- , , 100 Montgomery St. 10th Floor
- H: (555) 432-1000
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- resumesample@example.com
- Date of Birth:
- India:
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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
|
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
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Hutchinson Community College - Hutchinson, KS
GPA:
- American Medical Informatics Association
- Registered Health Information Technologist License -2001
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