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
2022.08 - 2022.12
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
2021.12 - 2022.06
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
2020.02 - 2021.12
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
2020.02 - 2020.05
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
2019.04 - 2020.02
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
2019.04 - 2019.10
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
2018.11 - 2019.04
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
2017.01 - 2018.08
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
2016.12 - 2018.05
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
2011.08 - 2017.01
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
2007.02 - 2011.08
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
2022.08 - 2022.12
Medical Records Clerk
LOYAL SOURCE
2021.12 - 2022.06
Clinical Laboratory Technician
THE UNIVERSITY OF WASHINGTON
2020.02 - 2021.12
Regulatory Affairs Associate
ABBVIE
2020.02 - 2020.05
Verifier
ADVOCATE LUTHERAN GENERAL HOSPITAL, Insurance
2019.04 - 2020.02
Phlebotomist
QUEST DIAGNOSTICS
2019.04 - 2019.10
Insurance Verifier
AMITA HEALTH
2018.11 - 2019.04
Insurance Verifier
NTL LABORATORY
2017.01 - 2018.08
Phlebotomist
NORTH SHORE UNIVERSITY HEALTH SYSTEM
2016.12 - 2018.05
Pre-Analytical Laboratory Technician
THE UNIVERSITY OF CHICAGO HOSPITAL
2011.08 - 2017.01
Phlebotomist
GOOD SHEPARD HOSPITAL
2007.02 - 2011.08
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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