Elisha Sam
Window Rock
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
9
9
years of professional experience
Work History
Medical Billing & Coder
Elevation Chiropractic & Wellness
05.2018 - 09.2025
- Analyzed patient records to ensure accurate code assignment and compliance with regulations.
- Implemented streamlined billing processes, enhancing efficiency in claims submission and follow-up.
- Led training sessions for new staff on coding standards and billing software utilization.
- Collaborated with healthcare providers to resolve discrepancies in coding and documentation.
- Monitored claim denials, identifying trends to improve accuracy in future submissions.
- Enhanced communication protocols between billing department and clinical staff to reduce errors.
- Updated patient financial information to guarantee accuracy.
- Managed workload effectively, prioritizing tasks based on urgency and importance to maintain timely claim submissions.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Scanned and uploaded medical records into electronic medical records system.
Medical Coder
Schryver Medical
03.2017 - 04.2018
- Ensured accurate coding of medical records in compliance with regulatory guidelines
- Reviewed and validated physician documentation for coding accuracy and completeness
- Collaborated with healthcare professionals to resolve coding discrepancies and improve processes
- Trained junior coders on best practices and coding updates to enhance team performance
Education
Certificate - Medical Administration & Medical Coding
Concorde Career College
Aurora, CO05-2017
High School Diploma -
Window Rock High School
Fort Defiance, AZ05-2009
Skills
- ICD-10 proficiency
- HIPAA compliance
- Professionalism and ethics
- Continuous learning attitude
- Insurance verification
- Denial management
- Payment posting
- Medical terminology mastery
- Medical billing software
- Claims processing
- Training and mentoring
- Data entry
- Medical claims coding
- Workflow management
- Insurance claims analysis
- Coding error resolution
- Coding appeals
- Problem-solving
- Time management
- Attention to detail
- Multitasking
- Reliability
- Excellent communication
- Decision-making
Languages
Navajo
Limited Working
Timeline
Medical Billing & Coder
Elevation Chiropractic & Wellness
05.2018 - 09.2025
Medical Coder
Schryver Medical
03.2017 - 04.2018
Certificate - Medical Administration & Medical Coding
Concorde Career College
High School Diploma -
Window Rock High School