Danielle Lottie
Chesterton,IN
Summary
A graduate of a Medical Coding program and a certified coding specialist (CCS) through AHIMA. Currently at the end of Associate degree program and sitting for RHIT exam in May of 2024. Highly knowledgeable of HIPPA regulations, medical and insurance terminologies and ICD 10 coding. Skilled in customer interactions, data entry, and data management. I am looking to obtain a position that will enable me to utilize my skills and knowledge, while gaining new skills and knowledge with an opportunity for career growth. Very detail oriented with an ability to work well in a team environment as well as independently. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Adherence to policies and procedures Computer Savvy and Proficient with Microsoft Applications.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coder
OPTUM
08.2022 - Current
- Maintained accuracy, completeness, and security for medical records and health information.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses.
- Coding and abstracting of medical records for risk adjustment purposes.
- Assigned appropriate medical codes with 96% accuracy rate.
- Utilized knowledge of various record types and specialties to accurately assign medical codes.
Insurance Verification Specialist
Northwest Health Porter
07.2022 - 08.2023
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with PAU department to facilitate decision-making for patient admissions and insurance coverage.
- Posted payments to accounts and maintained records.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Answered telephone calls to offer financial estimates, answer questions about benefits, estimates, ABN waivers and direct calls to staff.
- Usage of CPT and ICD codes to create estimate and run medical necessity.
- Contacted doctor's offices to update dx codes for Medicare patients.
- Adjusted Insurance policy information in system.
- Registered new and established patients.
- Used Athena EHR to match orders with schedule.
Customer Returns/Warehouse Merchandiser/Auditor/Trainer
Amazon
09.2011 - 08.2020
- Collaborated with team members to facilitate returns quickly and provide outstanding customer service.
- Distributed returned merchandise to appropriate departments or palletized for liquidation.
- Documented returned product details in inventory tracking system.
- Adhered to company safety guidelines to minimize warehouse accidents.
- Increased productivity through streamlined processes and system efficiency.
- Wrapped pallets in shrink wrap prior to loading.
- Loaded, unloaded and moved material to and from storage and production areas.
- Labeled and accurately moved customer orders to meet shipment timetables and minimize errors.
- Inspected work areas for cleanliness and obstacles and removed cartons and boxes to keep work areas organized and hazard-free.
- Operated RF scanners to track merchandise and verify contents of containers.
- Audited activities of workers on production lines and shipping and receiving.
- Completed timely quality reports highlighting deficiencies and recommending corrective actions.
- Trained employees on equipment operation and safety protocols.
Education
Associate of Applied Science - Health Information Technology
Ivy Tech Community College of Indiana
Fort Wayne, IN05.2024
Certificate - Medical Coding
Ivy Tech Community College of Indiana
Fort Wayne, IN05.2022
Skills
- Reviewing Patient Information
- Diagnostic Codes
- Patient Data Compilation
- Data Entry
- Dependable
- Good Telephone Etiquette
- Multitasking Abilities
- Medical Terminology
- Coverage Determination
- Customer Experience
- Protected Health Information
- 3M Encoder
- Organization skills
- Time management
- ICD-10 (International Classification of Disease Systems)
- Insurance Terminology
- Insurance Plan Verification
- Data Verification
- CPT Coding
- Payment Plan Options
- Deductible and Co-Pay Calculation
- Benefits Verifications
- EHR Software
- Critical Thinking
- Medicare Knowledge
- Explaining Patient Benefits
- Computer Proficiency
- Answer Telephones
- Staff Training
- Problem-Solving
- HIPPA
- Remote work
- Excellent Communication
- Self-Motivated
- Flexible and Adaptable
- Diagnostic Coding Accuracy
- Anatomy and Physiology
- Attention to Detail
- HCC Coding Knowledge
- ICD-10 Proficiency
Certification
- CCS - Certified Coding Specialist (AHIMA)
Timeline
Risk Adjustment Coder
OPTUM
08.2022 - Current
Insurance Verification Specialist
Northwest Health Porter
07.2022 - 08.2023
Customer Returns/Warehouse Merchandiser/Auditor/Trainer
Amazon
09.2011 - 08.2020
Associate of Applied Science - Health Information Technology
Ivy Tech Community College of Indiana
Certificate - Medical Coding
Ivy Tech Community College of Indiana