Summary
Overview
Work History
Education
Skills
Certification
Timeline
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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
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
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, NC
06.2018

Associate of Arts - Fashion Marketing

The Art Institute of Charlotte
Charlotte, NC
12.2011

Skills

Active listening abilities

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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

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Tara PondexterCertified Medical Coder