Experience

Rocky Mountain Health Care Services (RMHCS)

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• HCC Medical Coder II

  • Jun 2017 - Present

  Colorado Springs, Colorado Area Review provider notes and assessments for complete documentation and accurate coding, as well as ensure all HCCs were coded, provider education as needed, review HOPP and 0 to 1 HCC reports to ensure all relevant HCCs are captured, research new enrollees medical records for chronic conditions and health information in order to best support the needs of the participant, code ER-H visits for HPMS reporting.



West Dermatology

• United States
• Medical Practices
• 1 - 100 Employee

• Coding Auditor and Trainer

  • Dec 2016 - May 2017

  Henderson, Nv. Audited daily reports for billing accuracy, audited charge entry to ensure correct use of icd-10 codes, modifiers, and cpt codes were captured, trained charge entry on coding guidelines, NCCI edits, MUEs, and dermatology specific information, communicated with providers regarding correct and complete documentation, assisted with back up coding as needed.



Contour Dermatology & Cosmetic Surgery Center

• Wellness and Fitness Services
• 1 - 100 Employee

• Medical Biller/Accounts Receivable

  • Jul 2014 - Jul 2016

  Rancho Mirage, Ca Dermatology billing and coding. Specialized in corrections of incorrect billing practices for resolution and payment of claims. Expert level coding in ICD-9 for a dermatology specific Physician practice. Verification of insurance, contracting with insurance companies, speaking with patients regarding billing and explaining insurance coverage and benefits, posted insurance payments, performed pre-authorizations for treatment of procedures. High level of expertise with both Medicare and… Show more Dermatology billing and coding. Specialized in corrections of incorrect billing practices for resolution and payment of claims. Expert level coding in ICD-9 for a dermatology specific Physician practice. Verification of insurance, contracting with insurance companies, speaking with patients regarding billing and explaining insurance coverage and benefits, posted insurance payments, performed pre-authorizations for treatment of procedures. High level of expertise with both Medicare and commercial insurance policy and guidelines. Show less



Eisenhower Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Medicare Analyst

  • Jan 2013 - Jul 2014

  Billed outpatient facility claims to Medicare for payment of services for Hospital based physician services. Analyzed accounts receivable in order to correct any possible issues resulting in non-payment, Performed reopenings and redeterminations when necessary. Performed audit as needed to ensure correct procedures were followed.

• Patient Account Representative

  • Dec 2010 - Dec 2012

  Answered incoming phone calls regarding patient billing for Eisenhower's physician locations. Resolved issues with insurance to ensure claims were paid correctly, entered payments for billing services by phone or mail, referried, assisted with financial resources, referred patient accounts to collections as needed.