Shannon Starr
@shannonstarr
Certified medical coding and revenue cycle professional optimizing reimbursement and compliance.
United StatesWhat I'm looking for
I am a certified medical coding and revenue cycle management professional with over 20 years of experience across multi-specialty practices, specializing in ICD-10, CPT, and HCPCS coding. I partner with providers, payers, and clinical teams to ensure accuracy, compliance, and optimized reimbursement.
In my current role as Provider Data Lead Rep at Evernorth/Cigna, I review medical records for coding accuracy, provide coding guidance and training, and conduct quality assurance to reduce claim rejections. Previously, I led charge management, denial trend analysis, and onsite provider training at WellStar, and performed inpatient/outpatient coding audits and staff leadership at Banner Medical Group.
I am committed to continuous compliance with CMS, Medicaid and industry standards, and to improving revenue cycle outcomes through process optimization, provider education, and collaborative problem solving.
Experience
Work history, roles, and key accomplishments
Provider Data Lead Rep
Evernorth/Cigna
Jul 2019 - Present (6 years 3 months)
Review and analyze medical records for accurate ICD-10 and CPT coding, ensuring compliance with CMS, OIG and Medicaid; provide coding guidance and training to clinical and billing staff to improve accuracy and reduce claim rejections.
WEOversaw coding and reimbursement across multiple specialties, led denial trend analysis and implemented solutions that decreased claim denials, and delivered onsite provider and staff training to improve workflows and compliance.
BGPerformed inpatient and outpatient coding audits to ensure compliant billing with ICD-10, CPT and HCPCS; acted as a coding resource and trainer and queried providers to resolve documentation deficiencies.
Assistant Billing Manager
GA Vascular Clinic
May 2008 - Sep 2009 (1 year 4 months)
Managed billing operations, monitored unbilled accounts and resolved denial management issues to improve cash flow and reimbursement timeliness.
ROManaged billing and coding for two orthopedic surgeons, ensuring compliance and timely reimbursement and optimizing revenue cycle processes.
Education
Degrees, certifications, and relevant coursework
AAAAPC
Certificate, ICD-10 Coding
Earned the Certificate of ICD-10-CM Proficiency from AAPC in March 2015.
KUKennesaw State University
Certificate, Medical Coding
Completed the Certified Professional Coding Course via AAPC at Kennesaw State University in April 2003.
Huntington Beach High School
High School Diploma, Business & Medical Studies
High School diploma with focus in Business and Medical Studies.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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