Susan Berndt
Fort Myers,FL
Summary
I am a medical professional who enjoys creating a positive work environment and empowered employees who know they are valued and a part of a team who work together towards the same goals.
Desiring to be in a place where I can be an asset to influencing great and positive change in healthcare and in the lives of my coworkers.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Provider Engagement Coordinator
Advantasure Blue Cross
Glen Allen, VA
05.2019 - 05.2020
- Developed and maintained strong relationships with providers in Florida and Oklahoma by responding promptly to inquiries, resolving issues and providing Risk Adjustment coding and quality support.
- Analyzed trends and gaps in provider utilization to identify opportunities for process improvement.
- Conducted site visits an coordinated internal training sessions to evaluate current processes used by contracted providers including medical record review and quality assurance measures.
- Prepared reports summarizing provider engagement and contracted performance in accordance to CMA Risk Adjustment and Quality Measures.
Provider Coding Educator/ Coder Manager
Millennium Physician Group
Fort Myers, FL
08.2016 - 04.2019
- Traveling to medical offices in 5 Florida countries working one on one with 400+ medical providers, their staff, and 16 Risk Adjustment Coders to improve coding and quality performance.
- Performed chart audits for both Providers and coders to ensure both coding and documentation meet requirements for Medicare and Commercial Risk Adjustment metrics.
- Created and conducted live webinars, monthly orientation presentations, and online courses.
- Daily use of excel spreadsheets, tables, and graphs to record performance progress and identify trends and gaps for educational assistance.
Medical Coder /Medical Billing Representative
Internal Medicine Associates
Anchorage, AK
01.2012 - 07.2016
- Provided daily medical coding for 12 providers in the fields of Gastroenterology, Pulmonary, and Endocrine, using ICD-9, ICD-10, HCPC, and CPT codes.
- Tracked and reported trends, created and managed appeals to insurance denials, worked accounts receivable, accounts payable, collections, customer service, and accounting.
- Set up patient charts and documented information in various company software.
- Reviewed and processed medical insurance claims for accuracy, completeness and compliance with insurance regulations.
Skills
- Excel Spreadsheet skills including VLOOKUP and Pivot Tables
- Microsoft Office, Word, and PowerPoints
- Leadership: a Certified Coder Team Builder Results = Lead the coding department into working as team players becoming the top ranked department for 2015 - 2016 Increased Revenue within the billing/coding department, less denied claims, increase productivity and positive work environment b Risk Adjustment Coder, promoted by all coworkers to be the Team Cheerleader and transformed our department from isolated individuals into a team who all worked together collaboratively c Risk Adjustment Educator, built trusting relationships with providers and coders while collaborating with Quality Director and Manager for solutions
Certification
- Certified Professional Coder, Certified Risk Coder, Certified Professional Practice Manager
Timeline
Provider Engagement Coordinator
Advantasure Blue Cross
05.2019 - 05.2020
Provider Coding Educator/ Coder Manager
Millennium Physician Group
08.2016 - 04.2019
Medical Coder /Medical Billing Representative
Internal Medicine Associates
01.2012 - 07.2016
- Certified Professional Coder, Certified Risk Coder, Certified Professional Practice Manager