Summary
Overview
Work History
Education
Skills
Certification
Websites
References
Timeline
Generic

Cynthia Tolson

Charleston,SC

Summary

Dynamic Charge Entry Specialist with extensive experience at HCA Physician Services Trident, adept in ICD-10 coding and data analysis. Proven track record in optimizing charge accuracy and enhancing claims processes. Strong communicator skilled in patient interactions and prior authorizations, ensuring compliance with HIPAA regulations and improving operational efficiency.

Overview

30
30
years of professional experience
1
1
Certification

Work History

Charge Entry Specialist and Medical Records Clerk

HCA Physician Services Trident
Charleston, SC
07.2016 - Current
  • Review and enter charge documents into the practice management system
  • Completing medical records request when required
  • Working with nursing staff to retrieve prior authorization for medications
  • Identifying issues and conflicts with scheduling
  • Balanced Charge Summary to tickets keyed before updating charges
  • Working in Claims and Denial. Working with payers and Accounts Receivable on denials and rejections

Data Analysis

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Features like PivotTables and conditional formatting help with data analysis and visualization

Create Spreadsheets

Charge Entry Specialist PRN

COASTAL INPATIENT PHYSICIANS
Charleston, SC
04.2012 - 07.2020
  • Reviews charge documents from the clinic daily, ensuring that the charge information is current and accurate
  • Utilizing CPT, ECW, and ICD-10 coding to work effectively
  • Balanced Charge Summary to tickets keyed before updating charges
  • Performing duties such as answering phones, sending messages to physicians, data entry of patient demographics and insurance, and billing and entering charges

Medical Office Specialist/Charge Entry Specialist

TRIDENT HOSPITAL
Charleston, SC
03.2015 - 07.2016
  • Utilized CPT, ECW, and ICD-10 Coding to work effectively
  • Balanced Charge Summary to tickets keyed before updating charges
  • Performed daily duties such as answering phones, sending messages to physicians, data entry of patient demographics and insurance, schedule patient appointments, verifying patient insurance, and billing and entering charges
  • Worked on incoming referrals daily and obtained Prior Authorization numbers to provide to the physicians
  • Trained new employees on the daily duties

Medical Records Clerk

TRIDENT HEALTHCARE
Charleston, SC
06.2007 - 07.2015
  • Maintained, filed, and retrieved patient charts for scheduled appointments.
  • Scanned documents into the electronic medical records daily. Photocopied records for billing and legal services. Processed letters and reports daily.
  • Interviewed the patients in Labor and Delivery to get the information of the newborn's name. Changed the name of the newborn in the system once the parents determine to baby's name. Delivered the birth certificate or fetal death certificates to the Vital Records department

Release of Information Scanner Specialist

HEALTH PORT TECHNOLOGIES
North Charleston, SC
10.2007 - 01.2012
  • Processed Release of Information (ROI) requests daily. Scanned medical record requests for attorney offices when requested. Handled Power of Attorney record releases, court orders, and subpoenas.
  • Ensured that medical ROIs complied with the request, authorization, company policies, and HIPAA regulations

Medical Appointment Scheduler

MEDICAL UNIVERSITY OF SOUTH CAROLINA
Charleston, SC
07.2005 - 07.2007
  • Worked on the Doctor Cancel list daily.
  • Checked patients in daily. Cancelled and rescheduled patient appointments. Called patients to inform them of upcoming appointments
  • Sent messages to nurses and physicians daily regarding patient appointments

Medical Assistant/Patient Care Technician

GAMBRO HEALTHCARE
Moncks Corner, SC
08.2000 - 08.2005
  • Set up and operated hemodialysis machines, included the attachment of dialyzer and tubing to the machine, mixing the dialysate, and inspected equipment several times daily to ensure proper function and conformance to safety standards.
  • Informed new and returning patients about the dialysis procedure
  • Built positive relationships with patients daily

Certified Nursing Assistant

LAKE MOULTRIE NURSING HOME
Saint Stephen, SC
05.1995 - 07.2000
  • Maintained a safe and sanitary environment for patients daily by providing routine care, cleaning the wards, and spending time with the patients.
  • Obtained specimens and vitals of the patients when requested.
  • Administered injections and monitored medicinal intakes. Reported the status of the patients to the senior doctors.

Education

Medical Coding Certificate -

Trident Technical College
06.2022

Medical Coding -

Learning Medical Coding LLC
01.2022

Kenneth Shuler Cosmetology School
01.2017

Certified Nursing Assistant -

Trident Technical College
05.1996

Skills

  • Epic EMR
  • E Clinical Works (ECW)
  • ICD-9
  • ICD-10
  • Current Procedural Terminology (CPT)
  • H-Care Portal
  • Patient Keeper
  • Microsoft Excel
  • Microsoft Word
  • Meditech Electronic Healthcare Records (HER)
  • Passport OneSource Insurance Verification System
  • Cisco WebEx
  • South Carolina Department of Health and Environmental Control (DHEC)
  • Centers of Medicare and Medicaid Services (CMS)
  • American Hospital Association (AHA)
  • American Health Information Management Association (AHIMA)
  • Practice Partner
  • Anatomy
  • Medical Terminology
  • Insurance Verification
  • Medical Billing
  • Data Entry
  • Office Management
  • Public Communications
  • Customer Service
  • Prior Authorizations
  • Release of Information
  • HIPAA
  • Power of Attorney
  • Vital Records
  • Vital Statistics
  • Health Information Management (HIM)
  • Data Analysis

Certification

  • Basic Life Training 04/2025 - 04/28/2028
  • Completed Microsoft Excel Course Healthstreams
  • Completed Data Visualization Skills Healthstreams

References

References available upon request.

Timeline

Charge Entry Specialist and Medical Records Clerk

HCA Physician Services Trident
07.2016 - Current

Medical Office Specialist/Charge Entry Specialist

TRIDENT HOSPITAL
03.2015 - 07.2016

Charge Entry Specialist PRN

COASTAL INPATIENT PHYSICIANS
04.2012 - 07.2020

Release of Information Scanner Specialist

HEALTH PORT TECHNOLOGIES
10.2007 - 01.2012

Medical Records Clerk

TRIDENT HEALTHCARE
06.2007 - 07.2015

Medical Appointment Scheduler

MEDICAL UNIVERSITY OF SOUTH CAROLINA
07.2005 - 07.2007

Medical Assistant/Patient Care Technician

GAMBRO HEALTHCARE
08.2000 - 08.2005

Certified Nursing Assistant

LAKE MOULTRIE NURSING HOME
05.1995 - 07.2000

Medical Coding Certificate -

Trident Technical College

Medical Coding -

Learning Medical Coding LLC

Kenneth Shuler Cosmetology School

Certified Nursing Assistant -

Trident Technical College
Cynthia Tolson