documentation specialist resume example with 20+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
Professional Summary
Driven and compassionate healthcare professional with 18 years hands-on experience in fast-paced homecare and hospital environments. Accountable and responsible with a strong focus on customer service. Specialist in Medicare guidelines related to Home Infusion.
Education and Training
Coppin State University Catonsville, MD Expected in July 19, 2011 ā ā Bachelor of Science : Interdisplinary Studies Health Information
Management and Nursing - :
Community College of Baltimore County Catonsville, Maryland Expected in 2006 ā ā Associate of Arts : - :
Catonsville Community College Catonsville, MD Expected in 2006 ā ā Graduated : Biology - :
University of Maryland Medical System Catonsville, MD Expected in 1987 ā ā Pharmacy Technician Training Program : Pharmacy Technician - :
Catonsville Community College Catonsville, MD Expected in 1978 ā ā Certified Medication Assistant Program, 1981
Stella Maris Hospice- Towson, Maryland
Geriatric Nursing Assistant Program : Medication Technician - :
Skill Highlights
- Proven patience and self-discipline
- Conflict resolution
- Patient-oriented
- Relationship and team building
- Sound decision making
- Critical thinking proficiency
Personal and professional integrity
Cultural awareness and sensitivity
Professional Experience
Aecom Technology Corporation - Documentation Specialist
Tifton, GA, 03/2009 - Current
Tifton, GA, 03/2009 - Current
- Baltimore Maryland, September 1996 to present-Full time 40 hrs per week.
- Create accurate and complete Medicare DME Information Forms (DIF) using CPT codes and clinical documentation provided by physicians for enteral, parenteral, and infusion therapies.
- Obtain and submit to reimbursement department documentation from clinicians to support the patient has a permanent non-function or disease of the structures that normally permit food to be reached or absorbed in the small bowel for Medicare enteral patients.
- Obtain and submit to reimbursement department documentation to support patient has a permanent disease of the gastrointestinal tract causing malabsorption severe enough to prevent maintenance of weight and strength commensurate with the patients overall health status.
- Maintain Medicare Secondary Patients in Microsoft Access data base by verifying insurance with patients on a weekly basis.
- Responsible for Monthly Medicare Prescription Audit of new prescriptions for accuracy.
- Enter Nursing Visit charges on a daily basis.
- Confirms 100-150 Infusion delivery tickets per day and run batches to submit charges to reimbursement department.
- Obtain authorizations for enteral team weekly.
- Work on special projects as requested by Customer Service Infusion Manager.
- Support Intake Department with new Medicare patient to assume appropriate documentation is received with new referral to meet Medicare guidelines.
Carepathrx - Infusion Customer Service Representative Customer
Lewisville, TX, 08/1996 - 03/2009
Lewisville, TX, 08/1996 - 03/2009
- Worked on several teams (Pediatric, Oncology, Pain Management).
- Participated in daily morning rounds with team of nurses, pharmacist, and dispatcher.
- Verified insurance and obtain authorization.
- Access voice and e-mail.
- Communicated appropriate information to other team members.
- Scheduled deliveries using planner and computer system.
- Scheduled pick up of equipment.
- Updated weekly census, contacted caregivers 24 to 48 hours ahead of scheduled pharmacy delivery, prepared new patient manuals and delivery tickets.
- Entered new referrals when covering on Saturday's.
North Country Hospital - Intake Coordinator
Newport, VT, 01/1999 - 01/2000
Newport, VT, 01/1999 - 01/2000
- Full time 40hours per week Authorized skilled nursing, durable medical equipment, and IV homecare referrals via phone.
- Faxed approved referral to homecare provider.
Baptist Healthcare System, Inc. - Patient Account Coordinator
Berea, KY, 1995 - 1996
Berea, KY, 1995 - 1996
- Full time 40 hours per week Participated in morning meeting daily with team.
- Communicated delivery restraints, add-ons and other operational information.
- Assisted customers to resolve issues and arrange delivery.
- Contacted caregivers 48 hours prior to delivery to monitor and inventory supplies.
- Updated kardexes, documented conversations on communication logs.
- Communicated compliance issues to clinical coordinator and pharmacist.
- Generated complete and accurate delivery tickets via computer.
- Utilized a weekly planner to track patient delivery cycles.
- Scheduled follow up deliveries in conjunction with warehouse staff and in accordance with the geographic delivery system.
- Updated weekly census.
- Accessed voice mail system and communicated info to team members.
- Billed nursing visits and filed delivery tickets.
- Posted revenue using payer guidelines.
- Worked in a team with nursing coordinator, pharmacist, admissions coordinator and warehouse staff.
Baptist Healthcare System, Inc. - Pharmacy Technician
Crestwood, KY, 1992 - 1995
Crestwood, KY, 1992 - 1995
- Full time 40 hours per week Responsible for daily scheduling and mixing of intravenous solutions.
- Prepared TPN, cassettes, chemo, and pre-filled syringes.
- Printed work orders.
- Called patients daily for supply orders.
- Printed delivery tickets via computer system.
- Performed weekly QC testing of intravenous solutions Responsible for pharmacy log maintenance.
- Cleaned IV room.
- Filled prescriptions and delivery tickets.
- Assisted with quarterly inventory.
- Responsible for inventory management ordering, using contracts, paperwork processing, returns for credits, and monthly outdate check.
- Assisted charge pharmacist with other duties.
Eastern Niagara Healthcare System - Pharmacy Technician
Lockport, NY, 01/1987 - 01/1992
Lockport, NY, 01/1987 - 01/1992
- Full time 40 hours per week Prepared intravenous solutions, TPN, hydration, chemo, retrograde syringes and pediatric maintenance solutions.
- Prepared storeroom and dose prep orders and maintained stock items.
- Delivered medications and picked up physician orders from nursing units.
- Performed monthly inspections of nursing unit stock supplies.
- Assisted in the training of student technicians in the pharmacy technician training program.
- Worked in the peds satellite pharmacy, IV lab, pharmacy storeroom, adult satellite and dose preparation area.
- Filled medication carts.
- Special achievement: 1991 Employee of the Month Professional Experience Stella Maris Hospice-Towson Maryland, 1978-1987-Full time 40 hours per week.
Promedica Senior Care - Dietary Assistant
Brighton, MI, 1996 -
Brighton, MI, 1996 -
- Prepared and served meals for elderly patients.
- Cleaned and organized dining rooms, washed dishes and carry trays to room.
Stella Maris Hospice - Certified Geriatric Assistant
City, STATE, 1998 -
City, STATE, 1998 -
- Assisted nurses in caring for the elderly patients.
- Performed treatments, gave baths, took vital signs and assisted with meals.
Stella Maris Hospice - Certified Medication Assistant
City, STATE, 1981 -
City, STATE, 1981 -
- Prepared and distributed medications to the elderly patients under the direction of the staff charge nurse.
- Performed treatments and checked patient vital signs.
- Attended nursing rounds daily.
- Updated patient reports and informed any changes in condition to the nursing supervisor.
- Assisted nursing aids in providing care for the elderly.
- Updated medication profiles.
- Picked up medications carts from pharmacy.
Interests
Spending time with family and friends.
Love to bake, read and taking long walks.
Additional Information
- Activities
- Member of Johns Hopkins Hospital Conflict and Resolution Committee-June 2005
- Participated as Nursing Student in Health Care Fair Sponsored by Maryland General Hospital Sponsored-2007
- Medicare Documentation Training-2015
Skills
Complete and signMedicare DIF's ( DME Information Forms)
Knowledge of Medicare policies
Insurance authorizations
Data entry via pharmacy programs
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Resume Overview
School Attended
- Coppin State University
- Community College of Baltimore County
- Catonsville Community College
- University of Maryland Medical System
- Catonsville Community College
Job Titles Held:
- Documentation Specialist
- Infusion Customer Service Representative Customer
- Intake Coordinator
- Patient Account Coordinator
- Pharmacy Technician
- Pharmacy Technician
- Dietary Assistant
- Certified Geriatric Assistant
- Certified Medication Assistant
Degrees
- Bachelor of Science
- Associate of Arts
- Graduated
- Pharmacy Technician Training Program
- Certified Medication Assistant Program, 1981 Stella Maris Hospice- Towson, Maryland Geriatric Nursing Assistant Program
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