Elizabeth Hessing
Peoria,IL
Summary
A dynamic leader with a proven track record at OSF Healthcare, I excel in regulatory guidelines and process improvement, enhancing coding accuracy and compliance. Skilled in mentoring and with exceptional interpersonal abilities, I've significantly contributed to team development and operational efficiency, achieving notable advancements in healthcare administration.
Overview
14
14
years of professional experience
Work History
Lead Coding Specialist
OSF Healthcare
05.2022 - Current
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Generated reports to identify coding trends and discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
Restaurant Bar Manager
The Rail Splitter
03.2019 - 09.2022
- Strategized plans to increase bar revenue through innovative promotional concepts, specialty drinks, and customer-focused events.
- Orchestrated social functions, formal engagements and business meetings, resulting in significant increase in overall sales.
- Processed in-house batching of syrups, tonics, tinctures, bitters and infusions.
- Improved customer service rankings by resolving issues quickly and accurately.
- Maintained high standards of customer service by staying up to date on bar and menu options and providing effective food recommendations for guests.
- Maximized customer service by training staff, overseeing operations, and resolving issues.
- Created effective employee schedules maintaining coverage at peak times and minimizing labor costs.
Medical Coder
OSF Healthcare
07.2016 - 05.2022
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Medical Billing Specialist
OSF Healthcare
05.2015 - 07.2016
- Filed and updated patient information and medical records.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Liaised between patients, insurance companies, and billing office.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Identified and resolved patient billing and payment issues.
- Located errors and promptly refiled rejected claims.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Medical Coder
Associated Anesthesiologists
02.2012 - 10.2014
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Communicated with insurance companies to research and resolved coding discrepancies.
Food Service Operations Manager
123 You and Me Preschool
08.2010 - 08.2012
- Maintained compliance with company policies and procedures for food safety, sanitation, and quality.
- Maintained effective supply levels by monitoring and reordering food stock and dry goods.
- Tracked food production levels, meal counts, and supply costs.
- Oversaw training of team members.
- Controlled labor hours and inventory costs through hands-on management and proactive changes.
- Prepared weekly schedules and assigned tasks to staff to maintain organized shift and smooth operations.
- Monitored and adjusted pricing, discounts and promotions to maximize profitability.
- Managed staff schedules and maintained adequate coverage for all shifts.
Education
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UT04-2022
Skills
- Continuous integration
- Code optimization
- Medicare insurance regulations
- Regulatory guidelines
- Code assignment research
- Training and mentoring
- Continuing education
- Ethical standards
- Documentation oversight
- Exceptional interpersonal skills
- Organizational change management
- Process improvement initiatives
Timeline
Lead Coding Specialist
OSF Healthcare
05.2022 - Current
Restaurant Bar Manager
The Rail Splitter
03.2019 - 09.2022
Medical Coder
OSF Healthcare
07.2016 - 05.2022
Medical Billing Specialist
OSF Healthcare
05.2015 - 07.2016
Medical Coder
Associated Anesthesiologists
02.2012 - 10.2014
Food Service Operations Manager
123 You and Me Preschool
08.2010 - 08.2012
Bachelor of Science - Health Information Management
Western Governors University
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