Open to opportunities

Michelle Johnson

@michellejohnson1

Message

I am an experienced medical coding and audit manager focused on denial prevention.

United States

Message

What I'm looking for

I seek a leadership role in medical coding and audit where I can reduce denials, improve revenue cycle performance, mentor teams, and implement quality-focused processes within a collaborative healthcare organization.

I am a certified professional coder and auditor with extensive experience leading medical coding, clinical audit, and denial resolution teams in healthcare organizations.

I managed the Payment Resolution team responsible for Professional Coding, Clinical and Audits, ensuring payments on denied accounts, determining root causes of denials, and preventing future denials by identifying trends and providing feedback to departments. I developed appeal format letters and trained colleagues on effective wording to overturn denials.

I have led teams managing coding and charge entry for 300+ providers across numerous specialties, worked with overseas vendors, maintained coding and payer guideline knowledge for 18+ states, and partnered with revenue cycle teams to drive KPI improvements (for example reducing denial KPI from 18% to 4%).

I am also an experienced educator: I wrote courseware, taught medical programs and coding boot camps, earned Instructor of the Month and Instructor of the Year nominations, and authored policies and training materials to improve quality, compliance, and operational efficiency.

Experience

Work history, roles, and key accomplishments

Coding, Clinical and Audit Manager

Trinity Health

Oct 2019 - Jul 2025 (5 years 9 months)

Managed the Payment Resolution team overseeing professional coding, clinical audits, and denials resolution across 18+ states, developing appeal templates and training to improve payment recovery and reduce recurrence.

Medical Coding Denial Management Appeals ICD 10 CPT Team Leadership

Market Operations Manager

Tenet Physician Resources/DMC Medical Group

May 2016 - Oct 2019 (3 years 5 months)

Managed professional coding and charge entry for 300+ providers across multiple specialties and reduced coding-related KPI from 18% to 4% via auditing, provider education, and process improvements.

Profee Coding Provider Education Auditing KPI’S Policy Writing

Manager of Audit and Education

Midwest Medical Center

Sep 2015 - May 2016 (8 months)

Audited 40+ providers and delivered face-to-face E/M documentation and coding education, improving coding accuracy for cardiovascular, OB/GYN, orthopedics and surgical services.

E M Documentation CPT ICD 10 Provider Education Policy Development Provider Feedback

Quality Assurance Manager

US Medical Mgmt/Visiting Physicians Assoc

Feb 2014 - Jul 2015 (1 year 5 months)

Managed quality assurance for 237+ providers across 15+ states, conducting random and scheduled audits, leading ICD-10 rollout, and implementing coder certification and education programs.

Quality Assurance ICD 10 CPT Provider Education Implementation Audit Reporting

MRA Provider Educator

Humana, Inc

Dec 2012 - Feb 2014 (1 year 2 months)

Trained physicians and staff across Michigan, Illinois, and Wisconsin on Medicare Risk Adjustment and accurate diagnosis coding, delivering AAPC-licensed coding boot camps and specialty presentations.

Risk Adjustments Diagnosis Coding PowerPoint Medicare Guidelines

Health Care Information Mgmt Instructor

New Horizons Computer Learning Center

Aug 2009 - Nov 2012 (3 years 3 months)

Developed courseware and taught medical programs including coding and billing, earning Instructor of the Month with evaluations of 8.83/9 and co-authoring pharmacy technician and billing course materials.

Curriculum Development Medical Coding PowerPoint Assessment Design

Medical Office Specialist Instructor

Kaplan Career Institute

Dec 2006 - Aug 2009 (2 years 8 months)

Taught anatomy, medical terminology, medical billing and computerized office systems to adult learners and served as Team Leader, driving curriculum delivery and student outcomes.

Adult Education Medical Terminology Medical Billing Lytec Microsoft Office Team Leadership

Medical Billing Manager

Physician Billing Management, Inc

Mar 2006 - Dec 2006 (9 months)

Managed a medical billing office of 28 employees servicing 31 offices, overseeing patient demographics, claims processing, insurance A/R follow-up, collections, and monthly closings.

Medical Billing Accounts Receivable Claims Processing Collections Reporting Compliance