Shelby Johnson
Durham,NC
Summary
Seasoned HIM Release of Information Specialist from Duke University Health System, adept in medical terminology & coding (CPT, ICD-10) and HIPAA compliance. Demonstrated expertise in managing medical records and coding, enhancing billing accuracy, and providing exceptional customer service. Proven track record in improving process efficiency and maintaining strict compliance with legal and federal regulations.
Overview
27
27
years of professional experience
1
1
Certification
Work History
HIM Release of Information Specialist
Duke University Health System
04.2023 - Current
- Process medical records requests at both legal, government, and patient levels, ensuring strict adherence to HIPAA and federal regulations throughout the entire release process
- Maintain accurate records and ensure proper documentation of all interactions
- Collaborate with healthcare professionals to ensure timely release of information
- Review NC and out-of-state subpoenas and court orders to determine if valid, ensuring compliance with legal requirements
Medical Records Manager/Coder
RJ Blackley Center
08.2012 - 03.2023
- Managed all aspects of medical records for the facility, ensuring compliance with regulatory standards
- Led a team in the organization and maintenance of patient files, both physical and digital
- Trained and supervised staff on medical records management, including HIPAA guidelines
- Conducted medical coding using CPT and ICD-10 codes for accurate billing and documentation
- Ensured that medical coding was accurate and in accordance with insurance policies and federal guidelines
- Managed both inpatient and outpatient records and maintained the confidentiality and security of patient information
Billing Specialist
Feeling Great Sleep Medical Center
09.2008 - 08.2012
- Processed insurance claims and medical billing for sleep study patients
- Worked with insurance companies to ensure proper claim reimbursement and follow-up
- Utilized CPT and ICD-10 codes for billing accuracy
- Assisted patients in understanding their insurance coverage, resolving billing inquiries, and ensuring payment accuracy
Patient Coordinator/Billing Specialist
Ardsley Radiology
03.1998 - 07.2008
- Coordinated patient scheduling and ensured accurate documentation for radiology procedures
- Communicated with patients regarding insurance coverage and billing inquiries
- Assisted in maintaining medical records and patient flow during appointments
- Trained all front desk and medical records staff on proper procedures and HIPAA compliance
- Handled insurance verification, claims submission, and patient follow-ups to ensure timely billing
- Utilized CPT and ICD-10 codes for accurate billing and claims processing
Education
Medical Assistant Certificate -
Teft Business School
01.1996
High School Diploma -
Gorton High School
01.1989
Skills
- Microsoft Office Proficiency (Word, Excel, PowerPoint)
- Medical Terminology & Coding (CPT, ICD-10)
- Claims Management & Insurance Billing
- HIPAA Compliance & Medical Records Management
- Exceptional Customer Service & Communication Skills
Certification
NC Notary Public, 2022-2027
Timeline
HIM Release of Information Specialist
Duke University Health System
04.2023 - Current
Medical Records Manager/Coder
RJ Blackley Center
08.2012 - 03.2023
Billing Specialist
Feeling Great Sleep Medical Center
09.2008 - 08.2012
Patient Coordinator/Billing Specialist
Ardsley Radiology
03.1998 - 07.2008
Medical Assistant Certificate -
Teft Business School
High School Diploma -
Gorton High School
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