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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
- Customer Service
- Medical Records Management
- Verbal and Written Skills
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- Organization and Time Management
- Accounting
- Managing patient records
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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.
Associate of Arts: BusinessManagement, Expected in 05/2004
Rogers State University - Claremore, OK
GPA:
- Member of Bit by Bit Program
- American Medical Informatics Association
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