Work Preference
Summary
Overview
Work History
Education
Skills
Certification
Timeline
Tiffany Ferrell

Tiffany Ferrell

Humana
Atlanta,GA

Work Preference

Work Type

Full Time

Location Preference

Remote

Important To Me

Work from home optionPaid time offWork-life balanceCareer advancement401k matchHealthcare benefits

Summary

CPC certified professional with 12 years in healthcare operations, claims analysis, compliance, and documentation review.

1
Certification
12
years of professional experience

Work History

Compliance Control Monitor

4 Years 11 Months
Humana | Atlanta, Georgia | 11.2021 - Current
  • Reviews hourly compliance reports to identify non-compliance issues, support CMS adherence and internal quality standards.
  • Applies ICD-10 CM, CPT, and HCPCS coding guidelines to support accurate claims adjudication.
  • Reviews medical records for coding accuracy and compliance standards.
  • Train and mentor new associates on claims processes, and compliance expectations.
  • Manages multiple priorities in a fast-paced, metric-driven environment.

.

Medical Intake Coordinator

6 Years
Humana | Louisville, Kentucky | 11.2015 - 11.2021
  • Streamlined intake processes for outpatient claims and prior authorization requests, ensuring timely communication between patients and providers.
  • Researched and resolved claims discrepancies by interpreting coding guidelines.
  • Trained and mentored new team members on claims processes.

Intake Coordinator

11 Months
Omnicare | Louisville, Kentucky | 12.2014 - 11.2015
  • Verified insurance and income documentation to support patient access to services.
  • Coordinated outpatient intake, verifying documentation, resolving claims, discrepancies, and collaborating with patients and providers.
  • Collaborated with healthcare providers, case managers, and pharmacies to streamline patient intake processes.

Education

High School Diploma

Eastern High School | Louisville, KY | 05-1997

Skills

Clinical documentation review & analysis
ICD-10 CM
CPT
HCPCS coding
Medical Terminology & Anatomy/Physiology
Process Improvement & Quality
Root cause analysis
Attention to detail and analytical thinking
Conflict resolution
Decision-making
Recordkeeping requirements
Task prioritization
Utilization management
Excel

Certification

  • AAPC Certified Professional Coder, CPC 2026

Timeline

Compliance Control Monitor
Humana
11.2021 - Current
Medical Intake Coordinator
Humana
11.2015 - 11.2021
Intake Coordinator
Omnicare
12.2014 - 11.2015
Eastern High School
High School Diploma
Tiffany Ferrell