Tynessia Fletcher
Medical Professional
Macon,GA
Summary
Diligent healthcare professional with solid foundation in auditing medical records and ensuring compliance with healthcare regulations. Demonstrates proficiency in identifying discrepancies and implementing corrective actions to maintain data accuracy. Proven ability to navigate complex medical documentation and utilize advanced auditing techniques.
Overview
26
26
years of professional experience
Work History
Revenue Cycle Outreach Specialist
Greenkey Solutions/ BCBSNC
11.2023 - Current
- Reviewing medical records and claims to identify discrepancies or errors.
- Assessing the appropriateness of medical care provided.
- Ensuring compliance with regulations and industry standards.
- Conducting internal and external assessments of coding accuracy, policies, and strategies.
- Extracting key data and information from patient files and entering it into electronic records.
- Placed provider outbound calls to obtain PHI
- Maintained HIPPA standards and applicable laws in order to protect patient confidentiality
- Ensured accuracy, completeness, and compliance to CMS and ACA standards
Dialysis Patient Care Technician
RTC DAVITA Inc.
02.2018 - 01.2023
- Assisted nurses in monitoring patients during dialysis treatments, ensuring timely intervention for any complications.
- Supported facility-wide initiatives aimed at improving quality of care for all patients receiving dialysis services within the organization.
- Assisted in the training and onboarding of newly hired Dialysis Patient Care Technicians to maintain a high standard of care across the team.
- Maintained compliance with federal regulations governing dialysis facilities by staying current on industry updates and implementing necessary changes promptly.
- Participated in continuous quality improvement efforts such as data collection, analysis, and implementation of evidence-based best practices tailored specifically for our clinic setting.
- Educated patients on proper self-care techniques to manage kidney disease symptoms more effectively at home.
- Streamlined administrative tasks such as scheduling appointments, managing supplies inventory, and preparing billing documentation for increased productivity.
Education
No Degree - Medical Billing And Coding
Cambridge College of Healthcare And Technology
Atlanta, GA04-2026
Healthcare Management
Bellevue University
Bellevue, NE07-2020
Associate of Applied Science - Medical Assisting
Kaplan University
Davenport, IA07-2012
Skills
- HIPAA compliance
- Medical terminology
- Auditing techniques
- CPT coding
- Healthcare data analysis
- Regulatory compliance
- Medical billing procedures
- Electronic health records management
- Medical record review
- Healthcare regulations
- Compliance monitoring
- Revenue cycle management
- Customer service
- Medical billing code accuracy
- Health information systems
- EMR systems
- Medical release of information ROI processes
Timeline
Revenue Cycle Outreach Specialist
Greenkey Solutions/ BCBSNC
11.2023 - Current
Dialysis Patient Care Technician
RTC DAVITA Inc.
02.2018 - 01.2023
No Degree - Medical Billing And Coding
Cambridge College of Healthcare And Technology
Healthcare Management
Bellevue University
Associate of Applied Science - Medical Assisting
Kaplan University
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