Tilmon Yearwood, RHIT
Marseilles,IL
Summary
A dedicated and accomplished medical coding professional with a focus on emergency department inpatient and outpatient coding. Graduated with honors with an AAS in Health Information Technology (GPA 3.70) and am currently pursuing a BAS degree. Known for attention to detail, reliability, and excellent time management skills. Committed to leveraging skills and knowledge to make a meaningful impact in the field. Excited to utilize skills and expertise to support this organization's objectives.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Remote Coder 1
Saint Margaret’s Health
01.2023 - 06.2023
- Specialized in emergency department inpatient and outpatient coding
- Deciphered medical records and assigned specific codes to each service or procedure
- Stayed up to date on all coding guidelines and rules set by regulatory bodies like CMS
- Handled coding tasks for both inpatient and outpatient accounts, using 3M software to edit and encode
- Met or exceeded daily quota of cases to complete
- Followed all guidelines for AHIMA coding standards, ensuring that every claim submitted is clean and error-free
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Monitored changes in coding regulations to provide recommendations for compliance.
CODING AND BILLING SPECIALIST
Modern Vascular
05.2022 - 11.2022
- Responsible for all coding and billing activities for three clinics
- Handled tasks related to medical claims and payments
- Conducted CMS 1500 claim review and audits, data entry, medical record review and appeals, debt collection, electronic remit and paper remit review and audit, recoupment audits, CMS 1500 claim reconsiderations, medical record retrieval, and coordination of benefits for claims
- Communicated daily between myself and most major insurance companies to secure payments for claims
- Used data entry skills to accurately document and input statements.
- Maintained accurate records of customer payments.
- Processed vendor and supplier payments on weekly basis.
- Audited and corrected billing and posting documents for accuracy.
- Responded to customer concerns and questions on daily basis.
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Coded APV charts at rate of 32 per hour.
- Verified signatures and checked medical charts for accuracy and completion.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Communicated with insurance companies to research and resolved coding discrepancies.
Education
Bachelor of Science - Health Information Management
DeVry University
Downers Grove, IL06.2024
Associate of Applied Science - Health Information Technology
DeVry University
Los Angeles, CA10.2022
Medical Coding and Billing Certificate Course
DeVry University
Los Angeles, CA10.2021
Skills
- Medical Coding Expertise: Interventional Radiology Coding, Evaluation and Management Coding, Outpatient Hospital Emergency Department Coding, Cardiac Surgery Medical Coder (ED setting), Emergency Department Laboratory Coding, Emergency Department Radiology Coding, Annual Wellness Visit Coding, COVID-19 Coding, Outpatient Surgical Coding, Risk Adjustment Coding
- Electronic Medical Record (EMR) Systems: Proficient in Epic, Meditech Expanse, and ECW E-clinical Works
- Medical Coding Software: Experienced in 3M Encoding Software
- Software Proficiency: High proficiency in Microsoft Word and Excel
- Billing and Revenue Knowledge: Proficient knowledge in current Billing guidelines, Experienced with UB04 and 1500 billing forms, Professional level of knowledge on revenue codes, CPT, and HCPCS
- Additional Skills: Strong attention to detail and accuracy, Excellent communication and interpersonal skills, Ability to work independently and in teams, Strong problem-solving and analytical skills, Ability to handle confidential information, Excellent time management and organizational skills, Ability to adapt to new technologies and learn new software quickly, Strong commitment to ongoing professional development and learning
- Knowledgeable in multiple EMR systems
- Medical Claims Coding
- Insurance Claims Analysis
- Data Verification
- Data Entry
- Inpatient Records Coding
- Medical Terminology
- Records Management
- Proficiency in Epic, MediTech and E-Clinical works
- Information Analysis
Certification
- RHIT - Registered Health Information Technician
- CCA - Certified Coding Associate
Timeline
Remote Coder 1
Saint Margaret’s Health
01.2023 - 06.2023
CODING AND BILLING SPECIALIST
Modern Vascular
05.2022 - 11.2022
Bachelor of Science - Health Information Management
DeVry University
Associate of Applied Science - Health Information Technology
DeVry University
Medical Coding and Billing Certificate Course
DeVry University
- RHIT - Registered Health Information Technician
- CCA - Certified Coding Associate
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