Chris nickell
Bremen,IN
Summary
Accomplished HIM Manager-Coder with a proven track record at Michiana Behavioral Health, leveraging expertise in ICD-10 coding and HIPAA compliance. Demonstrated ability to enhance medical record accuracy and streamline billing processes, achieving significant improvements in efficiency. Renowned for exceptional problem-solving skills and a commitment to maintaining the highest standards of medical record security.
Overview
10
10
years of professional experience
1
1
Certification
Work History
HIM Managaer-Coder
Michiana Behavioral Health
08.2022 - Current
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Generated reports to identify coding trends and discrepancies.
- Verified signatures and checked medical charts for accuracy and completion.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Tracked and monitored requests for medical records release.
- Followed up with medical staff regarding missing information in patient records.
Prior Authorization Specialist-Billling
OSMC
05.2019 - 12.2021
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Tracked referral submission during facilitation of prior authorization issuance.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Collaborated with insurance companies to clarify coverage details and expedite review of complex cases.
- Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
Medical Biller
Community Hospital of Bremen
04.2015 - 05.2019
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
Education
Bachelor of Science - Healthcare Information
Indiana Institute of Technology
Fort Wayne, IN05-2017
Skills
- HIPAA compliance
- Medical record security
- Proficiency in MS4, 3M, Midas, HCS
- Continuing education
- Inpatient records coding
- Medical billing
- Customer service
- Problem-solving
- Multitasking
- Time management
- Excellent communication
- Attention to detail
- Reliability
- ICD-10 coding
Certification
- Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA).
Employee of the Month
Was nominated and voted on by my peers as Employee of the Month twice at Michiana Behavioral Health
Timeline
HIM Managaer-Coder
Michiana Behavioral Health
08.2022 - Current
Prior Authorization Specialist-Billling
OSMC
05.2019 - 12.2021
Medical Biller
Community Hospital of Bremen
04.2015 - 05.2019
Bachelor of Science - Healthcare Information
Indiana Institute of Technology
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