As an outpatient coder II at R1 RCM, I oversaw the review and assignment of codes for diagnosis, CPT and HCPCS, according to the appropriate classification system for outpatient encounters. I also managed coding edits, ensuring accurate and compliant coding practices. With a CPC and CCA certification and 8+ years of hospital based coding experience, I have a strong foundation in coding principles and government regulations, as well as a proven track record of meeting productivity and quality metrics consistently.My previous role as a coding associate at Sutter Shared Services enabled me to develop my skills in various aspects of insurance management, policies and procedures, coding practices, and regulatory compliance. I reviewed medical record documentation to select and sequence appropriate diagnoses, CPT and HCPCS codes for emergency and ancillary records, using hospital encoder systems. I also effectively handled denials, resolving coding edits and taking corrective actions to finalize account disposition and facilitate timely reimbursement. My goal is to leverage my coding expertise and versatility to support efficient and high quality coding operations in the healthcare industry.
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Outpatient Coder IiR1 Rcm Nov 2022 - Sep 2023Murray, Utah, United StatesOversaw review of documentation and assigned codes for diagnosis, CPT and HCPCS, according to the appropriate classification system for outpatient encounters.Managed coding edits, ensuring accurate and compliant coding practices.Met productivity and quality metrics consistently, contributing to efficient and high quality coding operations. -
Coding AssociateSutter Shared Services Jun 2015 - Nov 2022Reviewed medical record documentation to select and sequence appropriate diagnoses, CPT and HCPCS codes for emergency records utilizing hospital encoder systems. With a supporting role in the ancillary dept.Applied all appropriate coding guidelines and criteria for code selections, ensuring accuracy and compliance with coding standardsResolved coding edits to maintain data accuracy and compliance with coding standards.Effectively handled denials to facilitate accurate and timely… Show more Reviewed medical record documentation to select and sequence appropriate diagnoses, CPT and HCPCS codes for emergency records utilizing hospital encoder systems. With a supporting role in the ancillary dept.Applied all appropriate coding guidelines and criteria for code selections, ensuring accuracy and compliance with coding standardsResolved coding edits to maintain data accuracy and compliance with coding standards.Effectively handled denials to facilitate accurate and timely reimbursement. Show less -
Claims Team MemberSutter Shared Services Jul 2013 - Jun 2015Roseville, California, United StatesSupported the delivery of all billing services by conducting final/higher level auditing, correcting, and submitting third-party claims and patient statements.Ensured that billing services were timely, accurate, and led to appropriate reimbursement.Conducted thorough follow-up on payment delays, taking corrective action(s) to finalize account disposition, and efficiently referred claims to appropriate staff to ensure timely and appropriate reimbursement.
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Application SpecialistSutter Physician Services Jun 2012 - Jun 2013Add new provider’s into the database,updates provider’s information, & copy/terminate provider’s contract's.
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Audit Review ClerkDelta Dental Sep 2009 - May 2012Reviews claims for accuracy and completeness. Secures and adds missing data. Codes and enters information into a computer system for processing. Reviews and adjudicates claims that fail policy audits or claims previously appealed by provider. Screens and researches claims to be adjusted -
Administrative AssistantElk Grove Unified School District Jan 2008 - Sep 2009Serve as receptionist; answer telephone calls and direct calls to appropriate personnel; take and relay messages as appropriate. Perform a variety of routine clerical duties including typing, filing, duplicating and distributing materials.
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Claims AdjusterAnthem Oct 2006 - Jan 2008Claims Adjuster-responsible for researches/adjusts all requests for overpayment, underpayment, refund, and contract issues. Determine levels of reimbursement based on established criteria. -
Mortgage CloserGreenpoint Mortgage Jul 2003 - Oct 2006Responsible for ensuring that all loan documents are signed, accurate, and in order. Making notations of any conditions that are needed to complete the loan process. Work closely with the brokers and the escrow department to ensure that all documents are obtained, and that the information within is accurate and concise. -
Claims ProcessorCigna Healthcare Aug 1999 - Jul 2003Examined and processed paper claims and/or electronic claims. Determined whether to return, pend, deny or pay claims within policies. I worked under strict deadlines. I was a work at home processor for Cigna Healthcare with no supervision.
Jamila Wright Education Details
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John Hailes Medical Coding InstituteMedical Insurance Coding Specialist/Coder
Frequently Asked Questions about Jamila Wright
What is Jamila Wright's role at the current company?
Jamila Wright's current role is Outpatient Coder | Accurate, Compliant, Efficient.
What schools did Jamila Wright attend?
Jamila Wright attended Herbert Hoover High School, John Hailes Medical Coding Institute.
Not the Jamila Wright you were looking for?
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Jamila Wright
B.A. In Political Science From Montclair State University / Current Graduate Student At Montclair State UniversityMontclair, Nj -
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