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 Hospital – City, 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/IHS – City, 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 Center – City, 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:
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