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PHONE NUMBER AVAILABLE EMAIL AVAILABLEWORK HISTORYLEAD HEALTH INFORMATION SPECIALIST, CPC, CPC-I 09/2016 to 11/2022 St. John's Home - Rochester, NYSorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.Directed and assisted pulling and procurement of medical files according to established procedures. Trained other employees and ran entire medical records room. Coded all admission notes and billing sheets. Prepared documents for insurance audits and attorney requests. INSTRUCTOR 01/2002 to 12/2019Bryant & Stratton College - Rochester, NYInstructed students in anatomy, medical terminology, introduction to coding and AAPC coding classes in preparation of their goal of becoming Nationally Certified. Guided and taught students how to use complex ICD-9 and CPT manuals, how to read and code complex medical charts and detect patient's medical diagnoses.MEDICAL CODER, CPC, CPC-I 11/2013 to 09/2016Trillium Healthcare - Rochester, NY Performed billing and coding procedures for physicians. Interacted with physicians and other healthcare staff to ask questions regarding patient services.Accurately selected proper descriptive code when more than one anatomical location was indicated.Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.MEDICARE RISK ADJUSTMENT TRAINER, CPC, CPC-I 07/2009 to 11/2013 MVP Healthcare - Rochester, NYPrepared and decided cases for Medicare Part D Program. Researched Medicare and plan rules to ensure they apply to enrollee's and plan's arguments and made decision on who should prevail. Researched complex medical diagnoses and medical coding issues when they arose. Supplied extensive coding knowledge to other team members, APPEAL SPECIALIST 01/2002 to 07/2009Maximus Federal Services - Pittsford, NYConducted day-to-day administrative tasks to maintain information files and process paperwork. Examined claims forms for Medicare Part D coverage. Read over insurance policies and CMS policies to determine if they meet Medicare Part D coverage.Delivered exceptional customer service to policyholders by communicating important information and deciding cases according to the coverage rules.MANAGER/ASST. MANAGER 05/2000 to 01/2002Rite Aid Pharmacy - Honeoye Falls, NYMonitored cash intake and deposit records, increasing accuracy and reducing discrepancies.Helped with planning schedules and delegating assignments to meet coverage and service demands.Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.Completed regular inventory counts to verify stock levels, address discrepancies and forecast future needs.MANAGER 10/1988 to 05/2000United Refining Company - Mt. Morris, NY Accomplished multiple tasks within established timeframes. Onboarded new employees with training and new hire documentation. Cross-trained existing employees to maximize team agility and performance. Maximized performance by monitoring daily activities and mentoring team members. EDUCATIONBryant And Stratton College - Greece, NY Bachelor of Science Healthcare Administration, 05/2015Bryant And Stratton College - Rochester, NY Associate of Science Paralegal, 05/2006CERTIFICATIONS(CPC) - Certified Professional Coder - Bryant and Stratton Professional Skills Center, May 2002 (CPC-I) - Certified Professional Coding Instructor, May 2010 AHIMA Certified ICD-10 Coding Instructor, May 2015 |