Stephanie Phillips
Saint Joseph,MO
Summary
Medical Billing and Coding Specialist providing administrative and patient support in hospital setting. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Outpatient Clinic Coder I
Mosaic Life Care
08.2023 - Current
- Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards
- Communicates with providers, querying providers to ensure the highest level of specificity in provided in documentation
- Ensures data accuracy of State HIDI data by responding to edits received.
Network Development Representative
Sun Life Financial
05.2014 - 08.2023
- Perform all aspects of monthly capitation payments to all participating providers
- Perform all aspects of monthly special agreement payments to all participating providers
- Track/record/report all activity involving prepaid/DHMO dental plans
- Perform maintenance to database to keep provider records current/up to date.
Dental Claims Analyst
Sun Life Financial
11.2012 - 05.2014
- Discuss insurance plan provisions in a clear and concise manner, adapting language according to audiences’ familiarity with insurance terms and dental procedures
- Process dental insurance claims according to insurance coverage and limitations, prioritize tasks and manage time efficiently in order to meet or exceed assigned workload.
Patient Treatment Coordinator
Burleson Orthodontics
07.2012 - 09.2012
- Answered phones, scheduled appointments and served as first contact for patients
- Filed insurance and processed payments
- Performed consultations with new clients explaining financial expectations and treatment options.
Food Service Department Head (Main Dish)
Park Hill School District
08.2010 - 07.2012
- Organized preparation of food for assigned department, ensured delivery of necessary quantities and met the time schedule
- Assisted with monthly inventories management functions for department
- Completed weekly paperwork for department.
Education
Coding Specialist -
Metropolitan Community College
Kansas City01.2023
Skills
- 3M Professional Services Encoder
- Epic Systems
- Proficient with all MS Office products
Certification
- CPC-A - Certified Professional Coder Apprentice December 2022
- Coding Specialist Certificate December 2023
- CEDC - Certified Emergency Department Coder December 2023
Timeline
Outpatient Clinic Coder I
Mosaic Life Care
08.2023 - Current
Network Development Representative
Sun Life Financial
05.2014 - 08.2023
Dental Claims Analyst
Sun Life Financial
11.2012 - 05.2014
Patient Treatment Coordinator
Burleson Orthodontics
07.2012 - 09.2012
Food Service Department Head (Main Dish)
Park Hill School District
08.2010 - 07.2012
Coding Specialist -
Metropolitan Community College