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Click here or scroll down to respond to this candidateCandidate's Name
Street Address C: PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL SUMMARYOrganized Medical Professional with foundation in records management. Experienced in Abstraction procedures. Advanced medical terminology knowledge. Medical billing and codingspecialist with 25 years providing administrative and patient support in Hospital, Long-term/Rehab,homecare and medical office settings. Advanced knowledge of private insurance processes and codes. EfficientMedical Administrative Assistant skilled in tackling administrative and patient-oriented tasks in a fast-pacedenvironment.SKILLSAccomplished leader BAC screen/drug screen collectingAnalytical thinker ICD-10 (International Classification of DiseaseQuality improvement competency Systems)Supervisory training Records management professionalKnowledge of Medicaid statutes and regulations Patient chart auditing abilityWORK HISTORYLisenced Practical Nurse- Clinical EMR Abstractor, 07/2012 to 09/2013JFC Medical Camp Hill, PAAbstracted inpatient and outpatient charts into electronic medical record software at a rate of 15-40 charts perday.Precisely completed appropriate claims paperwork, documentation and system entry.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills andknowledge.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, testresults, home care forms).Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medicaldocumentation.Entered orders into the EMR system efficiently and without errors.Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation ofrecorded data.Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatientmedical records.Maintained strict patient and physician confidentiality.Interacted with providers and other medical professionals documentation policies, procedures andregulations.Treated all patients, their families, visitors, staff and providers in a pleasant and courteous manner.Accurately posted surgeries, hospital visits for assigned carriers.Lisenced Practical Nurse-Assitant Charge Nurse, 03/2008 to 01/2009Conestoga View Nursing and Rehab Lancaster, PAScheduled appointments, registered patients and distributed pharmaceuticals as prescribed.Precisely completed appropriate claims paperwork, documentation and system entry.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills andknowledge.Professionally and courteously verified appointment times with patients.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, testresults, home care forms).Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medicaldocumentation.Adeptly managed a multi-line phone system and pleasantly greeted all patients visitors.Verified patients' eligibility and claims status with insurance agencies.Prepared patient charts accurately and neatly for the clinic.Prepared patient charts, pre-admissions and consent forms as necessary.Compiled necessary documents for surgical billing packages.Determined prior authorizations for medication and outpatient procedures.Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation ofrecorded data.Researched questions and concerns from providers and provided detailed responses.Maintained strict patient and physician confidentiality.Initiated, performed and documented quarterly coding audits for physicians.Updated patient financial information to guarantee accuracy.Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.LPN Homecare, 01/2001 to 02/2008Bayada Nursing Agency Lancaster, PAScheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.Precisely completed appropriate claims paperwork, documentation and system entry.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills andknowledge.Professionally and courteously verified appointment times with patients.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, testresults, home care forms).Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medicaldocumentation.Verified patients' eligibility and claims status with insurance agencies.Prepared patient charts accurately and neatly for the clinic.Prepared patient charts, pre-admissions and consent forms as necessary.Coordinated Meetings with all healthcare personel involved.Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation ofrecorded data.Accurately selected the proper descriptive code when more than one anatomical location was indicated.Maintained strict patient and physician confidentiality.Submitted electronic/paper claims documentation for timely filing.LPN-Sales consultant, 05/1995 to 07/1996Precision Healthcare Cherry Hill, NJScheduled appointments, registered patients and distributed Durable medical equipment as prescribed.Precisely completed appropriate claims paperwork, documentation and system entry.Correctly coded and billed medical claims for various hospital and nursing facilities.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills andknowledge.Professionally and courteously verified appointment times with Physical therapy departmentsand patients.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, testresults, home care forms).Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medicaldocumentation.Maintained updated knowledge of coding requirements, through continuing education and certificationrenewal.Prepared patient charts accurately and neatly for the clinic.Diligently filed and followed up on third party claims.Prepared patient charts, and consent forms as necessary.Determined prior authorizations for Durable medical equipment and patient sizing proceduresPerformed qualitative analysis of records to ensure accuracy, internal consistency and correlation ofrecorded data.LPN-Assistant Quality Improvement Coridinator, 10/1994 to 03/1996Golden Slipper Uptown Home of Philadelphia Philadelphia, PAPrecisely completed appropriate claims paperwork, documentation and system entry.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills andknowledge.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, testresults, home care forms).Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medicaldocumentation.Maintained updated knowledge of coding requirements, through continuing education and certificationrenewal.Adeptly managed a multi-line phone system and pleasantly greeted all patients.Verified patients' eligibility and claims status with insurance agencies.Prepared patient charts accurately and neatly for the clinic.Prepared patient charts, pre-admissions and consent forms as necessary.Assigned appropriate medical codes with a 99 percent accuracy rate.Determined prior authorizations for medication and outpatient procedures.Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation ofrecorded data.Researched questions and concerns from providers and provided detailed responses.Accurately selected the proper descriptive code when more than one anatomical location was indicated.Maintained strict patient and physician confidentiality.Resourcefully used various coding books, and procedure manuals .Initiated, performed and documented quarterly coding audits for physicians.Interacted with providers and other medical professionals regarding billing and documentation policies,procedures and regulations.Accurately posted and sent out all medical claims.Submitted electronic/paper claims documentation for timely filing.Responded to correspondence from insurance companies.Confidently and adeptly handled claim denials and/or appeals.Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remainingbalances not covered under their policies when applicable.Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.EDUCATIONAssociate of Science: Practical Nursing, 1989Lancaster County Practical Nursing Program - Willow Street, PaACCOMPLISHMENTSPatient Charting -Retrieved and re-filed patient charts in proper sequence to maintain organization and up-to-datepaperwork information.Management SupportEnsured smooth operations by supporting executive team.TrainingResponsible for training all new employees to ensure continued quality of customer service.File Management -Prepared monthly reports for records, closed terminated records, completed final audit of chartsand insured that all documentation has been received and filed.Billing -Cooperated with Medicare, Medicaid and private insurance providers to establish relationshipsand resolve billing issues.Vendor ManagementNegotiated low vendor rates, delivery, setup, and training for various durable medical supplies.Data Reporting -Compiled statistical data, such as patient admissions, discharges, deaths, births and types oftreatment given.Data Entry -Reviewed and updated client correspondence files and scheduling database.Scheduling -Organized 140 nursing schedules for patient/ facility requirements.Data Entry -Reviewed and updated client correspondence files and scheduling database.Technology Proficient -Developed a strong knowledge of hardware and software while keeping abreast of new applications thatincreased efficiency and productivity for management and clients.Human Resources -Recorded and filed employee benefit, salary and annual evaluation information.CERTIFICATIONSNon Active Pennsylvania LPN license in good standingADDITIONAL INFORMATIONEmployment history is a brief highlight,any further information required will be provided as needed, at time ofinterview. |
