Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Efficient and detail-oriented RHIT with over 12 years of experience. Expert in coding principles, reconciliation procedures, report generation and processing payments on account. Knowledgeable in ensuring the accuracy of information.

  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Work History
RHIT- Outpatient Facility/Professional Fee Coder, 06/2004 - 02/2013
Eataly Dallas, TX,
  • Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
  • Reviewed patient charts to better understand health histories, diagnoses and treatments.
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Accurately selected proper descriptive code when more than one anatomical location was indicated.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Applied charges and updated patient charge records by using 3M encoder, and CPSI software.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Initiated, performed and documented quarterly coding audits for physicians.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Performed billing and coding procedures for ambulance, emergency room, observet and outpatient services.
  • Reviewed [Number] medical records per [Timeframe] to select appropriate coding sequences.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Use 3Msoftware to assign procedure and diagnostic codes to patient records for billing purposes.
RHIT- Release of Information/HIPAA Compliance Officer, 07/2000 - 06/2004
Eataly Chicago, IL,
  • Managed effective action plans to respond to audit discoveries and compliance violations.
  • Liaised with risk management, internal audit and employee services departments to direct compliance issues to appropriate channels for investigation and resolution.
  • Oversaw and monitored violation tracking system for accuracy.
  • Wrote and presented reports outlining findings and recommendations from compliance audits.
  • Provided guidance, advice and training to improve business' understanding of related laws and regulatory requirements.
  • Created policies and programs to encourage managers and employees to report suspected fraud and other improprieties, without fear of retaliation.
  • Forged productive relationships with shareholder companies and managed contribution contracts.
  • Reviewed company forms, marketing materials and communication procedures for compliance with applicable laws and guidelines.
  • Identified potential areas of compliance vulnerability and risk to develop and implement corrective action plans.
  • Implemented improvement initiatives and developed compliance testing program to monitor and identify gaps in new and existing practices.
  • Researched learning topics and worked with CFO in drafting scripts and documentation, producing video, tracking attendance and implementing audits.
  • Built 10-person compliance team to address compliance program quality and provide operational support to management.
  • Prepared training programs to improve compliance at all levels.
  • Collaborated with sales and marketing departments and other business units to address indications of improper sales practices and market conduct violations.
  • Enhanced regulatory, strategic and operational performance to keep in alignment with deadlines.
  • Established and cultivated productive relationships with regulatory bodies.
  • Managed quality programs to reduce overdue compliance activities.
  • Performed comprehensive analysis of registrations for securities and insurance programs.
  • Improved company policies and standards to outline ethical, safe and efficient procedures.
  • Enhanced accountability and responsibility for compliance by efficiently allocating tasks such as assessments, mitigation, monitoring and auditing.
  • Counseled committees and department heads regarding compliance risks and standards.
  • Developed and implemented internal control tests to verify employee compliance with firm's policies and procedures.
Restaurant Server, 01/1998 - 05/2000
Sirloin Stockade City, STATE,
  • Maintained customer satisfaction with timely table check-ins to assess food and beverage needs.
  • Maintained customer satisfaction by clarifying questions about orders and specialty items.
Restaurant Server, 09/1997 - 01/1998
Dutch Kitchen City, STATE,
  • Greeted new customers, discussed specials, took drink orders and built immediate positive connections with guests.
  • Collected credit card, cash and gift certificate payments and dispensed change for cash transactions.
  • Applied communication and problem-solving skills to resolve customer complaints and promote long-term loyalty.
  • Kept server areas clean and stocked during service hours to increase efficiency while working tables.
Associate of Science: Health Information Technology, Expected in 05/2000
Hutchinson Community College - Hutchinson, KS
  • American Medical Informatics Association
  • Registered Health Information Technologist License -2001

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School Attended

  • Hutchinson Community College

Job Titles Held:

  • RHIT- Outpatient Facility/Professional Fee Coder
  • RHIT- Release of Information/HIPAA Compliance Officer
  • Restaurant Server
  • Restaurant Server


  • Associate of Science

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