Compliance driven auditor to provide over 1000+ provider audits yearly for Medical Direction and Documentation for compliance reviews. Well-versed in Microsoft office products, such as Word, Excel, and Outlook. Creating and updating processed to improve productivity and workflow. Knowledge of EMR systems and Hospital systems such as Epic, HCA Healthcare, and Cerner.
Overview
11
11
years of professional experience
Work History
RCM Auditor & Medical Records Custodian
PhyMed Health Care Group/Ventra Health
Nashville, TN
10.2014 - Current
Audit 1000+ Anesthesia Providers for Medical Direction and Proper Documentation yearly.
Conducting special projects and audits depending on company needs. (SVMIC audits, Insurance Provider Audits, etc).
Contributing to in person and Zoom Provider Orientations for company's audit and compliance department.
Complied reports through billing systems and Excel spreadsheets to provide detailed information on 1500+ Accounts Receivable monthly.
Maintained patient confidence by keeping patient records information confidential.
Processed 100+ medical records requests monthly from outside providers according to facility, state and federal law.
HIPAA Compliant.
Maintained patient records in compliance with security regulations.
Reviewed 100+ accounts on daily and monthly basis to assess aging and pursue collection of funds.
After-School Care Provider
Navy Hale Keiki
Honolulu, HI
08.2008 - 04.2009
Established open communication and positive relationships with students, parents, peers and administrative staff.
Provided warm, supportive environment for developing academic, social and emotional growth.
Developed communicative relationships with students and parents to support learning.
Reinforced positive behavior by encouraging efforts through affirmation statements and praising accomplishments.
Created Weekly and Monthly Newsletters for parents.
Completed 13 Navy Regulated Childcare Modules based on proper childcare for preschool aged children
Maintained effective schedule balance between rest periods, active play and instruction.
Enforced rules and managed behavior through developmentally appropriate discipline.
Sales Associate
Belk
Mt Juliet, TN
07.2007 - 04.2008
Organized racks and shelves to maintain store visual appeal, engage customers and promote specific merchandise.
Provided positive first impressions to welcome existing, new and potential customers.
Helped customers locate products and checked store system for merchandise at other sites.
Answered customer questions regarding sizing, accessories and proper care for merchandise.
Prepared merchandise for sales floor by pricing or tagging.
Solved customer challenges by offering relevant products and services.
Increased sales by 10% offering advice on purchases and promoting additional products.
Front Office Receptionist
Chamber Of Commerce
Albert Lea, MN
06.2003 - 07.2005
Answered multi-line phone system and greeted callers enthusiastically.
Interacted with 50+ customers by phone, email or in-person to provide information.
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Provided clerical support to company employees by copying, faxing and filing documents.
Maintained clean reception area to promote positive, professional environment for clients.
Organized 500+ Monthly Large Mail-outs to advertise for community events.