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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE
EMAIL AVAILABLE
QUALIFICATIONS
Strong medical billing/ICD-9 coding skills, some ICD-10 experience, recruiting and administrative experience with computer and office management skills. Offer an excellent work record. Relate well with people in all levels of an organization. Ability to work independently or as a team member. Responsible and hard working.
EXPERIENCE
Brookdale Home Health
Naperville, IL
Scheduler/Coding Specialist (May 2010 to September 2016)
Coding Specialist: Helped in ICD-10 Coding
Responsible to review and provide feedback for appropriate
and accurate Coding/OASIS documentation submitted by home
health clinicians, ensuring adherence to federal standards,
guidelines and coding conventions.
* Reviewed and provided recommendations to the Clinical
Service Manager for potential edits to the OASIS documentation
* Reviewed all electronically submitted documentation to ensure
the records reflect compliance with medical necessity, support
initial visit utilization, described individual patient assess-
ment and support selected coding
* Recommended codes and OASIS edits via the electronic system
to the Clinical Service Manager for discussion and clarification
with the admitting clinician
* Consistently demonstrated sound judgment in the day-to-day
interactions with co-workers and management staff
* Maintained positive relationships and rapport with co-workers
management and community associates
* Adhered to established confidentiality standards and HIPAA
concerning community and patient information
Scheduler:
To coordinate the flow of paperwork in the medical records area to maintain an accurate and functional record system for home health.
* Scheduled all RN, LPN and therapists visits for 4-5 communities based on case manager Start of Care and Therapists Evaluation and Assessments
* Maintained census for scheduling of 100 patients
* Processed all medical record information such as Demographics, Insurance, DOB, SSN, etc..through electronic submission, email or fax
* Processed all incoming medical record information
* Verified Medicare and insurance eligibility
* Entered completion dates on Plan of Treatment (485's), Face to Face Encounters and physician verbal orders when signed by physicians
* Resourced/troubleshot problem email/mail for 4 communities (i.e. wrong address/phone numbers) for physician offices
* Maintained tracking system for physician orders (485's, Face to Face Encounters and verbal orders)
* Obtained all physician information, including licenses, NPI #'s and entered this information into computer system
* Completed Medicare calendars as appropriate
* Worked collaboratively with home care case managers, therapists, RN's and LPN's to coordinate and develop processes and procedures that facilitate and enhance the management of the medical record
* Identified a contact person in each physician's office for ease of getting signed documents
* Discharged medical record charts in accordance with branch policy
* Completed audit of chart to ensure all documentation denotes patient's name, date, times of service and appropriate personnel and physician signatures are present
ACS Affiliated Computer Services (A Xerox Company)
Schaumburg, IL
Remote Access Specialist (October 2009 to May 2010) Temporary
Responsible for the verification of third party insurance claim recovery
* Analyzed medical claims to determine Third Party liability
* Strong knowledge of ICD-9 and CPT coding books
* Determined relationship of DX codes ICD-9 & CPT to claim detail
* Managed production oriented workflow
G & G Medical Billing
Elk Grove Village, IL
Medical Biller (August 2009 to October 2009) Temporary
Responsible for insurance verification
* Verified insurance eligibility
* Assisted in medical billing
* Added new patient information into computer system
* Verified claim status
* Mailed out medical billing invoices
* Greeted clients and answered telephones
The Plus Group, Inc.
Lombard, IL
Recruiter (2008 - 2009) Company Downsized
Responsible for recruiting, researching, sourcing and interviewing candidates
* Sourced qualified candidates to fill contract and contract to hire positions
* Contacted candidates via telephone and/or email
* Recruited candidates based on client requirements
* Tested candidates skill level
* Interviewed face to face potential candidates before submission
* Submitted qualified candidates to client
* Followed up with candidates throughout the interview process
* Conducted reference checks
* Familiar with I-9, State and Federal tax forms for new hire
* Conducted criminal background and drug screen testing
* Negotiated wage rates and other terms of employment with candidate
* Maintained, updated and verified candidates weekly payroll
* Posted job orders on the Internet search engines
* Strong written and verbal communication skills
* Maintained ongoing A-Plus list of candidates
* Maintained a professional and ethical work habit
* Can work independently or as a team member
EDUCATION
Medical Billing/Coding/Secretarial/Business, Elgin Community College, Elgin, IL
ICD-9 Certified Professional Coder, American Academy of Professional Coders
Computer
Medical Software - Homecare Homebase, Infosys, Collaborate and Vision
Recruiting Software - Tempworks and Sendouts
Business - Microsoft Word and Outlook |
