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Candidate's Name , RHITElgin, IL Street Address  PHONE NUMBER AVAILABLE EMAIL AVAILABLE LINKEDIN LINK AVAILABLEOUT-PATIENT CODERSUMMARY OF QUALIFICATIONSMedical Records Professional with 5+ years experience coordinating billing and coding for multiple facilities.Adept in interpreting encounter forms, medical records, physician documentation, dictated reports, lab reports, operative reports, and policy/procedure manuals.Proven ability to effectively audit accounts to identify and correct deficiencies.Strong communication skills with capability to interact with all levels of a healthcare team.Achieved Associate of Applied Science in Health Information Technology,Achieved Bachelor of Science in technical Management with a concentration in Health Information Management.CORE COMPETENCIESPhysician Coding Chart Audits Navigation of EHR/EMRs Insurance Reimbursement Claims Review Knowledge of ICD-9, ICD-10, and CPT Coding Medical Terminology Professional Correspondence Conflict Resolution Problem Solving Outpatient and Inpatient Coding Risk Adjustment and HCC Coding Goal FocusedPROFESSIONAL EXPERIENCEADVOCATE AURORA HEALTHCARE ELMHURST, ILBilling Documentation Specialist (Remote) 11/2020 - PresentResolve DME/HME billing errors identified on the daily CMN report.Collaborate with Patient Account Representatives to assist in Medicare and Medicaid claim approvals.Reduce the number of billing problems that come up on the Jeff net hold report weekly.Create convert-to-purchase letters and send to patients that have rented their equipment for 13 months.Log the driver route sheets in the Driver Tracking Log spreadsheet on the corporate drive by end of day.Log the Respiratory Therapists tickets on their tracking log spreadsheet before the end of business.Answer incoming calls and transfer to appropriate department in a professional and timely manner.Process payer changes in a timely manner to avoid incorrect billing.CSI COMPANIES REMOTEHCC Coder 06/2019 - 07/2019Coded 4.5 charts per hour while maintaining 95% accuracy.Completed a daily work log of 36 or more completed charts and submitted at the end of the workday.NORTHWESTERN MEDICINE (CDH) WINFIELD, ILCharge Analyst 01/2017 - 06/2019Abstracted patient information from the medical records and entered charges into EPIC system within 72hrs.Created and analyzed daily Revenue & Usage reports to send to the director by the end of the business day.Reviewed weekly Write-off and Denials report and resolved claims denied for medical necessity by requesting a Letter of Medical necessity from physicians via email and distributing copy of report to the team Lead.Maintained an accuracy rate of 98% monthly.ADVOCATE MEDICAL GROUP OAKBROOK, ILCoding Specialist I 3/2014 - 01/2017Audited encounters previously coded in the physicians office ensuring E&M code were correct and 100% of the ICD-10 and CPT codes were present according to the physicians documentation.Assured adherence to department quality of 95% accuracy and productivity of 136 accounts daily.Reconciled NCCI correct edits and discrepancies prior to final coding.Edited rejected claims in the IDX system and resubmitted for payment prior to next billing cycle.PRESENCE HEALTH LIFE CONNECTION ELGIN, ILHospice Office Coordinator 11/2012 - 03/2014Answered and directed incoming calls with a high level of customer service.Processed referrals to hospice from doctors offices, hospitals, nursing facilities, and patients/families.Checked previous day and overnight voicemails and processed requests as needed.Created Admission and Discharge reports for IDT (Interdisciplinary Team) Meetings.Verified insurance/healthcare coverage.Coded medical and interoffice bills.Created, audited and maintained billing and medical records.SCOTT NOLAN CENTER DES PLAINES, ILMedical Records Department Coordinator 4/2012 - 11/2012Supervised and trained staff.Processed and maintained patients charts and medical records requests.Sorted and distributed mail daily.EDUCATIONDEVRY UNIVERSITY NAPERVILLE, ILBachelor of Science, Health Information Management Expected: 04/2022Key Coursework: Project Management, Business Policy, StatisticsAssociate of Applied Science, Health Information Technology 06/2009Academic Highlight: Practicum- Elgin Mental Health Center, South Elgin, IL (05/2009 - 06/2009)PRECYSE UNIVERSITY ONLINECertificate, ICD-10-CM Training 09/12CERTIFICATIONAMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, AHIMARegistered Health Information Technician (RHIT) 03/11