With a proven track record at Ultimate Care, I excel in medication assistance and compassionate caregiving, ensuring timely billing and patient confidentiality. My expertise spans across meticulous documentation and providing emotional support, significantly enhancing patient care and compliance. Skilled in ICD-10 coding, I adeptly manage diverse patient needs, achieving over 90% accuracy in documentation and billing processes. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
3
3
years of professional experience
1
1
Certification
Work History
HHA
Heart to Heart Home Care Agency
The Bronx, NY
08.2022 - Current
Documented care provided and submitted notes to supervisor.
Dressed, groomed and fed patients with limited physical abilities to support basic needs.
Assisted clients with proper exercises and rehabilitation.
Provided entertainment and companionship through conversation, reading, and board games.
Organized and administered medications on schedules to alleviate symptoms and improve quality of life.
Monitored client behaviors and emotional states, reporting concerns to case manager and documenting information in files.
Helped clients stay happy and healthy by providing mental and emotional support.
Massaged patients or applied liniment, alcohol rubs or heat-lamp stimulation.
Transported clients to medical appointments or other destinations as needed.
Documented patient status and reported changes in care needs.
Accompanied clients on errands outside the home such as shopping trips and doctor visits.
Directed patients in simple prescribed exercises and assisted with daily physical therapy routines.
Accompanied clients to doctors' offices or on other trips outside home.
Helped keep track of medical supplies used by the client throughout the day.
Followed HIPAA regulations to maintain confidentiality of sensitive patient information.
Tracked and reported clients' progress based on observations and conversations.
Medical Coding and Billing Specialist
Ultimate Care
The Bronx, NY
11.2021 - 07.2024
Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
Safeguarded medical records to maintain patient confidentiality.
Maintained detailed accounts receivable aging reports on a daily basis to ensure timely payments from patients and insurance companies.
Advised on the impact of coding decisions on reimbursement and compliance.
Managed coding for multiple specialties, ensuring specific codes are accurately applied.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Utilized coding software and tools efficiently to expedite the coding process.
Updated patient demographics information within practice management system.
Reviewed physician orders, laboratory results, diagnostic images, clinical statements and other health care provider services for completeness and accuracy.
Generated reports from software systems to track claim status and denials.
Quickly responded to staff and client inquiries regarding CPT codes.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
Adhered to HIPAA regulations when handling confidential patient information.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Performed data entry into electronic health record system for all relevant patient information including diagnoses, procedures performed, medications prescribed .
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Education
billing and coding - Billing And Coding Specialist
Beoc
Brooklyn, NY
04-2023
Skills
CPT coding
HIPAA compliance
Revenue cycle management
Insurance coding (ICD-9 and CPT)
Anatomy and physiology
Patient confidentiality
Diagnostic coding
Procedural coding
Medical terminology expertise
ICD-10 proficiency
Insurance verification
Clinical documentation improvement
Medical coding guidelines
Medical coding certification
Certification
BILLING AND CODING SPECIALIST CERTIFICATE
HOME HEALTH AIDE CERTIFICATE
CNA CERTIFICATE
Languages
Spanish
Professional
English
Professional
Timeline
HHA
Heart to Heart Home Care Agency
08.2022 - Current
Medical Coding and Billing Specialist
Ultimate Care
11.2021 - 07.2024
billing and coding - Billing And Coding Specialist
Beoc
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THERON RHODESTHERON RHODES
Home Health Aide at Heart to Heart Home Care AgencyHome Health Aide at Heart to Heart Home Care Agency