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.
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.
Education
Associate of Science: Health Information Technology, Expected in 05/2000 - Hutchinson Community College - Hutchinson, KS GPA:
Affiliations
American Medical Informatics Association
Certifications
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
