Summary
Overview
Work History
Education
Skills
Timeline
Generic

Randi Baker CPC Claim Review

Toledo,OH

Summary

To provide knowledge and leadership with a highly successful healthcare organization working remotely.

Overview

28
28
years of professional experience

Work History

Remote Specialty Coder and Claim Review

*Himagine Solutions
Tampa, Florida
06.2015 - Current

Carefully reviewed medical records for accuracy and completion as required by insurance companies. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Coded outpatient encounters at a rate of 160 per day and 120 complex specialty coding.

Senior Revenue Cycle Lead Coder

*Dell Healthcare
Dearborn, MI
06.2013 - 06.2015

OB-GYN, General Surgery, Gastroenterology, Gyn/Oncology, Pulmonary, Infectious Disease, Internal Medicine, Family Practice, Pediatrics and their specialties, Neonatology, Hospitalists, Trauma, ER and Critical Care. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Coded outpatient encounters at a rate of carefully coded disease and injury diagnoses, acuity of care and procedures.

Billing Clerk to Professional Revenue Coder

*Mercy Health Partners
Toledo, OH
09.1996 - 06.2013

OB-GYN, Gastroenterology, Oncology, Pulmonary, Infectious Disease, Internal Medicine, Family Practice, Pediatrics and Pediatric Specialties, Neonatology, and Hospitalists for a teaching facility. Coded and entered all Pro-fee charges, and a limited amount of facility coding done.

Education

Certification - Medical Coding and Billing 1996

Professional Skills Institute

Skills

  • OB-GYN, General Surgery, Bariatrics and Weight Management, Gastroenterology, Gyn-Oncology, Pulmonary, Infectious Disease, Sports Medicine, Internal Medicine, Family Practice, Pediatrics, Pediatric Specialties,Neonatology, Hospitalists, Trauma, ER, Radiology and Critical Care
  • Electronic Medical Record (EMR) software
  • NextGen, Epic, Medical Manager, Invision, Streamline, Concept McKesson, and 3M software experience

  • Maintains strict confidentiality
  • Trained and educated key staff on ICD-10
  • Strong work ethic
  • Researches all new procedures advising the organization on the proper approach to coding
  • Denials and tasking claims for resubmission
  • Team player with positive attitude
  • ICD-9 coding certified
  • ICD-10 coding proficient
  • Extensive anatomy/physiology knowledge

Timeline

Remote Specialty Coder and Claim Review

*Himagine Solutions
06.2015 - Current

Senior Revenue Cycle Lead Coder

*Dell Healthcare
06.2013 - 06.2015

Billing Clerk to Professional Revenue Coder

*Mercy Health Partners
09.1996 - 06.2013

Certification - Medical Coding and Billing 1996

Professional Skills Institute
Randi Baker CPC Claim Review