Tara Pondexter
Certified Medical Coder
Matthews,NC
Summary
Detail oriented and quality focused Certified Professional Medical Coder (CPC) with experience in Risk Adjustment Coding and Medical Billing. Seeking opportunities to further develop coding expertise and to contribute to efficient healthcare administration.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coder
Optum
Charlotte, NC
01.2023 - Current
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations while managing sensitive data.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
- Verified accuracy of patient information in medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
Medical Billing Specialist
US Radiology Specialists
Charlotte, NC
02.2022 - 01.2023
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
Education
Certified Medical Coding Course
Med Code Solutions
Charlotte, NC06.2018
Associate of Arts - Fashion Marketing
The Art Institute of Charlotte
Charlotte, NC12.2011
Skills
Active listening abilities
HIPAA Compliance
ICD-10 Proficiency
Risk Adjustment Principles
HCC Coding Knowledge
Training and Mentoring Abilities
Self-motivation and discipline
CMS Guidelines Familiarity
Medical Billing Processing
Attention to Detail
Problem-Solving
Medical Terminology
Adaptability and Flexibility
HCC Coder
Advanced knowledge with Imagine, RIS, and Availity medical billing software
ICD-10 CM, CPT and HCPCS Level II coding
Certification
Certified Professional Coder- CPC
Timeline
Risk Adjustment Coder
Optum
01.2023 - Current
Medical Billing Specialist
US Radiology Specialists
02.2022 - 01.2023
Certified Medical Coding Course
Med Code Solutions
Associate of Arts - Fashion Marketing
The Art Institute of Charlotte