Open to opportunities

Kaniesha Brown

@kanieshabrown

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Detail-focused medical biller/coder specializing in revenue cycle accuracy, compliance, and denials.

United States

Message

What I'm looking for

I’m looking for a medical billing/coding role where I can ensure accurate ICD-10/CPT claim submission, manage denials, and support compliant documentation in a team that values continuous improvement.

I’m a detail-oriented Health Information and Revenue Cycle professional with over a decade of experience in medical claims processing, patient account management, health information documentation, and multi-facility administrative operations. I support accurate billing, reimbursement, auditing, and compliance across hospitals, long-term care facilities, correctional healthcare, and insurance environments.

I resolve complex patient inquiries, maintain precise records, and ensure regulatory adherence through thorough documentation and verification. I’m currently pursuing a CPC and completing an RHIT certification, supported by formal training in ICD-10-CM/PCS, CPT/HCPCS, reimbursement methodologies, and EHR systems.

In my more recent customer service roles, I’ve handled high-volume member interactions while emphasizing accuracy and clear documentation. At Brighton Senior Living, I created and submitted medical claims with strong attention to minimizing claim errors, managed billing questions and payment plans, and assisted with auditing procedures to improve compliance and operational readiness.

Earlier administrative experience strengthened my compliance and operational discipline—supporting credential reports, contract and policy alignment with state and federal standards, and accurate record verification across large teams and multiple systems. I bring confidence with patient communication, quality assurance, audit preparation, and working within healthcare documentation workflows using tools like Microsoft Word, PowerPoint, and Excel.

Experience

Work history, roles, and key accomplishments

Current

Customer Service Representative

Current

CVS

Oct 2024 - Present (1 year 6 months)

Responded to member inquiries about health plan benefits, eligibility, and claims with a focus on accurate documentation. Resolved customer complaints and supported high-volume order processing and special projects to improve workflows.

Health Plan Eligibility Claims Processing Customer Service Order Processing Complaint Resolution Record keeping

Customer Service Representative

Brighton Senior Living

Jul 2020 - Sep 2024 (4 years 2 months)

Submitted medical claims to patients and insurance companies, emphasizing accurate documentation to support timely reimbursement and reduce claim errors. Managed patient billing inquiries, performed auditing and process revisions for compliance, and supported scheduling and follow-ups to reduce no-shows.

Medical Claims Patient Billing Insurance Claims Claims Auditing Appointment Scheduling Record Review Revenue Cycle Management Compliance Support

Administration Coordinator

California Correctional Facility

May 2016 - Jun 2020 (4 years 1 month)

Managed office equipment programs and created audit plans using accurate records management while serving as safety inspector and QA official. Coordinated laboratory operations, monitored credential reports for compliance, and supported staffing for 50+ officers and training/staffing needs for 350+ personnel across multiple facilities and shifts.

Records Management Audit Plans Quality Assurance Compliance Monitoring Credentialing Contract Management Staffing Policy Development Safety Inspections

Administration Assistant

Lodi Rehabilitation Nursing Center

May 2014 - May 2016 (2 years)

Maintained accurate patient records by updating enrollment databases and denial insurance reports and managing electronic and physical health information systems. Handled confidential data, performed payment/account and payroll-related tasks including bookkeeping, and prepared reports, invoices, and other formal communications to support compliance and operations.

Bookkeeping Report Writing Office Administration

Education

Degrees, certifications, and relevant coursework

DeVry University

Associate of Health Information Technology, Health Information Technology

Pursuing an Associate of Health Information Technology with training in ICD-10-CM/PCS and CPT/HCPCS coding, medical terminology, insurance reimbursement, and EHR systems. Coursework includes ICD-10-CM/PCS and CPT/HCPCS coding and medical coding practicum applying coding to a range of clinical scenarios.

DeVry University

Undergraduate Certificate, Medical Billing and Coding

2025 -

Completed/enrolled in a Medical Billing and Coding Undergraduate Certificate at DeVry University with coursework in ICD-10-CM/PCS coding and CPT/HCPCS coding, plus medical terminology, anatomy, pathophysiology, pharmacology, and insurance reimbursement.