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Click here or scroll down to respond to this candidateSUMMARY OF QUALIFICATIONSHealthcare Candidate's Name s, CDI, and physicians to make sure coding is the same as the diagnosis in the record. In order to achieve optimal billing outcome.AuditorCandidate's Name
Hospital codingAdministrative AssistantAAPC CPC CertificationHIPPA Privacy OfficerHIM DirectorMedical Billing & codingElectronic Health recordsExcel Spreadsheet, Power Point, WordNotaryEXPERIENCEConifer Health Solutions, Frisco, TX.-Remote5/1/2022 to present Auditing and IQR managing.Monthly auditing of pain management, anesthesia, radiology, dental, EKG. Preparing all IQR testing and tracking for all new coders. Building the IQR test for all specialties. Working with the Candidate's Name s to improve their MQR scores. Weekly IQR reporting to management. Outside auditing for recruiting.2/1/2021 to 4/1/2022 Pro-fee coding and reporting.Coding E/M pain management, procedures, radiology, dental, EKGs. Maintained a 98.5% the 15 months that I coded. Out of the 8 months I received 100% x8. Managerial reports when I had completed all charts in the cues. Helped out other specialties after completing the reporting.Advanced Pain Medicine of North Florida, Jonesville, Fl. -RemoteFebruary 2019 - February 2021All coding and billing for the practice-anesthesia and pain management. Procedures and E/M. Auditing, verifying insurance. Posting payments, appeals, educating employees and physicians.The Cardiac and Vascular Institute, Gainesville, Fl.June 2018 February 2019Coding all hospital cases, E/M, OBS, Inpatient, Outpatient, EKG, Echocardiograms, ICD-10 CPT, AR, Ins Billing, Verifications, and authorization.Cancer Care of North Fl, Lake City, FLOctober 2017-June 2018Notary, Scheduling Physicians and blocking times. Scheduling On-call at the Hospitals in Lake City for Practice. Helping with credentialing Physicians. Coding invoices and approving them to be paid. Supply ordering and tracking. Assisting with Insurance verification, referrals incoming and outgoing. Hospital coding and charges. Icd-10. Helping in Checkout and Check in and medical records. Assisting in any areas that are needed. IT, Maintenance scheduling, Patient Point. SchedulingReps lunches for the facilities. Setting up Tumor board meetings, Power points for the meetings. Office Currier. Restocking patient snack area . All secretarial duties.Shands Lake Shore, Lake City, FLAudited all coding and billing, adding modifiers when needed ICD -9 and CPT coding ICD-10 education. Utilized the electronic health record, health information systems, and healthcare applications, good working knowledge of information technology. Reviewed and updated policies and procedures that are aligned and comply with hospital and department and policies and procedures and regulatory agencies. Thorough understanding the transition to the electronic health record and core HIM functions such as document management and imaging, transcription, chart completion and coding. Experience with the electronic health record, health information systems and healthcare applications. Expertise in healthcare compliance: knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices Developed, maintained, and implemented policies and procedures; evaluated and improved the Effectiveness of policies and procedures and workflow Remote work on Holidays and Weekends. Daily code auditing had to be done for billing.Shands Lake Shore Regional Medical Center, Lake City, FLICD -9 and CPT coding, Icd-10 education, Obtained ICD-9, and CPT codes for all Inpatient authorizations.Administrative Assistant 10/2017 2018Interim HIM Director & HIPPA Officer 7/2014 3/2015Authorization Coordinator 7/2011 7/2014Appealed insurance denials, audited medical records, prepared excel sheets for audits, worked Rac audits and appeals, Department secretary for Case Management.Palms Medical, Bell, FLJuly 2007- July 2011Trained employees on Medicare processes for billing, billed all Medicare accounts. Medicare and Medicaid Appeals. Maintained sliding fee applications. Patient collections. Built power points for training. Secretarial duties.HCA Lake City Medical Center, Lake City, FLSeptember 2006- July 2007Scheduled Outpatient testing, registrar Inpatient, Er and Outpatients for treatment. Trained new employees, Verified insurance benefits. Obtained authorization for services. Collection of co-pays and payments from patients. Worked for HCA Hospitals for 15 years.Medical billing and collections 7/2007 7/2011Patient account services 9/2006 7/2007EDUCATIONAAPC - CPC Certification Medical Coding ICD-10, CPT and HCPCS 2017Gainesville, FLAAPC CPC CertificationPenn Foster - Medical Billing and Coding Medical Billing and Coding GPA: 3.7 2016Scranton, PAIntroduction to allied healthlaw, ethics, and confidentiality in allied healthoffice proceduresbody systems/terminology 1body systems/terminology 2basic pharmacologyword and excelbusiness Englishmedical coding 1Step-by-Step Medical CodingICD-9-CMCPTmedical Coding 2electronic medical recordsEverglades City School - High School GPA: 3.8 1983Everglades City, FLSystem worked in:Citrix, Optum 360, Codify, 3M Code finder, IDX, Class marker, Practicode, TC Dental Coding, Next Gen, Athena Hospital Billing Athena Clinical Billing, Meditech, Mc Kession, Med Host, Care Cloud, Intergey, E-charms, Map, HPF, Medical Manger, Emdeon, Know Med, G-4, Gate way Edi, Green Way, DDE, Pulse, OB trace, Transcend, Nuance, Word, Excel, Power Point and Mac compatible programs. |
