CLEVIA E L DUNCAN
Loganville,GA
Summary
Certified Coding Specialist with broad experience in medical coding and billing. Adept at ensuring accuracy and compliance with healthcare regulations. Strong focus on team collaboration, achieving results, and adapting to changing needs. Skilled in ICD-10, CPT, and HCPCS coding, with keen eye for detail and problem-solving abilities valued by employers.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Certified Coding Specialist (Epic Certified)
Interfaith medical Center
01.2015 - Current
- Research and analyzes data needs for reimbursement
- Analyzes medical records and identifies documentation deficiencies
- Serves as resource and subject matter expert to other coding staff
- Reviews and verifies documentation supports diagnoses, procedures and treatment results
- Provided valuable insights during monthly meetings with other coders, sharing best practices and discussing ways to improve individual performances as a team member.
- Optimized workflow efficiency through cross-training in multiple specialties, enabling flexibility in task assignments according to team needs.
- Increased overall productivity by working closely with colleagues when faced with complex cases requiring input from multiple specialists within the organization.
- Maintained accuracy, completeness, and security for medical records and health information.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Generated and maintained statistical data related to medical records.
Certified Coding Specialist
Mount Sinai Hospital
01.2013 - 01.2015
- Research and analyzes data needs for reimbursement
- Analyzes medical records and identifies documentation deficiencies
- Serves as resource and subject matter expert to other coding staff
- Reviews and verifies documentation supports diagnoses, procedures and treatment results
Health Information Management Clerk
Interfaith Medical Center
01.2010 - 01.2013
- Review patient medical records for completeness, accuracy and regulatory compliance
- Release information to individuals, agencies in compliance with appropriate regulations
- Pull and copied charts for Regulatory Agencies (CMS and Ipro)
- Review daily discharges for deficiencies
- Complete chart requests and order charts from our storage company
- Work on special projects to help reduce the amount of unbilled claims on the DNFB report (3M)
- Work closely with Physicians to ensure documentation is done within standard time
- Prepare monthly revenue and patient statistic reports for the department heads
- Reconcile charts on a daily basis to insure accuracy (DNFB)
- Facilitate new employee training on policies and procedures
- Keep an analysis of all surgeries performed by physicians to monitor operative reports are dictated within departmental standards
Patient Business Associate (Behavioral Health Program)
Interfaith Medical Center
01.2008 - 01.2010
- Organized and oversaw the maintenance of the medical chart room
- Inputted data into a system implemented to maintain patient information, resulting in reducing the number of duplicated medical records and in accurate patient information
- Administered new employee training
- Problem solving and administrative counseling for clients
- Created intake charts for the clinical staff
- Reinforced patient boundaries to support therapeutic process
- Monitored and analyzed program statistics
- Coordinated and administered transportation for disabled clients, including managing metro card distribution
- Authorization management for over 20 HMO insurance companies affiliated with Medicaid and Medicare
- Maintained strict confidentiality of sensitive patient information in compliance with HIPAA regulations.
- Enhanced team productivity with effective communication, collaboration, and problem-solving skills.
- Assisted patients in completing required paperwork accurately and efficiently during the check-in process.
- Reduced wait times and improved patient flow by scheduling appointments strategically and managing cancellations promptly.
- Improved patient satisfaction by providing efficient and accurate registration processes.
- Managed patient accounts, resolving outstanding balances through payment plans or financial assistance options as needed.
- Assisted in maintaining a clean and organized work environment to ensure optimal patient care.
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
Sales Manager
Circuit City Inc.
01.2000 - 01.2007
- Managed a staff of 70 associates responsible for high departmental sales volume per month
- Ensured competitive advantage by keeping current with all ads and promotions from all major competitors
- Handled customer service issues, payments, refunds, and statement inquiries
- Monitored the closure of registers and verified accurate end of the day register balances
- Streamlined sales workflows to reduce bottlenecks and accelerate closing cycles.
- Handled customer relations issues, enabling quick resolution, and client satisfaction.
- Led a successful sales team by providing motivational coaching and performance-based incentives.
- Built long-lasting client relationships through excellent customer service and consistent followups.
- Consistently met or exceeded quarterly sales targets through diligent effort and persistence in closing deals.
- Assisted in recruiting top talent for the sales team, contributing to a high-performing work environment.
Education
Borough of Manhattan Community College
Certificate - Medical Coding and Billing
Roxbury Institute for Medical Management
01.2012
Skills
- Team collaboration
- HIPAA compliance
- Time management capabilities
- Diagnostic coding accuracy
- Electronic health records navigation
- Clinical documentation improvement
- Medical terminology proficiency
- Anatomy and physiology
Certification
Certified Coding Specialist Certification
- Outpatient & Ambulatory Surgery Coding/Billing
- I.C.D 9-cm Coding
- C.P.T Coding
- Computerized Billing
- Medical Documentation
Languages
English
Timeline
Certified Coding Specialist (Epic Certified)
Interfaith medical Center
01.2015 - Current
Certified Coding Specialist
Mount Sinai Hospital
01.2013 - 01.2015
Health Information Management Clerk
Interfaith Medical Center
01.2010 - 01.2013
Patient Business Associate (Behavioral Health Program)
Interfaith Medical Center
01.2008 - 01.2010
Sales Manager
Circuit City Inc.
01.2000 - 01.2007
Certificate - Medical Coding and Billing
Roxbury Institute for Medical Management
Borough of Manhattan Community College
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