Jacqueline Rayfield
Medical Coder. Health Unit Coordinator, Insurance Validator
Inver Grove Heights,MN
Summary
Jacqueline was an experienced medical coder. When I wasn't able to get a coding position I gave up my coding license. I have had many opportunities to register patients, update their insurances, if necessary get them a primary so their insurance would allow them to go to a clinic out of network. I also have scheduled appointments to their providers as well as to their referral md
Punctual and efficient Driver known for reliability, route planning and excellent customer interactions. Motivated to provide prompt, friendly, and professional service at all times.
Overview
27
27
years of professional experience
3
3
Certificates
1
1
Language
Work History
Delivery Driver
Walmart
06.2024 - 12.2025
- Delivered packages and goods to customers in a timely and efficient manner
- Maintained accurate records of deliveries, including time of delivery, recipient's name, and any special instructions
- Ensured the safe handling and transportation of fragile or perishable items
- Managed delivery routes effectively to optimize efficiency and minimize fuel consumption
- Collaborated with dispatchers to coordinate daily delivery schedules
- Provided excellent customer service by addressing inquiries and concerns promptly and professionally
- Resolved delivery issues or discrepancies in a timely manner to ensure customer satisfaction
- Performed routine vehicle inspections before each shift to ensure proper functioning of brakes, lights, tires, etc
- Reported any vehicle maintenance or repair needs promptly to the appropriate department
- Maintained cleanliness and organization of company vehicles at all times
- Followed established safety protocols for loading/unloading packages or goods from the vehicle
- Utilized GPS navigation systems or maps to determine optimal routes for deliveries
- Achieved a customer satisfaction rating of XX% based on feedback surveys
- Received multiple commendations from customers for exceptional service
- Maintained a clean driving record throughout employment tenure
- Demonstrated strong problem-solving skills when faced with unexpected road closures or traffic delays
- Assisted in warehouse operations during downtime periods as needed
- Trained new drivers on company policies, procedures, and safe driving practices
- Cultivated positive relationships with regular customers through friendly interactions
- Completed an average of XX deliveries per day with a XX% on-time rate
Associate
Walmart
06.2019 - 06.2024
- Associate in hardlines.
- Registering people for the covid shot at Walmart in cottage grove.
- Maintaining medical records and billing structure.
- Medical data collection of donors in accordance with federal, state, local and company regulations.
- Provide an exceptional customer service experience.
- Stocked shelves made fishing licences and hunting licences.
- Cashiered
Biller and Coder
Orthocure Clinic LLC
01.2018 - 06.2019
- Made sure all patients were given their bills appropriately.
- As the coder, researched and coded all claims according to their diagnosis and procedures and submitted to their appropriate insurance companies. Give them to the patient to submit to their insurance companies.
- Faxed claims, and referrals to appropriate destinations.
- Answered phones and scheduled appointments.
- Physician education with his dictations and procedure note.
- Greeted patients, ma de up new patient charts and accounts.
- Researched allowable ICD 10 and Cpt codes for the different procedures that were performed.
Physician Educator
North Memorial Medical Center
01.2018 - 04.2018
- Physician Educator educate new physicians on documentation E&M levels.
- Updated different protocols while going through the education for E&M documentation and what was expected to teach physicians.
Preferred One temp for ICD 10 project
ICD
12.2017 - 01.2018
- Mapping ICD-9 to ICD-10 forward crosswalk and an ICD-10 to ICD-9 backward crosswalk and one to one mapping ICD 9 to ICD10.
- Clinical code maps to various plans for functional translation and customization depending on business needs.
- Checking to make sure the definitions of each ICD 9 code matched the corresponding ICD 10 code, including mapping hospital procedures to ICD10 PCS.
- Various jobs in researching for HCC & DRGs for the analytics area
- Creating a format to teach ICD 10 to other employees at Preferred One
- Educating physicians on their dictated notes to help keeping them compliant.
ICD 10 HIM Consultant temp for ICD 10 project
Security Health Plan HCI
04.2017 - 09.2017
- Mapping ICD-9 to ICD-10 forward crosswalk and an ICD-10 to ICD-9 backward crosswalk and one to one mapping ICD 9 to ICD10.
- Clinical code maps to various State plans for functional translation and customization depending on business needs
- Checking to make sure the definitions of each ICD 9 code matched the corresponding ICD 10 code, including mapping hospital procedures to ICD10 PCS.
Medical Coder
Bluestone
01.2017 - 04.2017
- Review/resubmit Claims
- Check for errors in coding/billing such as missing modifiers, incorrect coding, incorrect cpt codes, or missing diagnosis' or incorrect diagnosis.
- Submit claims
- Research rejected claims and either submit an appeal or write off claims.
- Research and submit claims for secondary billers
ICD 10 HIM Consultant
Coddington Group LLC Deloitte
09.2015 - 06.2016
- ICD 10 HIM Consultant Using Edifecs encoder
- Developing an ICD-9 to ICD-10 forward crosswalk and an ICD-10 to ICD-9 backward crosswalk and one to one mapping ICD 9 to ICD10
- Deploying the clinical code maps to various State plans for functional translation and customization depending on business needs
- Checking to make sure the definitions of each ICD 9 code matched the corresponding ICD 10 code, including mapping hospital procedures to ICD10 PCS.
- Verifying and ensuring the accuracy, completeness, specificity and appropriateness of diagnosis and procedural codes based on services rendered.
- Review medical record information to identify all appropriate coding based on CMS guidelines using ICD9 and CPT coding for appeals. Participated in group meetings to discuss the most appropriate codes to map for ICD 10.
Coding Consultant temp
Impress
11.2012 - 03.2013
- Responsible for verifying and ensuring the accuracy, completeness, specificity and appropriateness of diagnosis and procedural codes based on services rendered.
- Review medical billing information to identify all appropriate codes based on CMS guidelines using ICD9 and CPT; audited charts for missing chemo charges
- Reviewed and completed all rejected claim requests. This position is an on-call position.
Coding Analyst temp
medica
07.2012 - 10.2012
- Aerotek: Medica
- Provide coding expertise and analysis to drive proper implementation of claim system edits to support Medica
- Assist with the implementation of ICD-10 and mapping from ICD-9 to ICD-10
Claims Specialist temp working on ICD 10 project
Blue Cross Blue Shield
01.2011 - 08.2012
- Review claims determine if they have the information necessary to pass to a clinician for reviewed
- Making sure the diagnosis code was the current one needed for claim
- Reviewing physician documentation to make sure it had all information for level of service
- Verify/update demographics
- Review charts for data for Risk Assessment and entering into different programs to send to coders for examination before sending to insurance carriers and medicare
- Resource for implementing and communicating HIPAA approved code sets and guidelines
- Knowledge of GEMs (General Equivalence Mappings)
Coding Analyst
Kelly Services: Blue Cross Blue Shield
06.2011 - 07.2012
- Responsible for verifying and ensuring the accuracy, completeness, specificity and appropriateness of diagnosis and procedural codes based on services rendered.
- Review medical record information to identify all appropriate coding based on CMS guidelines using ICD9 and CPT coding for appeals.
- Accurately complete appropriate documentation regarding claims information
- Communicating directly with patients regarding coverage of services
- Participated in special project of mapping ICD 9 Codes to the new ICD10 Codes, including mapping codes for PCS. Using Optum encoder
- Review claims determine if they have the information necessary to pass to a clinician for reviewed
- Making sure the diagnosis code was the current one needed for claim
- Reviewing physician documentation to make sure it had all information for level of service
- Verify/update demographics
- Review charts for data for Risk Assessment and entering into different programs to send to coders for examination before sending to insurance carriers and medicare
Medical Coder
St Paul Eye
01.2011 - 06.2011
- General coding for Ophthalmology outpatient practice
- Oversaw the coding for ophthalmology surgical procedures, including direct interface with medical staff to ensure compliance and accuracy
- Reviewed patient insurance information with internal auditors to ensure appropriate claims processing and entered them into their computer system for billing
Medical Coder
Minnesota Oncology
01.2010 - 01.2011
- Completed appropriate documentation and all data entry regarding claims/encounter information for E&M inpatient and out-patient professional services including Oncology, Chemotherapy administration, and Radiation Oncology
- Created a chart audit process to ensure the accuracy and completeness, specificity, and appropriateness of diagnosis codes as well as procedures based on services rendered.
- Worked closely with radiation technicians to ensure appropriate charges.
Medical Coder
Health East St Joseph Hospital
03.2006 - 01.2010
- Medical Code Special coding for Radiation Therapy
- Specific coding for Palliative Pain services, including Physicians and Nurse Practitioners
- Additional coding for physician Psychiatry inpatient and outpatient physicians
- Worked with audited charts for missing charges and coordinated the appeals process
- Worked with teaching physicians to ensure compliant documentation
- Worked closely with radiation physics and docematist to ensure appropriate charges as well as documentation.
Medical Coder
University of MN Physicians
02.2000 - 03.2006
- Special coding for an academic Radiation Therapy practice
- Reviewed and completed all rejected claim requests
- Worked with audited charts for missing charges and coordinated the appeals process
- Assisted patients with billing questions and issues
- Obtained all referral authorizations
- Worked with teaching residents and physicians to ensure compliant documentation
Patient Financial Representative/verifier
Fairview University Medical Centre
02.1999 - 02.2000
- Verified insurance, registered, and obtained referrals prior to admission to the hospital
- Created payment arrangements with self-pay patients and families
- Completed demographics for patients in the Emergency Room, Same Day Surgery, and for scheduled inpatients
- Assisted in patient placement into the hospital.
Education
Continuing ed classes - Medical law and ethics
Inver Hills Community College
Inver Grove Heights, MN05.2008
Classes For Ed For A Medical Coder, Medical Termin - Medical Billing & Coding
Lakewood Community College
White Bear Lake, MN04.2003
Certificate of Technical Studies - Health unit Coordinator
ST Paul College
Saint Paul, MN 05.2001 -
High school diploma or GED - undefined
Robert A Millikan
Long Beach, CA06.1969
Certified Medical Coding - Medical Coding
Aapc
Online 05.2001 -
ROCC - Radiation Oncology Coding
Certified Radiation Oncology
Minneapolis, MN 05.2001 -
Skills
Clerical experience
Handling patient inquiries
Scheduling
Radiation oncology
EHR
Provider Hub
Cross-functional communication
Microsoft Excel
Optum Encoder Pro
Medical documentation
Collaborate with healthcare professionals
EMR
Phone answering
In-person patient scheduling
Customer service
Clinical confidentiality policies
Patient appointment follow-ups
40 wpm
10 key typing
Patient insurance coordination
MPAC
Sales
Health insurance knowledge
HPF
Organizational skills
Epic
HIPAA compliance
Medical software proficiency
Outpatient billing
Data entry
HCPCS coding
Anatomy
Clinical documentation
Diagnostic coding
Medical record review
Claims processing
Document management
Coding error resolution
Data verification
Records management
Insurance verification
Medical terminology
Insurance coding (ICD-9 and CPT)
Medical record security
Regulatory guidelines
Record assessment
Medical billing
Documentation oversight
Data security procedures
Insurance claims analysis
Medicare insurance regulations
Coding appeals
Data entry and management
Healthcare claim coding
Error reporting
Patient data identification
Statement analysis
Medical coding and abstracting
Ethical standards
Codification
Qualified pain management coder
Code assignment research
Teamwork
Teamwork and collaboration
Confidentiality practices
Problem-solving
Problem-solving abilities
Multitasking
Multitasking Abilities
Patient care coordination
Decision-making
Self motivation
Adaptability and flexibility
Critical thinking
Invoice processing
Active listening
Medical recordkeeping
Attention to detail
Problem-solving aptitude
Paperwork processing
Relationship building
Appointment scheduling
Records accuracy
Medical translation
Health information systems
Task prioritization
Professionalism
Report preparation
Certified medical coder
Reliability
Compliance management
Reading comprehension
Written communication
Patient medical records maintenance
Continuous improvement
Interpersonal communication
Interpersonal skills
Adaptability
Computer proficiency
Verbal and written communication
Patient data compilation
Revenue cycle management
Training and mentoring
Workflow management
Continuing education
Performance improvement
Time management
Time management abilities
Excellent communication
Effective communication
Team collaboration
Team building
Valid Driver's license
Vehicle cleaning and maintenance
Mileage tracking
Dependable and reliable
Inventory management
Route management
Defensive driving
Map reading and navigation skills
Documentation and reporting
Heavy lifting
Delivery recordkeeping
Loading and unloading
Safe driver training
Certification
Driver's License, 2025-12-01, 2029-12-01
Personal Information
Driving License: Driver's License
Timeline
Delivery Driver
Walmart
06.2024 - 12.2025
Associate
Walmart
06.2019 - 06.2024
Biller and Coder
Orthocure Clinic LLC
01.2018 - 06.2019
Physician Educator
North Memorial Medical Center
01.2018 - 04.2018
Preferred One temp for ICD 10 project
ICD
12.2017 - 01.2018
ICD 10 HIM Consultant temp for ICD 10 project
Security Health Plan HCI
04.2017 - 09.2017
Medical Coder
Bluestone
01.2017 - 04.2017
ICD 10 HIM Consultant
Coddington Group LLC Deloitte
09.2015 - 06.2016
Coding Consultant temp
Impress
11.2012 - 03.2013
Coding Analyst temp
medica
07.2012 - 10.2012
Coding Analyst
Kelly Services: Blue Cross Blue Shield
06.2011 - 07.2012
Claims Specialist temp working on ICD 10 project
Blue Cross Blue Shield
01.2011 - 08.2012
Medical Coder
St Paul Eye
01.2011 - 06.2011
Medical Coder
Minnesota Oncology
01.2010 - 01.2011
Medical Coder
Health East St Joseph Hospital
03.2006 - 01.2010
Certificate of Technical Studies - Health unit Coordinator
ST Paul College
05.2001 -
Certified Medical Coding - Medical Coding
Aapc
05.2001 -
ROCC - Radiation Oncology Coding
Certified Radiation Oncology
05.2001 -
Medical Coder
University of MN Physicians
02.2000 - 03.2006
Patient Financial Representative/verifier
Fairview University Medical Centre
02.1999 - 02.2000
High school diploma or GED - undefined
Robert A Millikan
Continuing ed classes - Medical law and ethics
Inver Hills Community College
Classes For Ed For A Medical Coder, Medical Termin - Medical Billing & Coding
Lakewood Community College