Donna Chausse
Wareham,MA
Summary
Seeking a challenging position in the area of Coding relating to my current skills while gaining additional experience and knowledge necessary for advancement
Overview
28
28
years of professional experience
1
1
Certification
Work History
Coding Payment Resolution Specialist
Trinity Health
01.2022 - Current
- I work remotely as a coding payment resolution specialist
- I work all denials, contact insurance companies, validate coverage, correct and resubmit claims, submit reconsiderations and appeals
- Improved customer satisfaction by resolving complex issues promptly and professionally.
- Managed high volumes of customer inquiries for efficient resolution, enhancing overall client experience.
- Streamlined resolution processes with established guidelines, leading to faster outcomes and better customer satisfaction.
- Coordinated with cross-functional teams to address and resolve product-related complaints.
Coding Supervisor
Affiliated Professional Services
08.1996 - 08.2021
- Reporting to Coding and Compliance Manager
- Coordinates, delegates and prioritizes daily work
- Supervises, audits and mentors coders
- Identifies documentation issues and educates providers in a timely and professional manner
- Manages and implements system exceptions as they relate to CPT, ICD-9-CM and PQRS coding
- Closely monitors multiple carrier LCD's and payment policies for impact on reimbursement
- Supports claims resolution in resolving coding related denials
- Works with staff to ensure proper dictation and accurate coding within all modalities of Radiology
- Acts as a liaison between APS and outside vendors
- Experienced in general surgical coding
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Education
Bachelor's - Business Management
University of Mass at Dartmouth
Dartmouth, MA01.1997
Skills
- ICD-10 (8 years)
- CPT Coding (10 years)
- Anatomy Knowledge (10 years)
- Physiology Knowledge
- ICD-9 (10 years)
- HCPCS (10 years)
- ICD coding (10 years)
- Medical coding (10 years)
- Epic
- Medical Billing
- Medical Records
- Insurance Verification
Additional Information
- Qualifications
- Seasoned Certified Professional Coder with advanced knowledge of official coding conventions and regulatory requirements.
- Excellent understanding of ICD-10, CPT-4, HCPCS, Medical Terminology, Anatomy and Physiology
- Subject matter expert with in depth understanding of radiology documentation requirements
- Expert auditor of coder productivity
- Strong supervisor dedicated to staff development and education
Certification
- AAPC
- 2008 to Present
Timeline
Coding Payment Resolution Specialist
Trinity Health
01.2022 - Current
Coding Supervisor
Affiliated Professional Services
08.1996 - 08.2021
Bachelor's - Business Management
University of Mass at Dartmouth
- AAPC
- 2008 to Present
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