DuCharme Goode
Johnson Consulting LLC - PASS
Frederick,USA
24
years of professional experience
My goal is to secure a career opportunity that utilizes my skills and training, allowing me to be a significant contribution to the success of the company and those we serve, while also giving me the opportunity to grow. I take pride in being a hardworking, organized individual who enjoys the challenge of learning.
Work History
Diagnostic Coordinator
1 Year 3 Months- Managed and performed all ancillary services for Pain and Spine Specialists of Maryland, ensuring seamless integration of diagnostic testing into patient care. I prep the physician's schedule by checking for tests that need to be performed, uploading results and printing them for the doctor to review during the patient’s scheduled appointments.
- Conducted tests such as:
- Coordinated scheduling for APEX tests
- Conducted assessments for balance testing
- Creyos (CBS) Testing
- PGX (Pharmacogenomic) Testing
- TM Flow (Autonomic/Vascular Nerve) Testing
- Administered VR therapy for patient treatment
- Communicated with receptionists, MAs, and providers to ensure smooth testing process.
PT Customer Service Associate
9 Months- Executed tasks such as checking out customers, stocking shelves, and maintaining front-facing displays. Trained in Beauty and Cosmetics and Photo Department to provide knowledgeable assistance to customers. Maintained store cleanliness to create an inviting shopping environment and improve overall customer experience. Cleanliness and good customer service always make for a better shopping experience.
- Delivered exceptional customer service, resolving inquiries and complaints efficiently.
- Managed inventory levels, ensuring product availability and stock accuracy.
- Trained new associates on company policies and customer service protocols.
Business Office Manager
1 Year 3 Months- Oversaw daily billing operations for Medicare, Medicaid, third party insurance providers, and private payer sources, and pursued collections until all claims received full payment. I also applied for Medicaid and kept up with Medicaid renewals and monitored the patient liabilities as they change according to state guidelines. Prior to admission, I would coordinate with discharge planners and caseworkers to carry out a preauthorization and precertification process to ensure a smooth transition of coverage for admission to skilled nursing services, physical, occupational, respiratory and speech therapy.
- Utilized knowledge of medical terminology and coding systems to ensure accurate billing and compliance.
- Applied careful attention to detail to audit billing processes, ensuring compliance and accuracy.
- Utilized Microsoft Office products and electronic billing systems daily to enhance workflow efficiency.
- Demonstrated strong verbal and written communication abilities to facilitate clear interactions with diverse stakeholders.
- Demonstrated capacity to operate autonomously in a dynamic setting while adhering to tight deadlines.
ADR Coordinator/Resources Specialist
1 Year 11 Months- Centralized coordination of the Medicare ADR, Appeals, and Denials Program for seven Kissito Healthcare facilities. Fulfilled the role of Corporate HIPAA Specialist to manage medical information related to medical records processes. Maintaining a set upon deadline and uploading all gathered supportive medical documentation in accordance with each company's preferred method along with state and federal privacy guidelines.
- Defined main tasks related to managing ADRs and audits.
- Reviewed correspondence related to ADRs, Appeals, and Denials for Medicare audits to ensure compliance and accuracy.
- Regular email and phone communications with the auditing healthcare plan and their affiliates and field representatives.
- Disseminates new communications to all members of each ADR team and to the corporate team.
- Reviewing of healthcare transmission portals for status and submission updates.
- Providing deadlines, reminders and updates while connecting with ADR teams in each facility weekly, helps to ensure each team member has adequate support and was on task with active audits requests.
- Maintained corporate ADR tracker and computer files, enabling team members to stay informed on progress towards established goals.
- Educated and supported each facility in managing records related to ADRs, Appeals, and Denials.
- Provided feedback to improve efficiency of the submission process.
Medical Records Supervisor
14 Years 7 Months- Oversaw the preparation, review, and maintenance of medical records, ensuring compliance with established laws and regulations at all levels.
- Duties included, but was not limited to:
- Processed new admissions by allocating medical record numbers, entering information into the system, researching and assigning ICD-10 codes to ensure nurses and physicians had timely access to critical patient information.
- Daily maintenance of the medical charts with thorough audits for completeness of required information and signatures from the entire interdisciplinary team. Ensuring that the charts are in the appropriate sequence, personal individual information is up to date which aids in the efficiency of patient care.
- Processing discharged records which include auditing for all signatures, scanning into the electronic record and properly storing hard copies according to established guidelines.
- Generated monthly, quarterly, and yearly reports, auditing team assessments for completeness and fulfilling medical record requests to support compliance and operational needs.
- Assisting the corporate team by auditing, researching and compiling specific information of all onsite and electronic information for ADR or RAC audits for CMS or other federally mandated agencies.
Receptionists/C.N.A.
3 Years 2 Months- Facilitated patient access to necessary medical services through pre-certifications and referrals.
- Scheduling office appointments, consults, labs and other studies needed.
- Supported the physician by managing patient intake, conducting observations, taking vitals, and administering vaccinations.
- Managed orders for office supplies in both the clerical and clinical departments.
Skills
ICD-10 Coding
Medical Terminology
HIPAA Guidelines
HIPAA Guidelines
Microsoft Office Suite
Patient assessment
Adobe Pro and Kofax Power PDF
Electronic Health Records
Interpersonal communication
Policy implementation
Timeline
Diagnostic Coordinator
Johnson Consulting LLC - PASS
05.2025 - CurrentRead More
PT Customer Service Associate
Walgreens
08.2024 - 05.2025Read More
Business Office Manager
Kissito Healthcare – Brian Center Fincastle
02.2024 - 05.2025Read More
ADR Coordinator/Resources Specialist
Kissito Healthcare Corporate Office
03.2022 - 02.2024Read More
Medical Records Supervisor
Kissito Healthcare – Brian Center Alleghany, PARC/LTC
07.2007 - 02.2022Read More
Receptionists/C.N.A.
Dr. David E. Crandall D.O. INC.
10.2002 - 12.2005Read More