With a proven track record at the Cardiovascular Institute of the South, I excel in HIPAA compliance and effective doctor communication, ensuring patient confidentiality and seamless healthcare operations. My expertise in medical billing and coding, coupled with a knack for meticulous records management, has significantly enhanced departmental efficiency. Renowned for my ability to work independently, I bring both critical hard and soft skills to any team.
Overview
32
32
years of professional experience
Work History
Certified Professional Coder
Cardiovascular Institute of the South
Lafayette, LA
03.2023 - Current
Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
Medical Records Clerk
Cardiovascular Institute Of The South
441 Heymann Blvd, Lafayette
04.2011 - 03.2023
Processed medical records requests from outside providers.
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Reviewed charts and flagged incomplete or inaccurate information for upcoming appointments.
Accurately pulled patient records for upcoming appointments and procedures, typically within 24 hour period. Mostly worked with electrophysiology and structural heart patients.
Processed patient admission and discharge documentation from all local hospitals. I also pull over all LGMC catheterization reports on daily basis.
Helped maintain electronic fax pools, medical records pools, and front office pools within different office locations.
When needed I helped schedule new patient/referral appointments and/or missed appointments for established patients.
Upload outside discs into PACS system
Maintained and managed all home health documentation within office by distributing urgent matters to nurses, flagged documentations for physicians to sign, and help maintain plan of care certifications.
Scanned all outside documents brought into office from patients and nurses.
Open and addressed all outcome mail pertaining to medical records.
Front Desk Supervisor
Dr. Kenneth Entes
Lafayette, LA
06.2008 - 04.2011
Greeted patients upon arrival, offered assistance and answered questions.
Collaborated with team members to handle patient requirements from check-in through check-out.
Helped answer multi-line phone system to respond to inquiries and transfer calls to correct departments.
Oversaw fast-paced front desk operations and patient needs at busy facility.
Collected patient fees and payments.
Chart checked 24 hours prior to patients appointment.
Helped maintain all incoming faxes.
Medical Billing Specialist
Acadiana Computer Systems Inc.
Lafayette, LA
08.2003 - 09.2004
Identified and resolved patient billing and payment issues.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Coding specialist for cardiology and radiology.
Followed up on delinquent accounts.
Entered patient's demographics into computer.
Medical Billing Representative
Lake Primary Care Physician Services
Baton Rouge, LA
01.2000 - 01.2001
Precisely completed appropriate claims paperwork, documentation and system entry.
Billing and coding for several hospitalists for local inpatient and outpatient services.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Filed and updated patient information and medical records.
Prepared billing statements for insurance companies and verified correct diagnostic coding.
Receptionist/Billing Specialist
Dr. Kenneth Entes
Lafayette, LA
01.1995 - 01.2000
Assisted with coding and entering office and hospital charges.
Entered patient demographics.
Greeted and checked in all patients.
Pre-certified and maintained insurance referrals.
Chart checked all patients 24 hours before their appointment.
Maintained high volume of telephone calls.
Assisted patients with their questions or concerns about any outstanding balances.
Scheduled all follow up appointments/testings for each patient.
Receptionist
Cardiovascular Institute Of The South
Lafayette, LA
01.1993 - 01.1995
Greeted incoming patients professionally and provided friendly, knowledgeable assistance.
Assisted by answer central telephone system and directed calls accordingly.
Provided clerical support to company employees by copying, faxing and filing documents.
Checked in all patients for their office visits.
In charge of getting all medical releases signed.
Responsible for pulling medical records of each physician.
Education
Certificate of Completion (80 Hours) - Certified Professional Coding Curriculum
AAPC Integrity Coding
Reading, MA
01.2023
Associate of Arts - Office System Technology
Tidewater Community College
Norfolk, VA
1991
Certification - Medical Transcription
Adult And Continuing Education
Virginia Beach, VA
11.1990
Louisiana State Board of Cosmetology License - Cosmetology
Hairtech Academy
Lafayette, LA
06.1990
High School Diploma -
Longview Preparatory School
Lafayette, LA
05.1990
Skills
HIPAA Compliance
Charting and Clinical Documentation
Doctor Communication
Medical Billing and Coding
Verbal and Written Communication
Records Management
Medical Records and Documentation
Work Well Independently
Medical Terminology Understanding
Clerical Support
ICD-10 Coding
CPT Coding
Departmental Cross-Coverage
EPIC EMR knowledge
Hospital Inpatient and Outpatient Records
CPT coding knowledge
ICD-10 Proficiency
Diagnostic Coding Accuracy
Team collaboration abilities
Timeline
Certified Professional Coder
Cardiovascular Institute of the South
03.2023 - Current
Medical Records Clerk
Cardiovascular Institute Of The South
04.2011 - 03.2023
Front Desk Supervisor
Dr. Kenneth Entes
06.2008 - 04.2011
Medical Billing Specialist
Acadiana Computer Systems Inc.
08.2003 - 09.2004
Medical Billing Representative
Lake Primary Care Physician Services
01.2000 - 01.2001
Receptionist/Billing Specialist
Dr. Kenneth Entes
01.1995 - 01.2000
Receptionist
Cardiovascular Institute Of The South
01.1993 - 01.1995
Certificate of Completion (80 Hours) - Certified Professional Coding Curriculum
AAPC Integrity Coding
Associate of Arts - Office System Technology
Tidewater Community College
Certification - Medical Transcription
Adult And Continuing Education
Louisiana State Board of Cosmetology License - Cosmetology