Organization / Workplace
Anthem, Inc.Location
Greater Chicago Area United StatesOccupation
Sr. Business System Analyst IIIndustry
Medical / Health Care / Pharmaceuticals
About
• AAPC Certified Professional Coder (CPC) • AHIMA Approved ICD-10 –CM Trainer • Multi-Specialty Coder with expertise in MS-DRG’s, APC’s, ICD-9, ICD-10, CPT, HCPCS, HCC and DME coding for Facility and outpatient clinical settings • Experienced in auditing for fraudulent and/or abusive coding practices with Commercial and Government payers, Large Teaching hospitals, Surgery Centers, and physician group practices • Proficient in claim post submission review, claim processing, and EDI review • Coding concentrations in various clinical specialties and outpatient settings • Proficient user of Facets, MACESS, Compass, EPIC, GE Centricity, Quantum, Practice Fusion, Health