Tijen Thuro, CPC, CPMA

Operations Associate

Overland Park, Kansas, United States17 yrs 6 mos experience

Key Highlights

  • Expert in medical coding and auditing.
  • Strong background in healthcare compliance.
  • Proven ability in provider education and training.
Stackforce AI infers this person is a Healthcare Compliance and Education Specialist.

Contact

Skills

Core Skills

Medical CodingProvider Education

Other Skills

Claim reviewsComplianceEducationHealthcareMedical BillingMedical TerminologyMedicareMicrosoft ExcelMicrosoft OfficeMicrosoft WordPowerPointTraining

About

Always open to new opportunities! My background and experience ranges from patient services and medical billing, to educating coders and providers on accurate documentation and coding to the highest level of specificity for proper reimbursement. My areas of expertise are health insurance coverage and benefits, understanding of EOB's, reversing denials, medical coding and auditing, EMR systems, truncation, compliance, commercial insurance, HEDIS, and HCC coding for Medicare Risk Adjustment.

Experience

Saint luke's health system

Revenue Integrity Analyst

Jul 2023Present · 2 yrs 8 mos · United States

Optum

Training Consultant

Sep 2022Jul 2023 · 10 mos · Remote

  • Medical Coding and Education
Medical CodingEducation

Optum insight

Healthcare Advocate

Sep 2020Sep 2022 · 2 yrs

Cerner corporation

Senior Value-Based Care Risk Adjustment Consultant

Apr 2020Sep 2020 · 5 mos

Optum (formerly alere wellbeing)

Senior Clinical Quality Analyst

Jul 2018Mar 2020 · 1 yr 8 mos · Telecommute

Humana

Stars and Medicare Risk Adjustment Senior Educator

Aug 2008Jul 2018 · 9 yrs 11 mos · Central Region KS/MO/AR/OK

  • Provider education, prospective reviews, retrospective reviews, operations support, compliance, and claim reviews
Provider educationComplianceClaim reviews

Education

Kansas City Coding Institute

Medical Coding

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