Cathy Skates
Mount Crawford,VA
Summary
Experienced Medical Coder in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed. Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
25
25
years of professional experience
Work History
Coder/Abstractor
Sentara Healthcare
Norfolk, VA
08.2022 - Current
- Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Quickly responded to staff and client inquiries regarding assigned codes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Utilized coding software and tools efficiently to expedite the coding process.
- Participated in coding team meetings to discuss challenges and best practices.
- Reviewed patient records and assigned accurate codes for diagnoses and procedures.
- Maintained high accuracy rate on daily production of completed reviews.
- Supported external audits by providing coded data and documentation as requested.
AR Specialist II (BILLING)
Sentara Healthcare
Harrisonburg, VA
07.2019 - 08.2022
- Entered client details and notes into system for interdepartmental access and review
- Prepared billing statements for patients and verified correct diagnostic coding
- Adhered to established standards to safeguard patients' health information
- Gathered information from multiple sources to simplify billing and organize accounts
- Communicated with insurance providers to resolve denied claims and resubmitted.
AR Specialist I (FOLLOW UP)
Sentara Healthcare
Harrisonburg, VA
01.2018 - 07.2019
- Worked with outside entities to resolve issues with billing, claims and payments
- Electronically submitted bills according to compliance guidelines
- Reconciled statements with patient records
- Utilized computer programs to create invoices, letters, and other documents
- Responded to patient, family, and external payer inquiries
- Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices
- Communicated with insurance providers to resolve denied claims and resubmitted.
Admitting Representative
Sentara RMH
Harrisonburg, VA
02.2017 - 01.2018
- Verified patient details and insurance coverage and collected co-pays
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans
- Arranged forms and charts for each patient
- Registered patients for labs, surgeries, and radiology
- Reviewed hospital schedule and confirmed arrival times
- Followed document protocols to safeguard confidentiality of patient records.
Location Supervisor
Aramark Corporation, Festival
Harrisonburg, VA
08.2015 - 02.2017
- Insure the preparation and function of nine areas (shops) in the festival location
- Follow production documents for each shop and coordinate with kitchen staff to ensure needs are met
- Able to supervise/run any area at any time as needed
- Make sure safety and food regulations are met as per Aramark and health department regulations require
- Create an environment that encourages team work that results in the highest expectation of customer satisfaction
- Cash management opening and closing of cashier registers, monthly audits, and daily deposits
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions
- Established team priorities, maintained schedules and monitored performance
- Directed training and retraining of employees to boost performance and enhance business results.
Front End Manager
Ratner Company L.C, Corporate
Vienna, VA
07.2012 - 08.2015
- Customer Service, communicate all customer complaints, concerns, and incidents to management and district leader
- Cash management including deposits, updating numbers for budget and goal board daily with percentage rating per budget along with inventory and loss prevention
- Oversaw cashier operations, bookkeeping and security
- Motivated employees to perform at peak productivity with morale-boosting programs
- Recorded financial transactions and performed account reconciliations
- Assessed personnel performance and implemented incentives and team-building events to boost morale
- Reviewed financial reports and trend forecasts.
Manager
Starbucks Coffee Company, Corporate
Seattle, WA
02.2005 - 06.2012
- Ordering, scheduling, labor management, cash management
- On boarded new employees with training and new hire documentation
- Cross-trained existing employees to maximize team agility and performance
- Evaluated employees' strengths and assigned tasks based upon experience and training
- Delivered feedback to decision-makers regarding employee performance and training needs
- Raised performance in sales, management, and operations by identifying and targeting areas needing improvement
- Reviewed performance data to monitor and measure productivity, goal progress and activity levels.
Librarian
PCCI INC
Alexandria, VA
01.2000 - 06.2006
- Research and audit oil response plans for compliance of government regulations
- Prepare correspondence for DOT compliance audit reviews
- Maintain oil response plan physical and electronic library
- Prepare documents for Iron Mountain storage.
Education
Certified Professional Coder: Healthcare -
Blue Ridge Community College
Weyers Cave, VA05.2022
High School Diploma -
Northern Virginia Community College
Annandale, VA04.1989
Skills
- ED coding
- Diagnostic coding
- Recurring coding
- HIPAA Compliance
- Medical Billing
- Insurance Verification
- Claims Processing
- Regulatory guidelines
- Medical Terminology
Affiliations
- Salvation Army (Bell Ringing) every Christmas season
- Back to school supply drive (Augusta County Schools)
- COB Shenandoah District Disaster Auction
- Served meals at shelters (Salvation Army)
Timeline
Coder/Abstractor
Sentara Healthcare
08.2022 - Current
AR Specialist II (BILLING)
Sentara Healthcare
07.2019 - 08.2022
AR Specialist I (FOLLOW UP)
Sentara Healthcare
01.2018 - 07.2019
Admitting Representative
Sentara RMH
02.2017 - 01.2018
Location Supervisor
Aramark Corporation, Festival
08.2015 - 02.2017
Front End Manager
Ratner Company L.C, Corporate
07.2012 - 08.2015
Manager
Starbucks Coffee Company, Corporate
02.2005 - 06.2012
Librarian
PCCI INC
01.2000 - 06.2006
Certified Professional Coder: Healthcare -
Blue Ridge Community College
High School Diploma -
Northern Virginia Community College
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