Senior medical coder/auditor
Resume:
STACEY
KIRBY
*************@*****.***
McMinnville, TN 37110
Bold Profile
Dynamic Senior Coding Specialist with extensive experience at Harris Computer Systems, excelling in HIPAA compliance and medical coding. Proven track record in enhancing claim submission processes and leading teams to improve efficiency. Adept at navigating complex coding guidelines while fostering collaboration among healthcare professionals to resolve discrepancies and optimize patient care. PROFESSIONAL SUMMARY
SKILLS
• Team leadership
• HIPAA compliance
Inpatient/Outpatient coding
experience
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• Adaptability to change
• Claim submission
• Insurance verification
• Medical coding expertise
Motlow State Community College
Tullahoma, TN
Associate of Science: Nursing
EDUCATION
CERTIFICATIONS
CPC - Certified Professional
Coder- American Academy of
Professional Coders
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Harris Computer Systems - Senior Coding Specialist Canada • 09/2021 - 05/2023
USPI- United Surgical Partners International - Medical Coding and Billing Specialist
Hixson, TN • 03/2018 - 05/2021
Cigna Healthspring - Senior Auditor
Nashville, Tn • 05/2007 - 12/2017
WORK HISTORY
Assisted in coding and documentation processes to ensure compliance with industry standards.
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Supported data entry and validation tasks to maintain accurate patient records.
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Collaborated with team members to streamline coding workflows for improved efficiency.
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Engaged in continuous learning of coding guidelines and software applications used in medical billing.
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Provided technical support using knowledge of complex technology to solve problems and support new projects.
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Processed insurance claims efficiently, ensuring adherence to company policies and guidelines.
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Collaborated with internal teams to resolve complex claim issues and improve resolution times.
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Reviewed and analyzed patient records to ensure accurate coding for billing purposes.
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Processed insurance claims using industry-standard software to maximize reimbursement efficiency.
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Maintained up-to-date knowledge of coding guidelines and healthcare regulations for compliance.
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Collaborated with healthcare professionals to resolve billing discrepancies and improve accuracy.
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Reduced patient wait times by effectively coordinating with surgeons, nurses, and support staff.
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Collaborated with insurance providers to obtain necessary authorizations for scheduled surgeries, minimizing delays or cancellations due to coverage issues.
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Enhanced audit efficiency by implementing risk-based audit strategies and streamlining processes.
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Evaluated the accuracy of financial reporting systems, identifying areas for improvement and recommending corrective actions.
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Implemented best practices in auditing procedures through continuous learning and professional development activities.
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Collaborated with healthcare providers to clarify documentation and ensure coding accuracy.
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Conducted comprehensive audits on quality management systems to ensure compliance with industry standards.
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