RACHEL NELSON
Sturgis
Summary
Results-driven Coding Specialist focused on enhancing coding accuracy and compliance. Proven experience in assigning appropriate codes and maintaining confidentiality while staying current with coding updates and third-party billing requirements.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Medical Coder
Pergroup
Rapid City
11.2021 - Current
- Reviewed medical records for accuracy and compliance with coding guidelines.
- Assigned appropriate codes for diagnoses and procedures using ICD and CPT systems.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
PROVIDER ENROLLMENT SPECIALIST
PERGROUP
RAPID CITY
06.2021 - 11.2021
- Reviewed and authorized medical providers for Medicaid, ensuring compliance with state regulations.
- Evaluated customer service competencies among providers and office personnel to enhance service quality.
- Managed multiple accounts to effectively address client needs and streamline service delivery.
- Managed multiple applications simultaneously on dual screens.
- Accessed Excel and OneNote for data organization and project tracking.
- Constant contact with team members on Microsoft Teams.
HOUSEKEEPER
HOLIDAY INN EXPRESS
SPEARFISH
08.2019 - 03.2021
- Responsible for maintaining clean rooms for hotel guests.
- Demonstrate personal skills.
- Added training courses in hospitality skills.
DIRECT SUPPORT PROFESSIONAL
BLACK HILLS SPECIAL SERVICES
STURGIS
09.2004 - 08.2019
- Supported individuals with daily activities to enhance their independence and well-being.
- Provided nursing care, including medication administration and GI tube feedings, to ensure patient health and comfort.
- Acquired knowledge of medical disabilities and associated terminology to improve communication with healthcare teams.
Education
HEALTH INFORMATION MANAGEMENT ASSOCIATES DEGREE - HEALTH INFORMATION MANAGMENT PROGRAM WITH SPECIALTY IN CODING
WESTERN DAKOTA TECH
RAPID CITY, SD05-2021
HEATLTH INFORMATION MANAGEMENT DIPLOMA - HEALTH IMFORMATION MANAGEMENT PROGRAM
WESTERN DAKOTA TECH
RAPID CITY, SD05-2020
Skills
- CPT coding
- ICD coding
- CPT/HCPCS application
- ER coding
- Family practice coding
- PT/OT coding
- Podiatry coding
- HCPCS coding
- HIPAA regulations
- Provider enrollment
- Microsoft Excel
- Trained in Word, Excel, Access, and PowerPoint
- Proficient typing skills
- Team collaboration
- Continuing education
- Patient communication
Certification
- AAPC Member
- PCP Certification
- PIV Card holder
Activities
I like hiking and being active in my life, and enjoy painting beautiful pictures to bring smiles on people's faces.
Timeline
Medical Coder
Pergroup
11.2021 - Current
PROVIDER ENROLLMENT SPECIALIST
PERGROUP
06.2021 - 11.2021
HOUSEKEEPER
HOLIDAY INN EXPRESS
08.2019 - 03.2021
DIRECT SUPPORT PROFESSIONAL
BLACK HILLS SPECIAL SERVICES
09.2004 - 08.2019
HEALTH INFORMATION MANAGEMENT ASSOCIATES DEGREE - HEALTH INFORMATION MANAGMENT PROGRAM WITH SPECIALTY IN CODING
WESTERN DAKOTA TECH
HEATLTH INFORMATION MANAGEMENT DIPLOMA - HEALTH IMFORMATION MANAGEMENT PROGRAM
WESTERN DAKOTA TECH