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emergency department coder resume example with 20+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Healthcare Industry Professional with over 8 years of excellent customer service and end user experience with various databases, hospital information systems (HIS), Electronic Health Records/Electronic Medical Records. Excellent working knowledge of outpatient coding workflows, understanding of Revenue Cycle Management and excellent analytical skills. Passionate about innovative solutions globally that would provide significant benefits to consumers and patients. Proven track record of customer satisfaction by result driven internal efficiency and supply chain effectiveness that helped increase the company's productivity.

CAREER HIGHLIGHTS

Johnson & Johnson- Emergency Response Team Member 2002/2006

  • On-Call rotation to support Hospitals, Doctor's, and Sales Representatives to coordinate Life Saving support equipment and products in a timely manner. Excellent ability to work under pressure, work independently and with minimal supervision.

Johnson & Johnson- SAP Implementation 4/2009

  • User Acceptance Testing (UAT) test new systems, applications and modifications.

Johnson & Johnson- Vascular Stent Recall project 07/2012

  • Top performer in vascular stent recall project. Utilized FACT TOOL (MS Excel spreadsheet) Vascular stent recall impacting 1900 Consignment customers which included 38,000 units, generating 24,000 consignment replacement orders and $15.8MM in customer credits.

Hackensack Meridian Health- Google Workspace Ambassador 2/2021

  • Serve as an internal point of contact volunteer for Go-Live transition from Microsoft Outlook to Google.
  • Identify red flags to recreate workflows before Go-Live.
  • Provided guidance and first-level virtual support to team members (i.e., educating team members on training enrollment, guide team members towards materials for answers) which reduced the support load on IT.
Experience
07/2018 to Current
Emergency Department Coder Cvs Health Cullman, AL,

Define direction that catalyzes coordination across departments by adhering closely to protocols and specifications in ICD-10-CM/PCS Official Guidelines for Coding and Reporting to ensure accuracy of outpatient diagnostic, therapeutic, emergency department services, and ambulatory surgery conditions / procedures. Review clinical documentation and diagnostic results appropriately to extract data and apply HIPAA policies, procedures and appropriate ICD-10-CM/PCS and CPT codes for billing, internal, external reporting, research, quality assurance, and regulatory compliance. Maintain consistency through identification and assignment of information through use of appropriate ICD-10-CM/PCS and CPT codes. Assign and identify information by using the accurate ICD-10-CM/PCS and CPT codes. Responsible for meeting daily production goal and quality goal of averaging 95% coding accuracy rate monthly.

Selected Contributions:

  • Creates reduction in billing errors and conflicts by resolving error reports associated with billing process, identifying and reporting error patterns, review and correct medical edits, assisting in design and implementation of workflow changes.
  • Perform Evaluation and Management (E/M) billing review for Emergency Department coding to ensure data accuracy for Medicare regulatory compliance reimbursement.
  • Embrace responsibility for ensuring assigned codes meet all federal, legal, and insurance regulations to confirm service payments are obtained in a timely fashion.
  • Utilize Encoder Software Coding Program in addition to the Electronic Medical Record (EMR).
05/2016 to 06/2018
Emergency Department Coder Advisor Group La Vista, NE,

Assigned ICD-10-CM and CPT codes to the highest specificity ensuring that diagnostic codes and documentation accurately support coding.

  • Performed Evaluation and Management (E/M) billing review for Emergency Department coding to ensure data accuracy for Medicare regulatory compliance reimbursement.
  • Ensured reported codes reflects service provided based on documentation to prevent fraudulent billing, recovery audits, and fines.
  • Efficiently interpret and apply HIPAA, state, federal regulations, i.e., Centers for Medicare & Medicaid Services (CMS) regulatory guidelines for coding in the medical record.
  • Knowledgeable of AHIMA's data management principles.
  • Utilized Encoder Software Program in addition to the Electronic Medical Record (EMR).
08/2013 to 01/2017
Emergency Department Coder / Per Diem Raritan Bay Medical Center City, STATE,

Assigned ICD-10-CM and CPT codes to the highest specificity ensuring that diagnostic codes and documentation accurately support coding.

  • Performed Evaluation and Management (E/M) billing review for Emergency Department coding to ensure data accuracy for Medicare regulatory compliance reimbursement.
  • Ensured reported codes reflects service provided based on documentation to prevent fraudulent billing, recovery audits, and fines.
  • Efficiently interpret and apply HIPAA, state, federal regulations, i.e., Centers for Medicare & Medicaid Services (CMS) regulatory guidelines for coding in the medical record.
  • Utilized Encoder Software Program in addition to the Electronic Medical Record (EMR).
03/2014 to 05/2016
Outpatient Coder I University Hospital-Level I Trauma Center City, STATE,

Assigned ICD-10-CM and CPT codes in a variety of outpatient services to the highest specificity ensuring that diagnostic codes and documentation accurately support reported codes.

  • Dental Coding
  • Dermatology Coding
  • Rehabilitation Therapy Service Coding
  • Performed Evaluation and Management (E/M) billing review for Specialty Clinic coding to ensure data accuracy for Medicare regulatory compliance reimbursement.
  • Ensured reported codes reflects service provided based on documentation in an effort to prevent fraudulent billing, recovery audits, and fines.
  • Efficiently interpret and apply HIPAA, state, federal regulations, i.e., Centers for Medicare & Medicaid Services (CMS) regulatory guidelines for coding in the medical record.
  • Utilized Encoder Software Program in addition to the Electronic Medical Record (EMR).
05/2008 to 12/2012
Sales Support Coordinator Johnson & Johnson Health Care Systems, Inc. City, STATE,

Exhibited insightful leadership and enhanced clarity of mission through support of field sales of 50 representatives. Verified reliability of procedures and safeguarded revenue by ensuring all transactions in field were received from Link Specialist. Supported 13 Class Specialist through oversight of Alternative Distribution Process. Created energy and stability through oversight of Go-Live Warehouse Management System Implementation Command Center with focus on durable outcomes. Demonstrated calm, clear-headed leadership through oversight of Cordis Link field inventory product movement while transacting all inventory movements in sales field between Inventory Specialist and hospitals. Established ongoing success through oversight of consignment levels analysis, approval process management for consignment swap level changes, and by ensuring execution of consignment shipments. Significantly enhanced capacity of staff by providing training and mentorship to new associates on team. Ensured highest quality operations through partnership with Quality Compliance Team on Stop Shipments and Recalls. Provided vital process expertise in support of successful product launches.

Selected Contributions:

  • Point of contact for internal and external clients as (SME) Subject Matter Expert for Marketing Program.
  • Successfully lead team in production by handling over 3000 transactions per month.
  • Achieved an “Accurate Quality Score” of 100%.
  • Honored to receive several Encore Awards for her “willingness to go the extra mile.”
  • Commended for recommending process improvements, actively sharing suggestions / detailed feedback with management.
  • Delivered key contributions toward conserving revenue through collaboration with Credit Risk Management to identify and correct credits and debits.
11/2010 to 12/2011
Medical Records Clerk/Document Scanner-Part Time Somerset Medical Center City, STATE,
  • Created new medical records and retrieved existing medical records.
  • Input and recoded record locations.
  • Scanned and organized sensitive patient information in Cerner Electronic Medical Record.
  • Performed quality checks for electronic record transmission.
  • Boxed paper medical records for delivery to off-site storage company.
05/2005 to 05/2008
Sales Support Associate Johnson & Johnson Health Care Systems, Inc. City, STATE,
  • Lead Customer Service Center training and development trainer for Field Sales & Business Operations processes.
  • Created (SOP) Standard Operating Procedures and work instructions for return goods.
  • Worked collaboratively with operating companies supporting marketing programs and new product launches.
  • Daily extracting, tracking and reporting metrics for return goods.
  • Accurate quality score of 100% on marketing programs replacement orders.
  • Eliminated cycle time from 12 days to a 1 day turnaround.
  • Daily metrics reporting.
09/2000 to 05/2005
Customer Contact Center Associate Johnson & Johnson Health Care Systems, Inc City, STATE,
  • Processed and managed customer orders.
  • Assisting internal and external customers with product and account inquiries.
  • Efficient written and oral communication related to contract pricing.
  • Met performance standards consistently for answer rate, handle time and service quality while building a strong customer relationship.
  • Process Lead for Marketing programs/promotions.
  • Perfect Call Quality Score of 90%.
  • Schedule Adherence Quality Score of 85%.
Skills

Professional Skills

  • Customer Issue Resolution
  • Analytical
  • Effective Listening
  • Project Management
  • Troubleshooting
  • Trainer
  • Problem Solving Skills
  • User Acceptance Testing (UAT)

Personal Skills

  • Collaborate
  • Teamwork
  • Critical thinking
  • Flexibility
  • Quick Learner
  • Dependability
  • Integrity
  • Time-Management
  • Attention to Detail
  • Organized

EMR Systems

  • EPIC
  • Cerner Millennium
  • Centricity
  • 3M 360 Encompass
  • Clintegrity

Computer Skills

  • Microsoft Office: Excel, Word, Access, Powerpoint, Outlook
  • SAP
  • Crystal Reporting
Education/Training
Expected in 06/2008 to to
Associate of Science: Health Information Technology
DeVry University - North Brunswick, NJ,
GPA:

HIT Practicum-HIM Department Intern

Robert Wood Johnson University Hospital, New Brunswick, NJ

April 2008-June 2008

  • Attended HIM committee meetings to discuss implementation of the electronic health record.
  • Learned the functionality of 3M encoder and other related Information Technology Systems.
  • Gained a comprehensive understanding of various areas within HIM.

AWARDS

  • Outstanding performance in the Health Information Technology Practicum
Expected in 10/2010 to to
Certificate: PRACTICE WORKFLOW AND INFORMATION MANAGEMENT
Raritan Valley Community College - Somerville, NJ
GPA:

Relevant Coursework

EHRC 106-Health Management Information

  • Learned the health information technology standards, health-related data structures, software applications and enterprise architecture in health care and public health organizations.

EHRC 110-Workflow Process Analysis and Redesign

  • Learned to identify the fundamentals of health workflow process analysis and redesign as a necessary component of complete practice automation. Also included topics of process validation and change management.

EHRC 112-Quality Improvement

  • Learned the concepts of health IT and practice workflow redesign as instruments of quality improvement. It also addressed establishing a culture that supports increased quality and safety. Discussed approaches to assessing patient safety issues and implementing quality management and reporting through electronic systems.

EHRC 115-Usability and Human Factors

  • Learned rapid prototyping, user-centered design and evaluation, usability; understanding effects of new technology and workflow on downstream processes; facilitation of a unit-wide focus group or simulation.
Expected in 09/2013 to to
Certificate: Health Information Technology
Rutgers, Center For Continuing Professional Dev. - New Brunswick, NJ,
GPA:

ICD-10-CM Medical Codes

  • Learned mastering the steps for using ICD-10-CM and ICD-10-PCS to code medical diagnoses and procedures.
  • Reviewed the ICD-10-CM Draft Conventions and Sections of the Official Code set Guidelines.
  • Abstracted diagnostic statements from the medical record and differentiate between main and modifying terms and subterms in the ICD-10 manuals.
  • Identified the characters that make up an ICD-10-PCS code and identify each character’s purpose.
  • Learned the differences and similarities between related root
    operations and apply the general and root operation-specific guidelines for the ICD-10-PCS appropriately.

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Resume Overview

School Attended

  • DeVry University
  • Raritan Valley Community College
  • Rutgers, Center For Continuing Professional Dev.

Job Titles Held:

  • Emergency Department Coder
  • Emergency Department Coder
  • Emergency Department Coder / Per Diem
  • Outpatient Coder I
  • Sales Support Coordinator
  • Medical Records Clerk/Document Scanner-Part Time
  • Sales Support Associate
  • Customer Contact Center Associate

Degrees

  • Associate of Science
  • Certificate
  • Certificate

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