Primary Care Facility Coding

Talia Sanders, CPC

Kansas City, MO

913-***-**** • **********@*****.***

Professional Summary

Experienced with accurately coding patient records and ensuring compliance with healthcare regulations. Utilizes sophisticated coding software to maintain detailed and precise documentation. Strong understanding of healthcare billing process and regulatory requirements.

Key Qualifications

● Proficiency in Epic,3M, Meditech,AllScripts

● Proficient in Medical coding and abstracting

● Knowledgeable in Professional and Facility Coding

● Surgical Coding

● Endocrinology

● Nephrology

● Evaluation and Management

Work Experience

Professional Coder I, SSM Health

● Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture.

● Identifies need for medical records from outside the organization and follows established procedures to obtain.

● Review and resolves charge sessions that fail charge review edits, claim edits, and follow up denials.

● Work to improve billing based on findings resolution of errors.

● Review medical record documentation in the EHR and/or on paper.

● Identifies, enters and post CPT and ICD-10 codes in the electronic heath records.

● Ensure all coded services meet appropriate Medicare, National Correctional coding Initiative (NCCI) or Payer-specific guidelines.

First Notice Of Loss Specialist, National General Insurance

● Work with claims adjusters and examiners to

expedite processing in alignment with procedures.

● Follow up with customers on unresolved issues.

● Verify client information by analyzing existing evidence on file.

● Collect premiums and issued accurate receipts.

Team Lead, Research Medical Center

● Led a team of professionals to ensure effective patient care.

● Implemented process improvement that resulted in a 20% increase efficiency.

● Mentored and trained new team members to achieve high performance.

● Accurately assigned CPT and ICD10 codes to diagnoses and procedures.

Web Support Specialist, US Bank Service Center

● Provided technical support for web-based applications.

● Resolved customers inquires with professionalism and efficiency.

● Diagnosed and troubleshoot hardware, software and network issues.

● Monitored system performance to identify potential issues. Education

Certified Professional Coder

The American Academy of Professional Coders

● Competed required coursework-Medical Terminology and Anatomy Southeast High School

● Graduated with 3.0

● Participated in extracurricular activities

For References

Available upon request.

Contact this candidate