Donisha Hunter CPC,COC,CPMA,CCS

Donisha Hunter CPC,COC,CPMA,CCS

Internal Sales Specialist

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location of Donisha Hunter CPC,COC,CPMA,CCSAurora, Illinois, United States

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  • Timeline

  • About me

    Sr. Coding Manager

  • Education

    • Everest College

      2008 - 2009
      Diploma Medical Insurance Billing and Coding

      Health Data Classification Systems I (ICD-9-CM and CPT), Medical Terminology, Health Information Systems, Anatomy and Physiology, Human Pathology, Desktop Database Software, Communication, Coding and Reimbursement, Pharmacology

    • Proviso East High School

      1991 - 1995
      High School Diploma General Studies
  • Experience

    • Principal Financial Group

      Dec 1997 - Feb 2008
      Internal Sales Specialist

      Assist in insurance sales for 3 sales representatives.

    • DuPage Medical Group

      Jun 2009 - Aug 2010

      In charge of medical billing, reception, scheduling patient appointments, ICD-9 coding of hospital claims and processing referrals.; Greet patients, collect copays, schedule appointments.Process all billing and resolve billing issues that came from corporate office.Process referrals through systems like Emdeon for all our patients.ICD-9 coding for 3 physicians hospital rounds.Close out register at the end of the day and make sure all monies were collected and balanced. Put monies in safe for pick up. Show less

      • Referral Coordinator/Coder

        Jul 2009 - Aug 2010
      • Referral Coordinator/Biller

        Jun 2009 - Aug 2010
    • Revint Solutions, an R1 company

      Aug 2010 - May 2018
      Outpatient Coding Team Lead

      Hospital outpatient/inpatient coding and integrity retrospective review.Assign and audit diagnostic and procedure codes to patient records for a 200+ hospitals. We do a retrospective review (ICD-9-CM and CPT coding/abstracting) of claims for our clients. Work collaboratively with billing department to ensure accurate billing and resolve claim denials and medical-necessity issues. Review medical documentation and consult with management when documentation is inadequate/unclear for coding purposes. Selected Contributions:Maximized reimbursement by ensuring accurate ICD-9-CM and CPT coding and conducting regular quality audits of providers’ selected codes compared to chart documentation.Ensured records meet compliance requirements by letting our clients know of overpayments that have occurred due to incorrect coding.Rapidly mastered Webstrat ,Encoder Pro and Trucode software for fast, accurate coding.Provided ongoing training to other employees on new information on coding rules and updates to minimize denials. Show less

    • Xtend Healthcare, LLC

      May 2018 - now
      • Sr. Coding Manager

        May 2021 - now
      • Coder III

        May 2018 - May 2021
  • Licenses & Certifications

    • Certified Coding Specialist (CCS)

      AHIMA
      Jun 2020
    • Certified Professional Medical Auditor (CPMA)

      AAPC
      Nov 2014
    • Certified Outpatient Coding (COC)

      AAPC
      May 2012
    • Certified Professional Coder (CPC)

      AAPC
      Jun 2009