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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary


Detail-oriented and knowledgeable Health Information Management Auditor skilled in completing patient-facing and time management tasks by applying strong multitasking and organizational abilities. Independent worker with extensive medical experience and excellent customer service skills

Skills
  • Customer Service
  • Medical Records Management
  • Verbal and Written Skills
  • Organization and Time Management
  • Accounting
  • Managing patient records
Work History
Administrative Medical Clerk , 02/2020 to 01/2021
Cherokee Nation W. W. Hastings HospitalCity, STATE,
  • Answered phone calls and messages for 18-physicians, Outpatient medical facility, scheduling appointments and handling patient inquiries.
  • Audited customer files to verify medical necessity and satisfaction of coverage criteria.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Carried out front office duties utilizing data entry skills in framework of medical database.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
Health Information Management Auditor, 02/2004 to 09/2018
Department Of Health And Human Services/IHSCity, STATE,
  • Utilized RPMS to manage and confirm patient data, such as insurance, demographic and medical history information.
  • Maintained accuracy, completeness and security for medical records and health information.
  • Created and maintained computerized record management systems to record and process data and generate reports.
  • Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
  • Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic procedures.
  • Reviewed, analyzed, managed Inpatient,Outpatient, Observation records and interpreted documentation to identify all diagnoses, procedures rendered.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Initiated, performed and documented quarterly coding audits for physicians.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Processed patient admission and discharge documentation.
  • Handled high-volume data entry of demographics, disease etiology and extent and associated procedures or treatments.
  • Prepared and processed forms for government healthcare programs.
Childcare Receptionist, 12/2019 to 02/2020
Cherokee Nation Child Development CenterCity, STATE,
  • Welcomed all customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
  • Kept records in CRM to maintain customer data.
  • Received and distributed mail correspondence between departments and personnel.
  • Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
  • Supported various administrative duties by proofreading, transcribing and invoicing.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
Education
Associate of Arts: BusinessManagement, Expected in 05/2004
Rogers State University - Claremore, OK
GPA:
  • Member of Bit by Bit Program
Affiliations
  • American Medical Informatics Association

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Resume Overview

School Attended

  • Rogers State University

Job Titles Held:

  • Administrative Medical Clerk
  • Health Information Management Auditor
  • Childcare Receptionist

Degrees

  • Associate of Arts

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