Front Desk M A

BRENDA L HENLEY

RAPID CITY, SD

***/***-****

*******@*****.***

WORK EXPERIENCE

Charge Associate/Coder

PACIFIC MEDICAL DATA SOLUTIONS - Greenwood Village, CO January 2019 to April 2021

Review documentation to ensure coding by provider is supported. Ensure that all coding rules and use of CPT and ICD codes with appropriate modifiers are selected. Assist all staff with coding. Review all denied claims for possible CPT or ICD code revision. Adhere to contractual requirements of Medicare, Medicaid and managed care plans. Patient Acct Rep

HCA, Denver International Spine Center - Denver, CO May 2017 to August 2018

Verification of insurance benefits (co-pay, out of pocket network, and deductible), and verification of Medicaid eligibility for each new patient, Required verification of proper CPT coding, and correct application of insurance and provider payment, ensuring the patient liability is correct. Collecting prepayment for surgical procedures, explaining benefits to patients, and providing information regarding other surgical associated billers. Received incoming callers and provided answers, including scheduling, billing and cancellations, Able to work both check-in and check-out front desk positions.. Knowledge of ledger system, and verbally competent to explain patient liability . Awareness of CPT procedures and guidelines to verify that charges abd payment are assigned appropriately. Administrative II, Employment Appeals Unit

COLORADO DEPARTMENT OF LABOR AND UNEMPLOYMENT - Denver CO February 2017 to April 2017

Transcribe dictation from hearing officers regarding appealed cases. Once approved I assigned signature, prepared copies and mailed to claimants. Worked with Salesforce software. Filing, scanning, mailings and purging documentation.

Senior Mapping Specialist/Coder - REMOTE

INTELLIGENT MEDICAL OBJECTS - Northbrook, IL

January 2015 to July 2015

Create and maintain mapping between Terminologies and Classification Systems for national and international vendors. Batches were assigned by supervisor to control workload. Responsible for one quarterly release to vendor 100% error free.

Consultant/Coder

June 2014 to December 2014

INTERNATIONAL HEALTH TERMINOLOGY AND STANDARDS DEVELOPMENT ORGANIZATION - Copenhagen, DK

Contracted to aid in completion of mapping project SNOMED-CT to ICD-10. Clinical Mapping Analyst/Coder

March 2014 to May 2014

HEALTH LANGUAGE - Denver, CO

One-time contract to map project for IHTSDO - SNOMED TO ICD-10. Clinical Mapping Specialist/Coder

December 2001 to October 2012

SNOMED TECHNOLOGY SERVICES - Northfield, IL

Designed, developed and created equivalence and reimbursement based maps from SNOMED-CT to ICD-9-CM, ICD-!0-CM/PCS, and CPT. Responsible for training documentation for new-hires. Prepared mapping/coding guidelines for AMA project. Other projects completed for MAYO Clinic, AORN, CPT, and National Library of Medicine, Marshfield Project. Privileged to be selected to work on special project for IHTSDO involving mapping/coding, Active member of National SNOMED working group. Increase of $460,512 in consulting revenue. OFFICE COORDINATOR/CONTRACT HEALTH - PONCA TRIBE OF NEBRASKA INSURANCE SUPERVISOR/CODER - MIDWEST HEALTH PARTNERS, INC MEDICARE INSURANCE SPECIALIST - NORFOLK MEDICAL GROUP EDUCATION

Arapahoe Community College - Littleton, CO

Associates - HEALTH INFORMATION MANAGEMENT

National American University - Rapid City, SD

Associates - MEDICAL TRANSCRIPTION

CERTIFICATIONS

Recently held: AHIMA Registered Health Information Technician #48668 AHIMA Academy ICD-10-CM/PCS Trainer Certificate

AAPC Certified Professional Coder ICD-10 #0142634

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