Elizabeth Wayt
Knoxville,TN
Summary
Health Information Specialist with experience in coding, documentation compliance, and billing reviews. As a certified coder (CCS-P) and Registered Health Information Technician (RHIT), I excel in problem-solving and communication, aiming for accuracy and quality to support patient care and reimbursement.
Overview
7
7
years of professional experience
Work History
Medical Treatment Specialist
U.S. Dept of Labor-Office of Federal Workmans Comp
Knoxville, TN
01.2023 - Current
- Receives and responds to medical authorization and billing inquiries by providers and claimants.
- Reviews authorizations for durable medical equipment (DME), physical therapy, occupational therapy, and surgeries.
- Communicates with provider offices to complete claims processing and assists in resolving problem claims.
- Applies HIPAA privacy and security regulations while handling patient information.
- Reviews claims for coding accuracy, ensuring that billed ICD-10-CM codes are consistent with the accepted workers' compensation claim conditions.
- Assists with bill claims reprocessing, specifically for bills that were denied due to diagnosis edits.
- Explains policy and processes to providers regarding billing system enrollment and fee schedules.
Coder/CDI
U.S. Department of Veterans Affairs
Roseburg, Oregon
06.2018 - 01.2023
- Coded ambulatory surgery encounters using extensive knowledge of CPT, HCPCS, and ICD-10-CM coding classification systems.
- Coded inpatient records using knowledg of complicaton/comorbidity (CC/MCC), diagnositic related groups (DRG), present on admision (POA indicators, ICD-10-CM and ICD-10-PCS.
- Coded professional fee services for outpatient visits of all specialties.
- Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Offered information on documentation, coding rules, and reimbursement issues to clinical staff.
Education
Associate of Applied Science - Health Information Management
Howard College
Big Spring, TXSkills
- Registered health information technician(RHIT)
- Certified Coding Specialist-Physician Based(CCS-P)
- Certified Documentation Integrity Practitioner(CDIP)
References
References available upon request.
Timeline
Medical Treatment Specialist
U.S. Dept of Labor-Office of Federal Workmans Comp
01.2023 - Current
Coder/CDI
U.S. Department of Veterans Affairs
06.2018 - 01.2023
Associate of Applied Science - Health Information Management
Howard College
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