Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic

Rachel Welch, RHIT

Benton,IL

Summary

Adept at diagnostic coding accuracy and fostering quality improvement, I leveraged my detail-oriented and organizational skills at Optum to uphold a 95% compliance quality measure. My commitment to continuing education and a track record of punctuality and reliability have significantly contributed to enhancing health records review and clinical documentation, positioning me as a valuable asset to any healthcare team.

Experienced with comprehensive medical coding, ensuring accurate and compliant patient data management. Utilizes advanced coding systems and software to streamline processes and enhance data integrity. Track record of maintaining high coding accuracy and supporting healthcare teams with thorough documentation.

Certified coding professional with strong foundation in medical coding systems, compliance regulations, and healthcare documentation. Adept at ensuring precise and accurate code assignment, optimizing reimbursement processes, and maintaining high standards of data integrity. Known for collaborative teamwork and adaptability in dynamic environments, contributing to team success and achieving organizational goals.

Knowledgeable medical coder with solid foundation in medical coding practices and compliance standards. Adept at accurately recording and managing patient data, ensuring all codes are correctly applied, and maintaining up-to-date medical records. Proven skills in using coding software and working collaboratively with healthcare professionals.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Certified Medical Coder

Optum
08.2021 - Current
  • Reviewed outpatient records and interpreted documentation to identify ICD-10-CM, CPT, HCPCS, and modifiers.
  • Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Knowledge of Anatomy and Physiology/ Advanced Medical Terminology, Psychology, and Pharmacology.
  • Code Radiology, General surgeries, calculating E&M office visits, minor office procedures, calculating hospital rounding E&M levels,CPT, ICD-10-CM codes, applying appropriate modifiers.
  • Uphold 95% compliance quality measures and productivity standards.
  • CCI Edits and denials.
  • Efficient in Epic and Optum encoder
  • Extremely organized and detail oriented.
  • Effective communication and interpersonal skills.
  • Fast paced typer.





Certified Medical Coder

Healthcare Resource Group (HRG)
05.2019 - 11.2021
  • Knowledgeable and efficient in coding different chart types. Radiology, ED, Infusions, injections, and ED procedures. Outpatient procedures, different kinds of PT and OT therapy, and Home Health Services.
  • Worked CCI Edits, front end and back end denials.
  • I upheld to productivity standards and quality compliance standards of 95 percentile.
  • Efficient in multiple EHR/EMR, Epic, ChartMaxx, Meditech, NextGen, Practice Partner, Allscripts, Medhost, EDIS, Theraoffice, Citrix, and Perceptive Content.
  • Efficient in multiple encoders Optum, AAPC, 3M, Find-a-code,and CAC.


Director of Health Information Management

Franklin Hospital
04.2017 - 05.2019
  • Performed chart audits for coders, providers, and clinicians documentation. Provided education when needed.
  • Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
  • Conducted education and training activities for physicians, nursing staff and administrative personnel.
  • I helped code and audit the following chart types Age Management Medicine visits, labs, coumadin clinics, radiology, respiratory services, senior care, physical therapy, telehealth, inpatient, observation, swing bed charts, and ED charts.
  • Participated in committees to discuss electronic health records and methods to improve overall workflows.
  • Recruited and hired top-performing individuals bringing undeniable experience and wealth of skills to organization.
  • Updated policies and procedures to adhere to the changes within the department.
  • Managed medical records, release of information, transcription, clinical documentation specialist, and coders.
  • Worked closely with billing, IT, administration, and all other departments within the hospital.
  • HIPAA Privacy Officer therefore I performed and constructed HIPAA investigations, completed documentation, and discussed outcome with administration staff.
  • Managed my staffs payroll, managed PTO requests, schedules, constructed employee evaluations, employee discipline programs and documentation.
  • Managed the hospital statistics monthly.
  • Participated in disaster preparedness drills.
  • I also converted paper records to EHR, purging and storing medical records.
  • This was an acute care facility and critical care access hospital.

Certified Medical Coder

Addison Group
01.2019 - 04.2019
  • Coded IP and OP Rehab coding.
  • Efficiently used several EHR platforms, Theraoffice, Perceptive Content, and Citrix.
  • Part-time contract job.

Certified Medical Coder

Maxim Healthcare
12.2018 - 02.2019
  • Efficient coding ED charts, ED facility fee, EKG, infusions, injections services and procedures.
  • Chartmaxx EHR and 3M encoder.
  • Part time contract work.

Certified Medical Coder

Southern Illinois Healthcare
04.2011 - 04.2017
  • E&M office visits, vaccines, immunizations, minor office procedures, nursing home visits, hospitalist visits, general surgeries, Orthopedic, Pain Management, Pulmonology, Gastrointestinal, Oncology, Chemotherapy and Hematology.
  • Worked CCI edits and denials daily
  • Acute Care Hospital
  • EHR platforms Meditech, Practice Partner, NextGen, Chartmaxx.
  • Encoders 3M, CAC, Vitalware software.
  • CPT, HCPCS, ICD-9-CM then converted to ICD-10-CM.


Fork Truck Operator

Walgreen's Distribution Center
05.2006 - 05.2011
  • Located and moved stock of products to pallets or totes to prepare for shipment and storage.
  • Used daily production sheets or work tickets to record number of units handled or moved.
  • Weighed products and recorded product weight to create product labels.
  • Utilized computerized system to verify shipments and identify loads for re-packing and distribution.
  • Performed almost every job function at the Distribution Center.
  • While I worked at the Distribution Center, I obtained my Associates in Applied Science Degree and obtained my RHIT credentials.

Cashier and Cook

Casey's General Store
11.2004 - 05.2006
  • Greeted customers entering store and responded promptly to customer needs.
  • Welcomed customers and helped determine their needs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Maintained the kitchen, handled customer orders, maintained the food warmers and times.


Veterinarian Assistant and Receptionist

Gainesville Animal Hospital
08.2004 - 11.2004
  • Supported veterinary staff during emergencies, providing urgent care assistance when needed.
  • Increased clinic efficiency by maintaining clean examination rooms and preparing them for each appointment.
  • Ensured accurate record-keeping by updating patient files with pertinent medical information and treatment plans.
  • Assisted in diagnostic procedures, contributing to accurate diagnoses and treatment options for patients.
  • Ensured patients were taken care of promptly and efficiently in the receptionist area, as well as assisting the Veterinarians with the care of the patients.

Cashier and Cook

Casey's General Store
12.2003 - 07.2004

Cashier, cook, and management job duties during my time at Casey's General Store.

Cashier and Cook

Dairy Queen
06.2001 - 12.2003
  • Greeted customers entering store and responded promptly to customer needs.
  • Welcomed customers and helped determine their needs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Built relationships with customers to encourage repeat business.
  • I worked as a front register cashier, drive thru register, worked in the kitchen, and also performed management duties during my time at Dairy Queen.

Education

Associate of Science - Health Information Management

Rend Lake College
Ina, IL
05-2011

Skills

  • Diagnostic coding accuracy
  • Quality improvement
  • Health records review
  • Clinical documentation review
  • Detail oriented
  • Organization skills
  • Medical coding
  • Take pride in everything that I do
  • Continuing education commitment
  • Punctual and reliable

Accomplishments

    Achieved high quality accuracy levels above 98 percentile with my last audit score being a 100 percent.

    Consistently working overtime to better keep up with workload volumes.

    I hardly ever have denials or CCI edits to do that are my own as I take pride in my job and try to do everything correct on the front end of the claim.

    I take pride in my job every single day, which seems to be a very rare quality anymore.

    I would be an asset to your team and would always do my very best.

Certification

Registered Health Information Technician (RHIT) AHIMA

Languages

English

Timeline

Certified Medical Coder

Optum
08.2021 - Current

Certified Medical Coder

Healthcare Resource Group (HRG)
05.2019 - 11.2021

Certified Medical Coder

Addison Group
01.2019 - 04.2019

Certified Medical Coder

Maxim Healthcare
12.2018 - 02.2019

Director of Health Information Management

Franklin Hospital
04.2017 - 05.2019

Certified Medical Coder

Southern Illinois Healthcare
04.2011 - 04.2017

Fork Truck Operator

Walgreen's Distribution Center
05.2006 - 05.2011

Cashier and Cook

Casey's General Store
11.2004 - 05.2006

Veterinarian Assistant and Receptionist

Gainesville Animal Hospital
08.2004 - 11.2004

Cashier and Cook

Casey's General Store
12.2003 - 07.2004

Cashier and Cook

Dairy Queen
06.2001 - 12.2003

Associate of Science - Health Information Management

Rend Lake College
Rachel Welch, RHIT