Enthusiastic Registered Health Information Technician with excellent people skills and dedicated work ethic. Strong attention to detail and extensive knowledge of medical terminology.
RHIT-Registered Health Information Technician Certification:1999 to present Member of AHIMA/IaHIMA ID#580262
Professional Skills: ICD-9/CPT & ICD-10 CM Coding 2002 to present Experience and knowledge of Medicare/Medicaid Rules/Regulations HIPAA-Rules/Regulations Release of Information Procedures/Practices Medical Record Retention/Destruction Employee Hiring Practices Department of Inspection and Appeals surveys of Long Term Care and Residential Facilities, Knowledge of JCAHO surveys Knowledge of ID waiver/elderly waiver programs-State of Iowa Scheduling Medical Appointments. Development of Facility Policies/Procedures/Forms Responsible for ordering all Facility Nursing supplies and managing inventory. Facility MSDS Book-Responsible for ongoing updating/accuracy Coordination of all Resident Medical Appointments out of facility and Transportation through Wellington Place transportation -TMS- Iowa Medicaid and NEICA. Entering all physician orders into software Generating Monthly MAR's/TAR's/Behavior Flow Sheets/Quarterly Medication Reviews Compliance Iowa Medicaid/Medicare Rules/Regulations Coordination of Medical Provider Visits in Facility Retrieving Resident Medical reports from outside providers Providing appropriate documentation to providers outside facility for Resident medical medical appointments. Responsible for maintaining facility vehicles. Ongoing communication with residents/families regarding Medical Appointments Responsible for Tracking Resident lab work in accordance with Facility Standing Orders/ Resident medications and diagnosis Communication ongoing with local and nonlocal Medical Facilities re: resident. Communication with Pharmacies regarding covered/non-covered T19/Iowa Medicaid supplies/medications re: residents. Responsible for filing health information reports into resident medical record Completion of Purchase orders for various different vendors-Briggs, Corp., RFT, Technologies, and Apollo. Responsible for Ordering Diabetic supplies, oxygen, urological, incontinent products for residents from DME suppliers. Court Commitment Procedures Responsible for entering all resident demographic information and physician orders/lab orders into facility software Responsible for completing Lab order forms Ongoing Communication with Resident Medical Providers Completing Chart Reviews/Audits (Concurrent and Restrospetive) Coding Resident Diagnoses/Procedures ICD 9/HCPCS/CPT Transportation of Residents to and from medical appointments Properly securing residents in wheelchairs into Facility wheelchair vehicles Operating manual and automatic wheelchair lifts in facility vehicles. Professional Software Skills Electronic Health Record- Point Click Care *Current Epic-Gundersen Lutheran Health Systems GL LINK McKesson- Online Supply Manager * Current TMS-Iowa Medicaid Transportation
Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities. Efficiently performed insurance verification of residents. Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence for resident medical appointments. Communicated with medical transcriptionists regarding patient medical records. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.Interpreted medical reports to apply appropriate ICD-9. Coded narrative diagnoses and verified diagnoses. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy. Consistently ensured proper coding, sequencing of diagnoses. Accurately entered diagnosis codes and patient information into software. Resolved and clarified issues with patient medications and collaborated with local pharmacies. Scheduled surgeries and procedures in conjunction with Surgical Coordinator. Strictly followed all federal and state guidelines for release of information.Recorded and filed patient data and medical records.Thoroughly investigated past due invoices for residents. Scheduled patient appointments.
Recorded and filed patient data and medical records. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses. Strictly followed all federal and state guidelines for release of information. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Carefully coded disease and injury diagnoses, acuity of care and procedures in an inpatient setting. Accurately entered procedure codes, diagnosis codes and patient information into billing software.Ensured compliance with medical/legal requirements, JCAHO standards and Army regulations.Consistently ensured proper coding, sequencing of diagnoses and procedures.Quickly responded to staff and client inquiries regarding CPT codes.Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Received, organized and maintained all coding and reimbursement periodicals and updates.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Analyzed and interpreted patient medical and surgical records to determine billable services. Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes. Thoroughly reviewed remittance codes from EOBS/AR's. Communicated with medical transcriptionists regarding patient medical records.
Created and maintained spreadsheets using advanced Excel functions and calculations to develop reports and lists. Properly routed agreements, contracts and invoices through the signature process. Received and screened a high volume of internal and external communications, including email and mail. Organized files, developed spreadsheets, faxed reports and scanned documents. Maintained company records through Quick Books software program.
Answered phone for clinic scheduling patient medical appointments. Recorded and filed patient data and medical records.Strictly followed all federal and state guidelines for release of information. Directed patient flow during practice hours, minimizing patient wait time. Wrote clear and detailed clinical phone messages for physicians. Acquired insurance authorizations for procedures and tests ordered by the attending physician. Prepared prescription refill requests on behalf of the physician. Scheduled patient appointments. Completed registration quickly and cordially for all new patients. Resolved and clarified issues with patient medications and collaborated with local pharmacies. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Confirmed patient information, collected copays and verified insurance. Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Registered Health Information Technician Certification: Member of AHIMA/IaHIMA ID#580262
Audits, Coding, Filing, HIPAA, ICD-10 certification, ICD-9/CPT, Medicaid and Medicare regulations, Regulations of DME providers, MSDS of Long-Term Care Facility, Knowledge of ID/Elderly Waiver, DIA-surveys LTC facilities, JCAHO surveys.
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