Jennifer Swank, CHFP, CPC, CPAR
Coding Specialist at TruBridge- Claim this Profile
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Bio
Credentials
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Google Data Analytics Professional Certificate
CourseraDec, 2022- Sep, 2024 -
SQL Essential Training
LinkedInJun, 2020- Sep, 2024 -
Certified Healthcare Financial Professional - CHFP
Healthcare Financial Management Association (HFMA) -
Certified Patient Account Representative - CPAR
Georgia Chapter HFMA -
Certified Professional Coder (CPC)
AAPC
Experience
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TruBridge
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United States
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Hospitals and Health Care
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300 - 400 Employee
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Coding Specialist
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Jun 2017 - Present
Interpret and analyze EHR documentation for Critical Access Hospitals and Ancillary Services by identifying and coding all relevant diagnoses and procedures by utilizing CPT-4 and ICD-10-CM coding references and tools to ensure proper code assignment. Conducts charge validation and identifies documentation deficiencies. Assigns E/M Professional and Facility charges. Maintains assigned clients designated turnaround time for coding while exceeding production and a having quality assurance accuracy of 98%. Show less
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LexiCode
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United States
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Hospitals and Health Care
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300 - 400 Employee
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Remote Coder
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May 2014 - Jun 2017
Abstracted and assigned codes for Emergency Departments for Acute Care, Level I and Level II Trauma Centers, and Academic Teaching Hospitals. Assigned E/M, CPT, ICD-9-CM, ICD-10-CM, Radiology, and Infusion and Injections on Outpatient, Emergency Medicine, Inpatient, and Observation encounters. Worked on client-specific projects as assigned. Abstracted and assigned codes for Emergency Departments for Acute Care, Level I and Level II Trauma Centers, and Academic Teaching Hospitals. Assigned E/M, CPT, ICD-9-CM, ICD-10-CM, Radiology, and Infusion and Injections on Outpatient, Emergency Medicine, Inpatient, and Observation encounters. Worked on client-specific projects as assigned.
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WellStar Health System
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Hospitals and Health Care
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700 & Above Employee
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PATIENT ACCESS/BENEFITS
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Oct 2008 - Nov 2013
Gathered appropriate patient demographics and insurance information to identify network status and coordination of benefits for admission, diagnostic Women’s, and Maternity Services. Obtained necessary authorizations and ABNs before services were rendered. Worked closely with Utilization Management, Care Coordination, and other departments to resolve issues for the PAS team. Gathered appropriate patient demographics and insurance information to identify network status and coordination of benefits for admission, diagnostic Women’s, and Maternity Services. Obtained necessary authorizations and ABNs before services were rendered. Worked closely with Utilization Management, Care Coordination, and other departments to resolve issues for the PAS team.
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WORKER'S COMPENSATION
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May 2008 - Jul 2008
Responsible for reviewing and performing follow-up and collections activities on Worker’s Compensation claims for NC and GA. Worked on denials, correspondence, outstanding insurance balances, and identified issues with timely filing for assigned carriers. Responsible for reviewing and performing follow-up and collections activities on Worker’s Compensation claims for NC and GA. Worked on denials, correspondence, outstanding insurance balances, and identified issues with timely filing for assigned carriers.
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American Medical Accounting & Consulting
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United States
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Individual and Family Services
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1 - 100 Employee
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ACCOUNTS RECEIVABLE
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Mar 2006 - Jul 2008
Assisted with claim submission, posting of payments, pre-certifications, and appeals on Oncology accounts. Analyzed and identified denial trends with Medicare, Medicaid, and Commercial payors. Performed follow-up functions on assigned clients’ accounts receivable, denials, and appeals. Assisted with claim submission, posting of payments, pre-certifications, and appeals on Oncology accounts. Analyzed and identified denial trends with Medicare, Medicaid, and Commercial payors. Performed follow-up functions on assigned clients’ accounts receivable, denials, and appeals.
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BUSINESS OFFICE
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Jan 1999 - Jan 2001
Submitted primary and secondary claims to third-party payors promptly according to policies and procedures. Monitored aged accounts receivable reports by financial class. Investigated, researched, and responded to inquiries regarding medical necessity, coding, denials, and billable services. Supported the review, retrieval, and delivery of medical records requests needed for compliance audits and payer requirements. Submitted primary and secondary claims to third-party payors promptly according to policies and procedures. Monitored aged accounts receivable reports by financial class. Investigated, researched, and responded to inquiries regarding medical necessity, coding, denials, and billable services. Supported the review, retrieval, and delivery of medical records requests needed for compliance audits and payer requirements.
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ACCOUNTS RECEIVABLE
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Jan 1997 - Jan 1999
Performed daily audits and added missing data needed for electronic claims submission and patient billing. Managed various reports and identified all reimbursement patterns and trends. Worked with clinical staff, payors, and qualified healthcare providers to resolve prior authorization issues, denials, and appeals. Prioritized and completed multiple projects per manager and provider requests. Performed daily audits and added missing data needed for electronic claims submission and patient billing. Managed various reports and identified all reimbursement patterns and trends. Worked with clinical staff, payors, and qualified healthcare providers to resolve prior authorization issues, denials, and appeals. Prioritized and completed multiple projects per manager and provider requests.
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Education
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Methodist University
Bachelor's, Business (Healthcare Administration)
Community
