Reshyne Robinson

As a Hierarchical Condition Category Medical Coding intern, my responsibilities are mostly centered on learned and applying ICD-1O-CM diagnosis codes to patient health records. My experience as an Apprentice has allowed me to gain knowledge and understanding in the fundamentals of medical coding.

• Review patient medical records (e.g., progress notes, physician documentation) to identify and extract relevant diagnoses.
• Assign ICD-10-CM codes in accordance with CMS HCC risk adjustment models
• Learn and apply HCC coding principles and CMS guidelines to ensure proper risk score capture.
• Work closely with certified professional coders (CPCs), medical auditors, and other healthcare professionals.
• Gain familiarity with coding software (e.g., 3M, Optum, EPIC) and electronic health records (EHR) as well as utilizing Utilize coding reference materials (e.g., ICD-10 manuals, CMS guidelines).
• Participate in ongoing training sessions or workshops to enhance coding accuracy and regulatory knowledge.
• Assist in auditing and validating coded data for accuracy and compliance with federal regulations.
• Follow HIPAA guidelines and protect patient confidentiality during all coding activities.

Provided high-quality support to Blue Shield of California members by answering inquiries related to health insurance plans, claims, benefits, and billing. Resolved complex issues with professionalism and empathy, maintained detailed records in compliance with HIPAA, and met performance metrics in a fast-paced call center environment.

• Providing information and assistance regarding health insurance coverage, policy details, and general healthcare questions.
• Assisting members with navigating their Blue Shield plans, including explaining deductibles, copayments, and provider networks
• Educating members on online tools and resources to manage their health plans independently
• Maintaining up-to-date knowledge of health plan policies, Medicare and Medicaid guidelines, and company updates
• Consistently meeting or exceeding key performance indicators (KPIs) including call quality, resolution time, and customer satisfaction

Efficient and personable front desk professional with experience managing patient intake, scheduling, and billing in a fast-paced chiropractic clinic. Skilled in verifying insurance, handling multi-line phones, and maintaining HIPAA-compliant patient records. Adept at supporting clinical staff and ensuring a smooth patient experience from check-in to check-out.

• Scheduled, confirmed, and rescheduled patient appointments using practice management software(ChiroTouch.)
• Greeting and checking in patients in a professional and friendly manner
• Answered multi-line phone system, directed calls, and responded to patient inquiries
• Following up with patients regarding missed appointments, billing questions, or treatment plans
• Collecting copayments and processed payments accurately
• Maintained patient charts and ensured timely, HIPAA-compliant data entry into the EHR system