Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coder 2
Northwestern Memorial Hospital
Palos Heights, IL
08.2021 - Current
Maintained knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party billing requirements.
Stayed updated with coding requirements through ongoing education and certification renewal.
Reviewed patient health data, histories, physician diagnoses and treatments to gain coding understanding.
Strengthened communication channels with healthcare professionals, including practitioners, facilitating precise information exchange.
Utilized clinical findings from laboratory, radiology, pathology reports and clinical studies to augment existing diagnoses through assignment of additional diagnosis codes.
Ensured that account information is accurate and complete by conducting thorough reviews.
Provided efficient and effective support in addressing inquiries related to CPT codes.
Collaborated with medical professionals to clarify coding queries before extracting data from patient records.
Analyzed provider documentation to ensure accurate coding of diagnoses and procedures according to CMS Medicare Risk Adjustment Coding Guidelines.
Participated in team meetings with other coders and supervisors to discuss case studies or review difficult cases.
Documented risk adjustment codes into electronic health record systems, ensuring accuracy of data entry.
Conducted chart reviews to identify any missing or incomplete information necessary for accurate coding.
Attended seminars and webinars regularly in order to stay up-to-date on latest industry trends.
Phlebotomist
Northwestern Medicine
Winfield, IL
03.2017 - Current
Prepared blood-collecting equipment to draw blood and safely store and transport samples.
Enforced infection control and sharps disposal procedures to protect patients, co-workers and self.
Verified quality of specimens by centrifuging specimens for logistics courier to pickup.
Counseled patients to ease fears, explain procedures and enhance cooperation during blood draws.
Obtained blood samples for medical testing and transfusion through venipuncture or capillary puncture.
Used multiple electronic medical software, including Epic and EClinicals to conduct patient intakes and send correspondence.
Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles, and straight needles.
Lab Assistant
Alverno Clinical Laboratories
Joliet, IL
09.2016 - 03.2017
Organized lab test solutions, compounds and reagents.
Sanitized workstations and instruments to avoid cross-contamination.
Promptly and efficiently distributed specimens to different facilities and labs.
Developed and maintained positive customer relationships through effective communication.
Maintained inventory and equipment in neat and professional manner.
Performed various administrative duties, including data entry and document preparation.
Collected and processed specimens in medical environment.
Education
Associate of Applied Science - Health Information Technology
Rasmussen
Tinley Park, IL
03.2024
Certificate - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
Clearwater, FL
08-2023
GED -
Kennedy King College
Chicago, IL
07.1999
Some College (No Degree) - Phlebotomy
Moraine Valley Community College
Palos Hills, IL
Skills
Data entry
HIPAA
MS Office
Insurance billing
Medical terminology
Knowledgeable in EPIC software
Documentation oversight
Communication
Organization
Multitasking
Troubleshooting
HCC risk adjustment coding
ICD-10-CM Coding
ICD-10-PCS Coding
MS Word, Excel, and Outlook
Microsoft PowerPoint
Certification
Medical billing and Coding
Registered Health Information Technician (RHIT)- AHIMA # 265045
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