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Ajalon Dunn

@ajalondunn

Medical coding professional at KECH, INC. reviewing professional and facility claims and supporting accurate claim determinations.

United States

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What I'm looking for

I’m seeking an entry-level medical coding role where I can apply coding guidelines and my experience reviewing medical records and claims.

At KECH, INC., I review professional and facility claims across multiple medical specialties, using payer policies and Health.mil guidelines to support accurate claim determinations.

I also process authorization and referral requests, checking requirements against beneficiary eligibility, plan benefits, and payer guidelines. Through Availity, I assist providers with submissions and required documentation.

My coding experience includes applying CPT, HCPCS, ICD-10-CM, modifier requirements, NCCI edits, and MUEs. I’ve also abstracted and reviewed medical records to support claims, denials, appeals, and reconsiderations.

I hold the AAPC Certified Professional Coder Apprentice (CPC-A) credential and am pursuing a Bachelor of Science in Health Care Administration at Eastern Kentucky University. I protect confidential records in accordance with HIPAA requirements.

Experience

Work history, roles, and key accomplishments

Current

Customer Support Agent II

Current

KECH, Inc.

Feb 2025 - Present (1 year 9 months)

Reviewed professional and facility claims across multiple medical specialties, using payer policies and Health.mil guidelines to support accurate claim determinations. Processed authorization and referral requests, verifying requirements against beneficiary eligibility, plan benefits, and payer guidelines.

CPT HCPCS ICD 10 CM Modifier Requirements NCCI MUE Payer Guidelines HIPAA Availity DEERS TIN NPI

Marketplace Enrollment Representative

Pearl Interactive Network

Oct 2024 - Jan 2025 (3 months)

Reviewed health insurance enrollment applications for accuracy, completeness, and compliance with Marketplace guidelines. Evaluated consumer eligibility and insurance plan information to support appropriate enrollment decisions.

Health Insurance Eligibility Verification Healthcare Terminology Privacy Compliance

Humana Medicare Tier 2 Representative

Senture LLC

Jun 2023 - Dec 2023 (6 months)

Assisted Medicare members with inquiries related to medical records, claims, authorizations, eligibility, and plan benefits. Explained Medicare Parts A, B, C, and D benefits, including Dual Eligible Special Needs Plans (D-SNP), after reviewing member information.

Medicare Claims Authorization Eligibility HIPAA DSNP