Renata Holloway

Profile

Certified Professional Coder (CPC) with 9 years of inpatient and outpatient coding experience across orthopedics, cardiology, and multi-specialty group practices. Expert in ICD-10-CM, CPT, and HCPCS Level II coding with a sustained first-pass claim acceptance rate above 98.4%. Reduced claim denial rates by 31% at current employer through targeted audit cycles and coder education initiatives.

Work Experience

Senior Medical CoderMar 2019 - Present

Pinnacle Health Systems, Nashville, TN

Coded 320+ outpatient and inpatient encounters per week across 6 specialty departments, maintaining a 98.7% first-pass acceptance rate that exceeded the organizational benchmark by 4.2 percentage points.
Led a quarterly internal audit program covering 1,200 charts annually, identifying $214,000 in previously undercaptured revenue and reducing coding-related denials by 31% over 18 months.
Mentored a team of 5 junior coders through ICD-10-CM updates and payer-specific guidelines, cutting average claim rework time from 4.1 days to 1.8 days.

Medical Coder IIJun 2016 - Feb 2019

Centerline Physician Group, Murfreesboro, TN

Processed 250+ cardiology and orthopedic claims daily using 3M encoder software, achieving a personal denial rate of 1.6% against a department average of 4.8%.
Collaborated with the compliance officer to update 38 internal coding policies following the 2017 E/M guideline revisions, reducing audit findings by 22% in the subsequent review cycle.
Resolved 180+ complex claim disputes per quarter by coordinating directly with payer representatives, recovering an average of $47,000 in previously denied reimbursements each quarter.

Medical Billing and Coding SpecialistAug 2014 - May 2016

Riverside Family Medicine Clinic, Clarksville, TN

Assigned ICD-10-CM and CPT codes for 90+ primary care encounters daily, supporting a clean claim rate of 96.1% within the first six months of transitioning the practice from ICD-9.
Streamlined the charge entry workflow by redesigning the superbill template, cutting average charge-posting time by 35% and eliminating a 3-week billing backlog.
Trained 4 front-desk staff on documentation requirements and pre-authorization processes, reducing missing-documentation denials by 41% over one fiscal year.

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