GOLIATH SAKALA
Burlington,WA
Summary
Dynamic, results-focused medical coding specialist with consistent experience analyzing physician documentation and consulting with physicians in assigning appropriate clinical diagnosis and procedure codes. Proficiency lies in familiarity with third party fee profiles and reimbursement requirements. Capabilities range to extensive knowledge in Medical Terminology, Anatomy and Physiology, Pharmacology, Clinical Hematology, Microscopy, and Chart Auditing.
Documentation Review.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Caregiver
ORCHARD PARK ASSISTED LIVING
08.2022 - 12.2022
- Provided residents with routine daily nursing care and services
- Administered medications as ordered and in accordance with state and federal regulations and facility policies and procedures
- Followed the plan of care and chart all appropriate documentation
- Maintained patient confidentiality
- Communicated both orally and written with staff, residents, family members.
Medical Records Clerk
LOYAL SOURCE
12.2021 - 06.2022
- Reviewed Immunization Administrators written records for completeness and accuracy and entered data into U.C Portal, Vision Link and Immtrac (three separate databases)
- Reviewed nurses and Physician notes for HCG, LMP, Covid and communicable diseases, signatures, and dates and ensured data met normal limit standards
- Assessed MHAs for allergies and vaccines contraindications
- Followed immunizations CDC / FDA guidelines and ensured consistency with PCC administered drugs and dosage
- Sorted Medical for Scanning
- Retrieved and filed paper records
- Ensured data were entered in a timely manner in accordance with state or federal laws and requirements
- Ensured UAC with special needs or those diagnosed with communicable diseases were protected from erroneous vaccinations
- Compiled complete discharge documentation including labs reports referrals, and consultation reports and vaccines
- Communicated effectively with cross functional teams – data team, labs, referral, case management, discharge team, nurses and clinicians.
Clinical Laboratory Technician
THE UNIVERSITY OF WASHINGTON
02.2020 - 12.2021
- The University of Washington Corona Virus Survey
- COVID 19 impact on Washington State communities
- How many people were vaccinated and unvaccinated
- Antibody and antigen test by blood and nasal swabs methods, PCR
- Physically instrumental in collecting data from the community
- Entered data into REDHAT database
- Collected blood and nasal swab samples
- Received Genomics lab reports from Mayo, Quest Diagnostics, euro fin, Arup Laboratories through Lab Information Systems, LIS
- Monitors reports from above labs and ensure interoperability of data between different organization
- Ensured mined data was inspected, cleansed, transformed, and stored in EPIC
- Followed and demonstrated good Lab and Clinical practices at all Clinical laboratory sample collection and testing stages
Regulatory Affairs Associate
ABBVIE
02.2020 - 05.2020
- Assess incoming global regulatory information for entry into Client’s Registration and Documentation Management systems
- Handled regulatory affairs and affiliates to ensure registration management information is current, accurate, and available in regulatory systems
- Executed established business processes and assisted in development and implementation of process/system changes and/or data remediation projects
- Troubleshoot errors and system performance issues and work with supervisor and IT on business problem resolution and enhancements
- Participated and contributed in group, department and cross-functional meetings and assist in training junior team members.
Verifier
ADVOCATE LUTHERAN GENERAL HOSPITAL, Insurance
04.2019 - 02.2020
- Participated in departmental team building activities and in services
- Identified and evaluated patients benefits and determining patients out of pocket expenses after insurance
- Responsible for securing authorization and precertification of inpatient and outpatient services
- Handle, preregistration, and registration accuracy
- Demonstrated strong Guest Services skills.
Phlebotomist
QUEST DIAGNOSTICS
04.2019 - 10.2019
- Collected specimen through venipuncture, drug screens, biometric screening, and insurance exams
- Researched test/client information verified written and electronic orders using lab information system
- Responsible for completing data including patient registration, and order entry
- Entered billing information, collected payment, safeguarded credit card information
- Processed specimen including labelling, centrifuging, and aliquoting
- Maintained patients` privacy and confidentiality per HIPAA requirements.
Insurance Verifier
AMITA HEALTH
LISLE, IL
11.2018 - 04.2019
- Provided services such as insurance verification and precertification
- Responsible for evaluation of benefits and determining patients’ expenses after insurance
- Responsible for precertification of inpatient/outpatient services
- Analyzed patients` EMR and assigned diagnostic/procedure codes for precertification
- Demonstrated strong customer service skills
- Answered patient insurance and billing inquiries.
Insurance Verifier
NTL LABORATORY
DES PLAINES, IL
01.2017 - 08.2018
- Verified ICD 10CM and CPT4 codes were consistent with billed services
- Handled Billing and coding
- Verified demographic and insurance information and corrected errors
- Entered insurance data into computer systems
- Executed office administrative work such as billing and coding
- Perform diversified office duties as assigned to support administrative staff
- Performed Medical billing and collections.
Phlebotomist
NORTH SHORE UNIVERSITY HEALTH SYSTEM
12.2016 - 05.2018
- Collected specimens according to established procedures, which included, but not limited to, drug screens, biometric screening, and insurance exams
- Administered oral solutions according to established training
- Researched test/client information and confirm and verify all written and electronic orders by utilizing lab technology systems or directory of services
- Completed all data entry requirements accurately including data entry of patient registration; entry of test order from requisition or pulling order from database; managing Standing Orders
- Entered billing information and collect payments when required, including the safeguarding of assets and credit card information
- Performing data entry and processing specimens including, labeling, centrifuging, splitting, and freezing specimens as required by test order.
Pre-Analytical Laboratory Technician
THE UNIVERSITY OF CHICAGO HOSPITAL
CHICAGO, IL
08.2011 - 01.2017
- Performed phlebotomy for inpatient pre-diagnostic services
- Prepared specimens for testing in clinical labs or shipment to reference lab
- Received specimens, assessed for quality, and verified missing information
- Performed waived tests
- Entered orders into laboratory computer system (Sunquest)
- Verified orders and generated corresponding specimens’ labels
- Responded to telephone inquiries for test results and specimen collection requirements.
Phlebotomist
GOOD SHEPARD HOSPITAL
BARRINGTON, IL
02.2007 - 08.2011
- Performed phlebotomy for inpatient pre-diagnostic services
- Prepared specimens for testing in clinical labs or shipment to reference lab
- Received specimens, assessed for quality, and verified missing information
- Performed waived tests
- Verified and identified patients’ information before sample collection, blood draws
- Followed Order of Collection
- Responded to telephone inquiries for test results and specimen collection requirements
- Operated centrifuges, faxes, phones.
Education
Associate of Applied Science - Health Information Technology
Oakton Community College
05.2018
Bachelor of Science - Health Information Management and Technology
University of Wisconsin Current
Certified, Coding Specialist, CCS | American Health Information Management Association -
Skills
- CPT Coding
- Strong communication Skills
- HHS Regulations
- Attention to details
- Proficiency with Microsoft office products
- HIPPA compliance
- ICD 10CM
- Customer Service
- Revenue Cycle
Affiliations
May 2017
Member, American Society of Clinical Pathology (ASCP)
Member, American Health Information Management Association (AHIMA)
Certification
APR 2019
Certified, Registered Health Information Technology (RHIT) | American Health Information Management Association
SEPT 2018
Certified, PBT | American Society of Clinical Pathology
Timeline
Caregiver
ORCHARD PARK ASSISTED LIVING
08.2022 - 12.2022
Medical Records Clerk
LOYAL SOURCE
12.2021 - 06.2022
Clinical Laboratory Technician
THE UNIVERSITY OF WASHINGTON
02.2020 - 12.2021
Regulatory Affairs Associate
ABBVIE
02.2020 - 05.2020
Verifier
ADVOCATE LUTHERAN GENERAL HOSPITAL, Insurance
04.2019 - 02.2020
Phlebotomist
QUEST DIAGNOSTICS
04.2019 - 10.2019
Insurance Verifier
AMITA HEALTH
11.2018 - 04.2019
Insurance Verifier
NTL LABORATORY
01.2017 - 08.2018
Phlebotomist
NORTH SHORE UNIVERSITY HEALTH SYSTEM
12.2016 - 05.2018
Pre-Analytical Laboratory Technician
THE UNIVERSITY OF CHICAGO HOSPITAL
08.2011 - 01.2017
Phlebotomist
GOOD SHEPARD HOSPITAL
02.2007 - 08.2011
Associate of Applied Science - Health Information Technology
Oakton Community College
Bachelor of Science - Health Information Management and Technology
University of Wisconsin Current
Certified, Coding Specialist, CCS | American Health Information Management Association -
APR 2019
Certified, Registered Health Information Technology (RHIT) | American Health Information Management Association
SEPT 2018
Certified, PBT | American Society of Clinical Pathology
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