Pamela Powers-Druzdzel
Gold Beach,OR
Summary
With a proven track record at NBMC, I excel in medical billing and coding, ensuring HIPAA compliance and optimizing patient scheduling. My adeptness in fostering patient relations through professional and ethical conduct has significantly enhanced clinic efficiency and patient satisfaction. Conscientious Healthcare professional offering over [Number] years of experience in fast-paced settings. Competent in organizing charts, preparing patient rooms and supporting diagnostic processes through laboratory testing and medication administration. Positive and upbeat with excellent communication skills. Highly motivated and committed Medical Assistant with proven history of superior performance at individual, team and organizational levels. Multitasks and prioritizes workloads with little or no supervision. Detail-oriented professional looking to bring medical background and team-building skills to deadline-driven environment. Experienced Medical Assistant with extensive knowledge of medical regulations and policies. Offers strong dedication to informed patient care, administrative excellence and confidentiality.
Overview
25
25
years of professional experience
Work History
Medical Assistant
NBMC
02.2015 - Current
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
- Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
- Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
- Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
- Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
- Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.
- Enhanced patient care by meticulously recording vital signs and updating patient records.
- Collaborated with healthcare professionals to develop care plans tailored to individual patient needs.
- Assisted in minor surgical procedures, ensuring sterile environment and patient comfort.
- Administered medications and injections as prescribed, adhering strictly to protocols for patient safety.
- Performed EKGs and other diagnostic tests, contributing to accurate and timely diagnoses.
- Streamlined patient check-in process, reducing administrative burden for medical staff.
- Maintained inventory of medical supplies, ensuring availability for all procedures and treatments.
- Conducted patient follow-up calls to monitor treatment progress and answer any questions.
- Improved patient satisfaction, efficiently managing appointment schedules and reducing wait times.
- Contributed to clean and safe clinic environment by adhering to sanitation protocols.
- Facilitated patient education on treatment plans and medications, improving understanding and compliance.
- Facilitated positive patient experience, greeting patients warmly and providing clear directions within clinic.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Collected and documented patient medical information such as blood pressure and weight.
- Completed EKGs and other tests based on patient presentation in office.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Measured patient pulse oximetry.
Medical Biller and Coder
NBMC
02.2015 - Current
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Verified signatures and checked medical charts for accuracy and completion.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
- Input data into computer programs and filing systems.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Assisted in preparation of medical reports for external parties.
- Processed and tracked requests for medical records from external organizations.
Medical Biller and Coder
Dr Druzdzel
01.2000 - 02.2015
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- 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.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Safeguarded practice revenue by diligently following up on outstanding account balances and initiating collection efforts when necessary.
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
- Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Verified signatures and checked medical charts for accuracy and completion.
- Generated reports to identify coding trends and discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Transcribed and entered patient medical information into electronic medical records systems.
- Input data into computer programs and filing systems.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
Education
High School Diploma -
Levittown Memorial High School
Levittown, NY06-1973
Skills
- HIPAA Compliance
- Patient Scheduling
- Customer Service
- Medical terminology knowledge
- Medical Terminology
- Vital Sign Monitoring
- Vital signs monitoring
- Clinical Documentation
- Data Entry
- Patient Assessments
- Medical Procedures
- Professionalism and Ethics
- Maintaining confidentiality
- Sterilization techniques
- First Aid
- Medical supply inventory
- Equipment Sterilization
- Patient Relations
- Medical billing and coding
- Medical Billing
Timeline
Medical Assistant
NBMC
02.2015 - Current
Medical Biller and Coder
NBMC
02.2015 - Current
Medical Biller and Coder
Dr Druzdzel
01.2000 - 02.2015
High School Diploma -
Levittown Memorial High School
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