Remote HEDIS Abstractor Resume Example
Seeking a position that I can utilize my coding skills, auditing skills, nursing skills, experience with patient records, and background in medical terminology to accurately abstract and validate ICD-9-CM/ICD-10-CM and CPT codes. Click here to start typing description. You can also add the example on the right by clicking the Add button(s)
| · ICD-9-CM, CPT and HCPCS Level II coding · ICD-10-CM coding · 3M Encoder · Knowledge of Health Care Reimbursement · CMS 1500 and UB-04 claim forms · Punctual and well-organized | · Medical Terminology · Work well independently, remotely and on a team · Microsoft Office (Word, Excel, Databases) |
Seasonal position remotely reviewing medical records for HEDIS measures. Maintained 98% accuracy throughout production.
Set patients up with home medical equipment to include CPAPs, BIPAPs, apnea masks, oxygen, nebulizers, non-invasive ventilators, joey pumps, tracheostomy supplies, oxygen pulse oximeter, apnea monitors, bilirubin blankets, table top pulse oximeters and other various durable medical equipment n Contacted insurance companies to verify coverage of services and equipment. n Educated medical offices on the insurance requirements to cover home medical equipment. n Helped establish a remote warehouse and maintained the respiratory inventory. Trained warehouse personnel and technicians on all equipment, insurance billing guidelines and supplies in the warehouse. Responsible for company car, credit card and mobile phone. Worked independently and set my own schedule to cover the largest regular visit area within the company from Carthage, TN to Knoxville, TN. Took call on regular schedule to include nights, weekends and holidays
Determined medical necessity of the requested treatment. Communicated with requesting providers, service providers, claims adjusters and claimants via telephone and fax to request additional information. Coordinated care and provided verbal authorization for medical treatment per policy. Ensured cost effective and quality patient care by appropriate utilization of medical resources
Instructed patients and families on disease/medication management. Trained patients and family members on conducting IV therapies within the settings of their homes. Provided wound care and wound vac therapy. Recorded vital signs and weight. Managed patients on Coumadin and provided INR testing. Knowledge of Medicare home health regulations and JCAHO standards. Performed medical examinations, analysis, health surveillance and testing reporting any abnormalities or concerns to MD. n Coded all visits and supplies for insurance billing purposes.
Career Step - City
Inpatient Outpatient Medical Billing and Coding Program · Training includes Medical Terminology, Anatomy & Physiopathology, detailed study of ICD-9 CM and ICD-10 CM coding and procedures, and in-debth training of CPT including E/M coding and HCPCS Level II coding. · Coding practicum included coding of 500 outpatient/inpatient reports (ie: Consultations, Emergency Room reports, History and Physical reports, Laboratory reports, Operative reports, Physician Orders, Procedure Notes, Progress Notes, Radiology reports and Pathology reports). Reports from a variety of specalities including: internal medicine, diagnostic radiology, orthopedics, general suegery, family/general practice, ENT, cardiology, oncology, interventional radiology, Emergency Dept., etcClick here to start typing description. You can also add the example on the right by clicking the Add button(s)
Spencerian College - City, State
US Army -
American Health Information Management Association CCS Certification 2015 Scheduled to take CCA exam in August 2015 Lisensed Practical Nurse in the state of Tennessee 2004 - Present Limited Scope Radiology Technologist in Tennessee 2003 - Present Click here to start typing description. You can also add the example on the right by clicking the Add button(s)
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Resume Overview
School Attended
- Career Step
- Spencerian College
- US Army
Job Titles Held:
- Remote HEDIS Abstractor
- LPN
- LPN, Medical Coder
Degrees
- Certificate of Completion : ICD-9-CM and ICD-10-CM Coding
Practical Nurse : Nursing
Medic/EMT :
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