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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

Patient-focused revenue cycle manager skilled at medical billing, coding and quality improvement. Reliable multi-tasker with multi-specialty experience in academic and non-academic environments. Medical Coder with 15 years experience in outpatient coding. Certified in ICD-9 and CPT. Familiar with commercial and private insurance carriers. Licensed by the American Health Information Management Association and pursuing a degree in Health Information Management.

Licenses

Certified Coding Associate

Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medicaid
  • Electronic Medical Record (EMR) software
  • Extensive anatomy/physiology knowledge
  • Medical billing software
  • ICD-9 coding
  • CPT and HCPCS coding
  • Internal medicine billing
  • Quality assessment of coded data
  • Team player with positive attitude
Professional Experience
Current to
Internship - Health Information Management Carepathrx NC, State,

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.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Strictly followed all federal and state guidelines for release of information.

07/2011 to 01/2013
Reimbursement Manager University Of Colorado Boulder Boulder, CO,

Carefully selected, developed and retained qualified staff, as well as trained <number> new staff annually.Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations.Organized and led weekly personnel meetings with 8 team members.Actively served on Compliance Committee by reviewing policies and procedures for the corporation.Fostered interdisciplinary relationships by negotiation and consensus building to attain goals for all disciplines.Created system-wide communications about service excellence.Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.Analyzed facility activities and data to properly assess risk management and improve services.

02/2010 to 07/2011
Instructor Community Health System Morristown, TN,

Developed and implemented interesting and interactive learning mediums to increase student understanding of course materials in medical billing and coding. Responsible for providing quality instruction to adult learners through well prepared classes, relevant assignments, fair and holistic assessment of learning, clear documentation of student progress, and support of the academic success for at-risk students.

04/2009 to 2011
Clinic Supervisor Alamo City Medical Group City, STATE,

Managed a team of 50 professionals in an urgent care environment that worked 24/7. Supervised the operational and administrative functions, activities, and projects of an ambulatory care clinic. Reviewed and audited physician coding for accuracy and clinical documentation. Reduced and controlled expenses by consistent monitoring of work schedules and implementing a more sophisticated method of inventory management.

Education and Training
Expected in 2013
Bachelor of Science: Health Information Management
Texas State University - San Marcos, TX
GPA:

Health Information Administrator (RHIA) coursework to include fundamentals of health information systems, legal aspects of health information management, quality improvement, financial & reimbursement methodology, coding, 3M Encoder, data analysis, HIT in Enterprise, and research utilizing IBM SS. 3.88 GPA

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Resume Overview

School Attended

  • Texas State University

Job Titles Held:

  • Internship - Health Information Management
  • Reimbursement Manager
  • Instructor
  • Clinic Supervisor

Degrees

  • Bachelor of Science

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