Knowledgeable and dependable Clinical Coding Specialist with 14+ years of experience is look for a manager position.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Clinical Coding Specialist II
Medidata Solutions Inc.
08.2010 - Current
Supported Data Science Operations team by performing Quality Control for Study Master Data Management (Rave) and Insights.
Successfully managed all Customer engagements projects by prioritizing different team members, tasks and ensured their completion.
Collaborated with the team and prepared project plan. Communicated on project delivery, provided progress updates, and ensure that the workload was appropriate for the team.
Scheduled one - on -one meetings to strengthen relationships and to understand if the team is alighted with goals and expectations.
Scheduled trainings and Q&A sessions to improve quality, productivity, and motivate the project team. . Created PowerPoint Presentation to train a new offshore team, and maintain quality consistency for the current offshore team.
Oversight and answered Customer Support tickets for Rave Grants Manager in the Global Zendesk application.
Supported completion of Rave Design Optimizer projects by training offshore team and performing final quality control to prepare the data for client deliverables.
Coded (CPT procedure coding and ICD9 indication coding) Clinical trails protocols and grants to support data and analysis for Rave Grants Manager and Rave Design Optimizer
Medical Coding and Billing Specialist
Better Home Care, LLC
06.2009 - 06.2010
Processed medical billing to Medicare, Medicaid and other insurance companies
Maintained patients demographic information on the company database
Looked up ICD- 9 codes for verification to insure quality and compliance with CMS rules and regulations
Reviewed patient eligibility and obtained insurance authorization
Reviewed, entered and submitted OASIS data and daily batches to Medicare
Followed up on submitted claims, unpaid accounts and ensured correct payments
Entered invoices to match check amounts
Promoted to Medical coding and Billing Specialist after just three months
Created, maintained, review medical records to ensure quality and compliance with CMS rules and regulations
Perform staffing coordination
Prepared payroll by calculating all the times sheet
Assisted with five new staff training
Maintained and ordered medical supplies
Education
Bachelor of Science - Health Information Management
Temple University
Philadelphia, PA
05.2009
Skills
Collaborative Leadership
People Management
Communication skills
Teamwork
Creativity/Innovate
Problem-Solving
Certification
Certified MedDRA Coder
Excel Intermediate Certificate of Completion
ICD -10 class completion
Languages
Russian
Timeline
Clinical Coding Specialist II
Medidata Solutions Inc.
08.2010 - Current
Medical Coding and Billing Specialist
Better Home Care, LLC
06.2009 - 06.2010
Bachelor of Science - Health Information Management
Temple University
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Dan BragaDan Braga
SVP, Research and Development at Medidata Solutions Inc.SVP, Research and Development at Medidata Solutions Inc.