Melinda Hoyland
Roswell,GA
Summary
Disciplined Certified Professional Coder and professional biller skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
38
38
years of professional experience
Work History
Risk Adjustment Coder
Optum
09.2023 - Current
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Verified signatures and checked medical charts for accuracy and completion.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
Dental Hygienist
Dr McSherry
08.1994 - 02.2000
- Cleaned patient's teeth to remove plaque and tartar buildup and prevent tooth decay and gum disease
- Screened patients for signs of oral cancer, lesions, or disease by visually and manually inspecting mouth and gums
- Educated patients on importance of oral hygiene and demonstrated techniques for flossing and brushing
- Maintained accurate medical and dental records by documenting important patient data
- Sterilized equipment to keep dental tools clean and safe for use, reducing risk of infection
- Applied fluoride and dental sealants to protect patients' teeth from decay
- Improved and developed knowledge through continuing education courses and seminars
- Took and interpreted X-rays to identify cavities, impacted teeth and other dental issues
- Made and confirmed appointments to promote necessary follow-up care to maintain dental health
- Carried out advanced dental cleaning services
Dental Hygienist
Dr Brock
06.1992 - 08.1994
- Instructed patients on dental hygiene and oral care by demonstrating effective flossing and brushing techniques and recommending quality oral care products.
- Accurately collected and recorded patient medical and dental histories. Took dental images and X-rays to identify areas of concern and presented to dentists for review.
- Customized dental prophylactic treatment to meet individual patients' needs.
- Examined gums manually and visually to determine periodontal disease and screen for oral cancer.
- Studied new and advanced dental hygiene methods and technology by completing continuing education coursework.
- Performed prophylaxis, periodontal maintenance, scaling and root planing in addition to applying sealants, fluoride treatments and operating intraoral camera.
- Maintained accurate medical and dental records by documenting important patient data .
Medical Records Technician
All Childrens Hospital
08.1990 - 05.1992
- Verified record copies before handing each over to check for and remove unnecessary details.
- Observed confidentiality and safeguarded all patient-related information.
- Pulled patient charts for upcoming appointments. Consolidated diverse medical records. Disseminated information to correct department, individual or outside location.
- Pulled patient records and transferred information to appropriate parties.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Reviewed charts and flagged incomplete or inaccurate information.
- Interacted and communicated easily with department personnel and public.
- Kept accurate log of requests for medical information and records.
Endocinology Lab Assistant
All Childrens Hospital
07.1988 - 08.1990
- Expertly procured and processed specimens for laboratory staff. Enhanced senior staff productivity by managing various support-related tasks.
- Worked closely with lab staff on special projects.
- Demonstrated flexibility working in a fast-paced and ever-changing environment.
- Assisted with support duties such as filling products, labeling products, testing samples and taking inventory.
- Maintained lab by calibrating equipment and cleaning surfaces and items used.
- Managed specimen sample handling, receiving, storage and inventory.
- Demonstrated competence in collecting lab samples for testing.
Assistant Manager
Surf Side Six
05.1986 - 06.1988
- Directed and led employees, supervising activities to drive productivity and efficiency.
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Developed loyal and highly satisfied customer base through proactive management of team customer service strategies.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Generated repeat business through exceptional customer service and responded to customer concerns with friendly and knowledgeable service.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs
Education
Certification- CPC - Medical Coding
American Academy of Professional Coders
Online12.2022
Certificate - Medical Billing
Branson Online
Online11.2022
Associate of Science - Dental Hygiene
St Petersburg College
Certificate - Certified Personal Trainer
National Academy of Sports Medicine
Certificate - Nutrition
Institute For Integrative Nutrition
High School Diploma - undefined
Boca Ciega High School
Gulfport, FLSkills
- Certified Professional Medical Coder
- Medical insurance billing
- Procedural Codes
- Charting and Clinical Documentation
- Patient Information Verification
- Medical Release of Information ROI
- 3M Encoder
- Patient Health Information Access
- ICD-10 (International Classification of Disease Systems)
- Medical Translation
- Customer Experience
Timeline
Risk Adjustment Coder
Optum
09.2023 - Current
Dental Hygienist
Dr McSherry
08.1994 - 02.2000
Dental Hygienist
Dr Brock
06.1992 - 08.1994
Medical Records Technician
All Childrens Hospital
08.1990 - 05.1992
Endocinology Lab Assistant
All Childrens Hospital
07.1988 - 08.1990
Assistant Manager
Surf Side Six
05.1986 - 06.1988
Certification- CPC - Medical Coding
American Academy of Professional Coders
Certificate - Medical Billing
Branson Online
Associate of Science - Dental Hygiene
St Petersburg College
Certificate - Certified Personal Trainer
National Academy of Sports Medicine
Certificate - Nutrition
Institute For Integrative Nutrition
High School Diploma - undefined
Boca Ciega High School