Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Crystal Germany

Macon,GA

Summary

Self -motivated Revenue Integrity Analyst, offering a keen understanding of analyzing to improve the revenue cycle performance. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Remote EMPI Data Integrity Analyst

Rhode Island Quality Institue
Providence, RI
08.2022 - Current
  • Worked closely with representatives from different departments to review and fix datasets.
  • Analyzed process data with various statistical tools.
  • Reviewed system records for redundant files and completed merges, overlays and other actions to correct problems.
  • Detected and resolved data quality issues and discrepancies for integrity and quality control.
  • Resolve and identify possible duplicate medical record numbers through the use of daily reports and work queues.
  • Ensure that the EMPI contains accurate, timely, and complete data.

Remote Revenue Integrity Analyst

Parallon
Houston, TX
07.2021 - 08.2022
  • Reconciled codes against services rendered.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.

Remote EMPI Data Integrity Analyst

Pivot Point Consulting
Brentwood, TN
12/2/19 - 4/16/20
  • Completed quality assurance reviews to assess accuracy of data and validate results.
  • Took part in meetings and training calls to discuss such topics as electronic health records and communicate best ways to improve workflows.
  • Maintained accuracy, reliability, and integrity of the EMPI databases to ensure patient safety for all clinical systems dependent on the data.
  • Reviewed, analyzed, and maintained data integrity of the patient medical record.

Remote EMPI Data Integrity Analyst

Himagine Solutions
St. Louis , MO
12.2015 - 12.2019
  • Provided exceptional management of patient identity and data integrity in the EMPI and Cerner master patient index.
  • Executed problem solving skills to identify errors, analyze root causes, and coordinate correction of data between multiple systems.
  • Merged patient medical records in multiple hospital systems accurately and timely.
  • Led ongoing training calls for new team members to maximize performance and productivity.
  • Collaborated with the information technology staff to identify and remediate patient identity discrepancies.
  • Identified, corrected, and organized overlaid EMR charts to improve the quality and completeness of clinical documentation.
  • Worked in the EPIC applications (My Chart, Care Link, Care Everywhere) as well as multiple hospital legacy systems.
  • Worked and maintained daily reports and multiple work queues.

Claims Processing Specialist

Emdeon
Atlanta, GA
03.2014 - 11.2015
  • Verified claim data correctness in preparation for processing.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
  • Reviewed history records to determine benefit eligibility for services.
  • Identified and took appropriate actions to complete and submit required forms to support the client application process.

Release of Information Specialist

HealthPort
Norcross, GA
08.2010 - 02.2014
  • Pulled patient records and transferred information to appropriate parties.
  • Streamlined day-to-day office processes to meet long-term goals.
  • Logged all requests for medical records into spreadsheets.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Abstracted PHI for HEDIS reviews.
  • Completed certifications and notarization of documents for court and legal purposes.

Education

Certification - Medical Coding

Jewvons Medical Coding
Atlanta, GA
12.2020

Associate of Arts - Business Administration And Medical Coding

American InterContinental University
Schaumburg, IL
04.2010

Skills

  • Confident, articulate, and professional
  • Strong attention to detail
  • Excellent written and verbal communication skills
  • Healthcare claim coding
  • Database management
  • Decision-making
  • Exceptional accuracy and attention to detail
  • Experienced in the Enterprise Master Patient Index (EMPI)
  • Problem solving
  • Team player
  • Strong work ethic
  • Data Quality
  • Critical thinker
  • Data entry
  • Medical Terminology
  • Chart Correction
  • Experienced in EPIC applications
  • Revenue Cycle Management
  • Trained/Coached analysts on processes and procedures
  • Identified Trend Analysis

Certification

  • Certified Professional Coder (CPC)

Timeline

Remote EMPI Data Integrity Analyst

Rhode Island Quality Institue
08.2022 - Current

Remote Revenue Integrity Analyst

Parallon
07.2021 - 08.2022

Remote EMPI Data Integrity Analyst

Himagine Solutions
12.2015 - 12.2019

Claims Processing Specialist

Emdeon
03.2014 - 11.2015

Release of Information Specialist

HealthPort
08.2010 - 02.2014

Remote EMPI Data Integrity Analyst

Pivot Point Consulting
12/2/19 - 4/16/20

Certification - Medical Coding

Jewvons Medical Coding

Associate of Arts - Business Administration And Medical Coding

American InterContinental University

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Crystal Germany