Shanelle Banks,AHIT, CCA,CBCS,CMAA

*** ****** ****** ****:732-***-****

Neptune NJ 07753 Home:732-***-****

acrgrg@r.postjobfree.com

Profile: An efficient, studious and dependable professional that brings experience in skills not limited to business, health care and secretarial, with, the ability to combine business development with technical applications in a fast paced environment.

Experience: Four years Outpatient Coding experience. Acquired 15 years in the health care field with attention to costumer service, secretarial skills, trouble shooting, designing, creating and implementing projects to help the daily flow of the department.

Professional Goals: Continuing to grow in knowledge and leadership, excel with experience in the health care field with a major detail in the aspect of medical coding/billing, interact and share with team members and colleagues in developmentation to solutions of overwhelming challenges.

Education

July 2013- June 2015 DeVry University

Associates in Health Information Technology

Pending RHIT Certification

March 2012 AHIMA Accreditation

Certified Coding Associate (CCA)

September 2009- December 2009 Advantage Career Institute

Certificate in Medical Coding &Billing

Certified CBCS/CMAA

September 2006- June 2007 Institute for Therapeutic Massage

Certificate in Massage Therapy

June 2000- September 2004 Brookdale Community College

Technical Skills

Operating Systems Windows 95 - WindowsXP

Database Systems Access

Applications Medisoft Cerner Powerchart PenRad MedAssests Connect

Affinity Millenium Office Outlook Microsoft Office AE

Ahiqa Medisoft AppointPro PenRad

3M RASi MedeAnalytics MedSym

Experience

Monmouth Medical Center, Long Branch, NJ 2012-Present

Manager (2012-Present)

Accomplishes department objectives by managing staff; planning and evaluating department activities

Coordinate: Coordination of financials, daily reconciliation, and billing reconciliation functions in oncology infusion center and maintaining proper reimbursement to the Medical Center.

Infusion Billing; Producing timely charging of services rendered for Oncology Day Stay and Inpatient Oncology Unit

Obtains authorizations pertaining to diagnostic, pharmaceutical and stat requests

Accountable for assigning both CPT procedure codes and ICD-9 diagnosis and procedure codes when applicable.

Receives and reviews billing (coding errors, unbilled accounts) and financial reports on a daily basis for cancer services.

Responsible for the collection, compilation, abstracting and coding of data for computer input

Help coordinates and finalize appeals process

Obtains authorizes for patients script pertaining to outside pharmacy request for chemotherapy/infusions or procedures

Daily reconciliation of charge slips for Oncology Day Stay and Vantage Point Infusion Satellite Location

Applies corresponding diagnosis to patient’s accounts to verify and meet medical necessity

Reconciliation of patient’s denial of payment between third party biller, insurance company and/or the System Business Office

Manager (2012-Present)- Continuation

Works closely with the Financial Clearing Center to make use proper ICD-9-CM, HCPCS code and CPT Codes are applied to patient’s accounts appropriately before procedures and treatment’s are performed

Accurately submit, maintain and distribute financial reports accordingly

Trouble shoot issues and works towards resolution, as well as understands when to escalate an issue for Oncology Day Stay, Vantage Point or Business Office.

Maintains up-to-date Charge Masters for BBR4 Cancer Infusion Center, High Risk Program, Breast Center, Oncology Clinic and Oncology Inpatient Unit.

Oversees scheduling of patient’s appointments with Oncology Unit

Re-verify authorization for re-occurring patients with new insurance policies

Works closely with administrative Director of Canver Services and Charge Integrity to implement Billing Charge Slips and Codes for Oncology Day Stay Unit, Vantage Point Satellite Location, and Inpatient Oncology Unit

Re-coding and verification of denials

Implement/Maintain/approve vacation time and coverage for front desk staff on the unit

Proceeds in the Disciplinary action of front desk staff when necessary

Monmouth Medical Faculty Practice Plan, West Long Branch, NJ 2010-2012

Coder (2010-2012)

Liable for assigning both CPT procedure codes and ICD-9 diagnosis and procedure codes when applicable.

Receives and reviews reports on a daily basis (unbilled accounts, coding errors)

Identifies and corrects accounts held for edits or missing information.

Responsible for reporting identified safety issues such as hazardous environments

Monmouth Medical Center, Long Branch, NJ 2000-2010

Nursing Float Pool Secretary (2007-2010)

ICU Unit Secretary (2004-2006)

Menu Technician (2000-2004)

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