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Medical Records Field Reviewer Resume Example

Resume Score: 80%

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MEDICAL RECORDS FIELD REVIEWER
Professional Summary
Years of experience in Clinical Support and Office Administration. Strong background in Data Entry, Records Management, HIPAA regulations, Medical Billing and Coding and Medical Terminology.
Skills
  • ICD-10 (International Classification of Disease Systems)
  • Records management professional
  • HCPCS Coding Guidelines
  • Insurance and collections procedures
  • EMR system trained (EPIC, AllScripts, etc.)
  • Office support (phones, faxing, filing)
  • Excellent verbal communication
  • Research and data analysis
  • Insurance and collections procedures
  • Records management professional
Work History
Medical Records Field Reviewer, 09/2012 to 01/2013
Company Name – City, State
  • Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCPCS categories.
  • Initiated, performed and documented quarterly coding audits for physicians.
  • Performed medical record audits at numerous healthcare facilities for various insurance companies.
  • Scanned medical records into database for review by requested entities.
Senior ROI Clerk/Area Manager, 01/2012 to 08/2012
Company Name – City, State
  • Review and processed information requests by retrieving, copying and scanning medical records using various EMR systems.
  • Processes requests for medical record copies for Risk Management, Utilization Management and other departments within the or
  • Assists all walk-in customers in obtaining medical records and completion of the "Authorization to Release Protected Health Information form.ganization.
  • Processes all patient, third-party, and Coordinated Business Office requests for medical record information.
  • Assisted in management of up to 10 employees assigned to healthcare facilities.
Receptionist/Collection & Claims Associate, 03/2003 to 08/2005
Company Name – City, State

  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
  • Verified patients' eligibility and claims status with insurance agencies.
  • Prepared patient charts accurately and neatly for the clinic.
  • Diligently filed and followed up on third party claims.
  • Prepared patient charts, pre-admissions and consent forms as necessary.
  • Accurately posted and sent out all medical claims.
Education
Associate of Science: Medical Billing and Coding, 2011
Ultimate Medical Academy Online - City, State
Associate of Applied Science: Medical Office Technology, 1995
Alamance Community College - City, State
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Resume Overview

School Attended

  • Ultimate Medical Academy Online
  • Alamance Community College

Job Titles Held:

  • Medical Records Field Reviewer
  • Senior ROI Clerk/Area Manager
  • Receptionist/Collection & Claims Associate

Degrees

  • Associate of Science : Medical Billing and Coding , 2011
    Associate of Applied Science : Medical Office Technology , 1995

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