for diagnoses and procedures in various healthcare settings.
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
- Reviewed medical records to ensure accurate coding and compliance with regulations, enhancing overall data integrity.
- Collaborated with healthcare providers to resolve documentation and coding discrepancies, improving coding accuracy.
- Conducted audits of coded records to ensure adherence to industry standards.
- Educated staff on coding guidelines, updates, and best practices for documentation.
- Investigated denials from insurance companies related to incorrect or missing diagnosis and procedure codes, facilitating successful appeals.
- Communicated with insurance companies to provide patient information.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Responded to coding questions from callers and other internal departments.
- Handled incoming calls and directed callers to appropriate department or employee.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
SUPERVISING BILLER/ CODER
IMAGING CENTER OF IDAHO
Caldwell
02.2014 - 02.2023
- Demonstrated expertise in assigning appropriate medical codes to diagnoses, procedures, and services according to industry guidelines and regulations
- Proficient in reviewing and analyzing medical records to ensure accuracy and completeness for billing and reimbursement purposes
- Skilled in handling insurance claims processing and follow-up, including resolving denials and appeals in a timely manner
- Collaborated with healthcare providers to clarify documentation and coding discrepancies to optimize revenue cycle management and ensure regulatory compliance
- Supervised team of billers and coders, guiding training and mentoring for accurate, efficient coding and billing processes
- Developed and implemented quality control measures to review billing and coding accuracy, resulting in a decrease in error rates by 20%
- Managed accounts receivable and worked closely with insurance providers to resolve claim denials and overdue payments in a timely manner
- Collaborated with healthcare providers and administrators to optimize billing and coding procedures, enhancing revenue and overall efficiency
- Developed troubleshooting guides that reduced call resolution time by 20%
- Exceeded customer satisfaction goals, improving volume of customer service calls
- Handled 80+ customer and insurance inquiries daily, coordinating with customers, insurance companies, and attorneys to resolve patient account issues
- Trained new hires on Imaging center best practices, enhancing overall team efficiency
Education
Vocational Certificate of Credential - Professional Coder
AAPC
Nampa, ID08-2013
Skills
- High-volume call handling
- Conflict resolution
- Customer retention
- Customer service
- Revenue cycle management
- Team leadership
- Attention to detail
- Effective communication
- Problem solving
Timeline
CERTIFIED PROFESSIONAL CODER/BILLER
BAP CONSULTING
02.2023 - 03.2026
SUPERVISING BILLER/ CODER
IMAGING CENTER OF IDAHO
02.2014 - 02.2023
Vocational Certificate of Credential - Professional Coder
AAPC