Valerie Holmes,RHIA

Coding & Charging Specialist Mercy Hospital

St Louis, Missouri, United States

About

Extensive background handling medical records and all aspects of healthcare Insurance Adjustments insurance verification/authorization for patient benefits.Proven success achieving cost,quality and services goals through performance assessment and process improvement initiatives. Effective at managing peoples,projects and HIM strategies.

Experience

  • Mercy (Full-time · 4 yrs 4 mos)
    • HIDI DATA Editors
      May 2024 - Present · 2 yrs 2 mos

      Correcting Medical coding accounts for the Medical Hospital Association,inorder for them to make healthcare business decisions. I also work the FMN high dollars accounts,Pre-bill/denials,Oncology accounts.

    • Coding & Charging Specialist
      Mar 2022 - Present · 4 yrs 4 mos

  • Senior Coding Specialist II at Mercy Health
    May 2018 - Present · 8 yrs 2 mos

    Review Medical Record Documentation and Accurately assigns appropriate ICD-10 codes,and ICD-9 procedure codes utilizing the 3M software tools. Perform medical necessity checks for Medicare and other payers as required per payment guidelines. Responsible for maintaining established productivity,as well as ensure accuracy to maintain established quality standards.

  • SSM Health Care (10 yrs 10 mos)
    • Patient Financial Advocate
      Jul 2016 - May 2018 · 1 yr 11 mos

    • Corporate Financial Counselor
      Aug 2007 - Jul 2016 · 9 yrs

      Build relationship with 3rd party payers,HMOS,PPOs,Medicaid,Medicare and independent commercial carries. Serve as the lead financial counselor for collected of co-pay and deductibles over $100.00. Give estimate for surgery procedures to our self-pay clients.

  • Medical Assistant at Family Care
    Jan 1997 - Aug 2007 · 10 yrs 8 mos

    Medical Assistant I Managed office operations and clinical function,oversaw quality and compliance of patient healthcare medical records.