Summary
Overview
Work History
Education
Skills
Timeline
Generic

Krashunda Giles

Birmingham,Alabama

Summary

I have 15 years experience in Health Information Management and have worked in health care for close to 20 years. Before I went into medical records I was a CNA for 2 years.

Overview

12
12
years of professional experience

Work History

Medical Records Technician

Molina Healthcare
04.2022 - 04.2023
  • Trained new employees in the receptionist position as well as the scanning of the electronic medical record
  • Maintained medical records for all clinics within the facility
  • Assisted all providers with any medical records they needed to care for their patients
  • Pulling charts for the providers and filing in patient charts before the facility went electronic
  • Assisted in financial counseling for OB patients

Medical Records and Health Information Technician

Cahaba GBA
07.2011 - 02.2018
  • Maintained patient confidence by keeping patient records information confidential.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Maintained patient records in compliance with security regulations.
  • Uploaded physician progress notes, history, and physicals into electronic medical records.
  • pplies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
  • Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
  • Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding.
  • Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility database as well as all cost recovery programs.
  • Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data.
  • Expertly searches the patient record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient health record.
  • Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS- DRG, POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment.
  • Reviews coding and assist coders in improving coding accuracy; provides coding guidance to various levels of staff to

Education

Associate of Applied Science - Medical Billing And Coding: Admin Office Managemen

Virginia College - Birmingham
Birmingham, AL
01.2002

High School Diploma -

West End High School
Birmingham, AL
05.1998

Skills

  • Medical records proficiency
  • Filing of documents
  • Professional phone skills
  • Familiar with ICD-10
  • Excellent leadership skills
  • Great training abilities
  • Very dependable
  • Extreme attention to detail
  • Fast learner and always willing to learn new tasks
  • Very approachable with great communication skills
  • Excellent multi-tasker

Timeline

Medical Records Technician

Molina Healthcare
04.2022 - 04.2023

Medical Records and Health Information Technician

Cahaba GBA
07.2011 - 02.2018

Associate of Applied Science - Medical Billing And Coding: Admin Office Managemen

Virginia College - Birmingham

High School Diploma -

West End High School
Krashunda Giles