Christine Powell

*** **** *******, ** ***** (c) 717-***-**** adcxoe@r.postjobfree.com

Professional Summary:

An expert in Medical Claim Review with 22 years of related experience and advanced claim review skills. I am well-organized, hardworking and reliable employee focused on going above and beyond to support the team and serve customers. I have experience working with multiple platforms such as; Host Ors, CCS/HSR, CDX, Small Group, Wand, IRU and Unet platform.

Skill Highlights:

Medical Appeals experience, audits, reversals, claims processing

Experience with inpatient claims processing and review

Proven Team leader/preceptor

QI Auditor

Ability to work independently and handle multiple priorities

Proficient with Medical terminology and ICD coding

Proficiency with Microsoft Excel, Word (sort, filter, and edit spreadsheets).

Deliver quality results with meeting monthly goals

Skilled researcher

Familiar with Local National Determinations and National Coverage Determinations

Proficient knowledge of provider contract set up in NDB / TOPS

Work effectively in changing environment

Working knowledge with lines of business, Community and State, Commercial, Medicare and Retirement, Oxford, West, and MAHP

Professional Experience:

United Health Care

September 1997 to February 2020

Frederick, MD

Education and Training:

New Oxford Sr. High School New Oxford, PA 1979-1983

Certifications:

Certified Professional Coder, CPC.

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