Kathleen Roger
Riverdale,NY
Summary
Motivated, ethical and results-oriented professional with proven ability to multi-task and problem solve with efficiency and accuracy. Extensive experience in clinical roles and healthcare management. Proficient in record review to optimize patient outcomes while maintaining accurate documentation and billing.
Overview
45
45
years of professional experience
Work History
Medical Office Manager
Ignatius Daniel Roger, M.D.
Elmhurst, NY
03.1989 - 02.2024
- Facilitated effective communication among staff, patients, ambulatory surgery operative staff, and equipment vendors.
- Demonstrated ability to adapt to new technologies and procedures while implementing cost analysis and cost-effectiveness.
- Responsible for accurate and ethical coding to the highest specificity of ICD-10 diagnoses and CPT operative procedures performed by the physician prior to insurance bill submission.
- Enforced strict adherence to HIPAA regulations for office patient confidentiality and medical record requests.
- Composed and submitted letters of appeal for the infrequent denial of claims.
- Daily review of all diagnostic imaging, pathology, and lab reports to review with the physician any abnormalities, to ensure the patients received the utmost in quality care.
- Reviewed all physicians' EMR notes for proper scheduling of follow-up care, and accuracy of laterality before bill submission.
- Coordinated with Workers' Compensation Nurse Case Managers, insurance companies, and attorneys for precise management of patient care.
- Responsible for hiring and training new employees, processed payroll, posted insurance charges and payments, coordinated any patient teaching for upcoming operative procedures.
- Intricately involved with all day-to day office tasks of running a medical practice, including scheduling, phone calls to and from patients, radiology facilities, therapists, OR booking, insurance verification.
- Monitored inventory of supplies necessary for daily operations of the office and maintained office equipment
Clinical Documentation Improvement Specialist
Montefiore Medical Center Moses Division
Bronx, NY
12.2011 - 09.2016
- Evaluated medical documents and digital information to ensure accurate and complete documentation, while identifying areas for needed improvement in provider documentation.
- Written, oral, and electronic queries to providers for needed clarification of a patient's medical record to capture the highest coding specificity while following the appropriate coding guidelines.
- Acquired strong background in medical terms, illnesses and conditions and medical procedures.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Trained in and applied the use of ICD-10 and ICD-10-PCS.
- Trained and applied the use of Epic EMR and 3M coding software.
Orthopaedic Nurse Clinician
St. Mary's Hospital
Brooklyn, NY
09.1983 - 03.1992
- Assisted physicians with the coordination of all orthopedic inpatient and outpatient management, including their admission, fracture care, surgical operative needs, and follow-up clinic care.
- Performed all casting and splinting under physician supervision.
- Managed all supplies and equipment.
- Collaborated with multidisciplinary teams to ensure quality care standards are met throughout the continuum of care.
- Maintained monthly statistics of inpatient and outpatient data.
Intensive Care Nurse
St. Mary's Hospital
Brooklyn, NY
07.1982 - 08.1983
- Performed daily tasks of ICU nursing
Medical Surgical Registered Nurse
St. Mary's Hospital
Brooklyn, NY
07.1979 - 06.1982
- Provided care to patients and supervised the floor unit on weekends
Education
Bachelor of Science - Health Administration
St. Joseph's College
Brooklyn, NY06-1986
Registered Nurse Diploma - Nursing
Catholic Medical Center School of Nursing
Jamaica, VT06-1979
Skills
- Detail-Oriented Organization
- Proficient in Multitasking
- Effective Time Management
- ICD-10 Coding
- PCS-10 Coding
- CPT Coding
- Clinical Documentation Review
- Epic EMR and 3M Coding
- Compliance Management
- Effective Communication
- Electronic Health Record Management
- Healthcare Billing
Timeline
Clinical Documentation Improvement Specialist
Montefiore Medical Center Moses Division
12.2011 - 09.2016
Medical Office Manager
Ignatius Daniel Roger, M.D.
03.1989 - 02.2024
Orthopaedic Nurse Clinician
St. Mary's Hospital
09.1983 - 03.1992
Intensive Care Nurse
St. Mary's Hospital
07.1982 - 08.1983
Medical Surgical Registered Nurse
St. Mary's Hospital
07.1979 - 06.1982
Bachelor of Science - Health Administration
St. Joseph's College
Registered Nurse Diploma - Nursing
Catholic Medical Center School of Nursing
Similar Profiles
Precious Giselle PagulayanPrecious Giselle Pagulayan
Medical Assistant at Daniel S. Chen, M.D.Medical Assistant at Daniel S. Chen, M.D.
Aracelly TorresAracelly Torres
Medical Assistant at Daniel Reich M.D., PLLCMedical Assistant at Daniel Reich M.D., PLLC
Rawan AltekreetiRawan Altekreeti
Student Nurse Intern at Roger Williams Hospital, Now Roger Williams Medical CenterStudent Nurse Intern at Roger Williams Hospital, Now Roger Williams Medical Center