Nicole Breton
Jackson,MI
Summary
Committed, hardworking professional with 7 years coding background, who applies official coding conventions and rules established by CMS. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Will like to continue to work remotely and gain more coding knowledge & experience.
Overview
14
14
years of professional experience
1
1
Certification
Work History
QA Auditor/Home Health & Hospice Medical Coder
Elara Caring
Jackson, MI
07.2014 - Current
- Audit the companys internal QA department home health cases to ensure accuracy on Oasis scores and ICD-10 coding.
- Completed timely quality reports highlighting deficiencies and recommending corrective actions.
- Gathered and reviewed current data to determine areas in need of improvement.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Receptionist/Insurance Specialist
Allegiance Healthcare
Jackson, MI
04.2008 - 07.2014
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Followed up on denials, late payments, extensions and other special circumstances.
- Maintained confidentiality of patient finances, records and health statuses.
- Processed eligibility and benefits verification and authorization requests.
Education
No Degree - Medical Coder
Jackson College
Jackson, MISkills
- Certified Medical Coder ICD-10 coding
- Oasis Knowledge
- SHP program
- HCHB EMR System
- Decision Health Coding Center
- Microsoft Office 365
- Medical Terminology
- HIPAA Compliance
- Records Management
- Verbal and Written Communication
- Multitasking and Prioritizing
- Attention to Detail
Certification
- Certified Home Health Coding Specialist HCS-D, AHCC - 6 years certified
Timeline
QA Auditor/Home Health & Hospice Medical Coder
Elara Caring
07.2014 - Current
Receptionist/Insurance Specialist
Allegiance Healthcare
04.2008 - 07.2014
No Degree - Medical Coder
Jackson College
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