CHARLENE CORNELL

• Interpreted medical records and assigned accurate ICD-10 codes for diagnoses, procedures, and services.
• Maintained a thorough knowledge of coding guidelines and regulations to ensure proper reimbursement for services rendered.
• Reviewed documentation to ensure accuracy of diagnosis code selection according to physician's documentation.
• Abstracted information from patient charts into the coding system accurately and efficiently.
• Validated that all required elements were present in order to assign correct procedure codes.
• Verified completeness of data within the electronic health record prior to assigning codes.
• Evaluated records for missing or incomplete information needed for accurate coding compliance.
• Collaborated with physicians, nurses, coders, case managers and other healthcare providers regarding documentation requirements related to coding processes.
• Ensured timely submission of claims by verifying accuracy of billing information prior to release.
• Provided education and training on coding policies and procedures as needed.
• Participated in continuing education programs related to medical coding practices.
• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
• Maintained high accuracy rate on daily production of completed reviews.
• Communicated with healthcare personnel, including practitioners to promote accuracy.

Prepare and submit billing data for technical and professional, primary and secondary medical claims to Insurance companies. Follow up on unpaid, rejected or denied claims. Files appeals on denials when necessary. Correct patient insurance information as needed. Coordinates with the coding department to confirm appropriate code assignments to accurately bill claims.

• Maintain the privacy of patients and their protected health information following HIPPAA.
• Multi-tasking, working in multiple windows with multiple computer screens.
• Extract and compile records from Electronic Health Records for information to complete claims for accurate billing and submitting appeals.
• Self motivated to complete tasks in a timely manner.
• Evaluated pending claims to identify and resolve problems blocking auto-adjudication.

• Listened to clients' needs and assisted with identifying and securing appropriate services.
• Extract pertinent information from Electronic Health Records and assign Risk factors and diagnosis codes.
• Offered every client knowledgeable and supportive assistance to meet all needs and build loyalty for the WIC program.
• Provides data entry in an accurate and timely manner by documenting pertinent information.
• Determines program eligibility by evaluating and documenting applicant's dietary habits, medical and income assessments.
• Provides nutrition and health counseling to clients based on their health risk factors and individual needs and concerns.
• Scheduling clients for multiple locations.
• Maintain the privacy of patients, following HIPAA.
• Participates in outreach to the community to increase caseload for WIC program.
• Promoting Breastfeeding as a Certified Lactation consultant.
• Mentors and trains new employees.
• Utilized expertise in WIC software to produce timely and accurate results for our clients.

• Received and Recorded cash, checks and credit card transactions to complete customer payments and prepared weekly deposits.
• Researched customer billing issues and resolved problems to facilitate receipt of overdue monies and promote good customer relationships.
• Responsible for new patient intake coordinating with Family, DHS case workers, Social Security Office, Hospital Discharge planners.
• Greeted and helped family members with their difficult transitions.
• Processed monthly payments, researched payment discrepancies and prepared monthly reports and addressing all aged receivables.
• Distributed Monthly invoices using postal mail, email or digital transmissions to Medicaid, private pay and VA clients.
• Assisted with time-sensitive functions, including recording credit memos, processing invoices and completing month-end reports.
• Checked time and attendance information for 80 plus residents to determine billable services.
• Answered inbound calls to provide information, answer questions or discuss payment options.
• Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.
• Re billed denied claims.
• Coordinated with clients and internal departments to resolve account discrepancies.
• Applied mathematical skills to calculate totals, check figures and correct problems with physical and digital files.
• Communicated with 3rd party billers to aid in Medicare billing and receivables.