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Medical Manager

Location:
Fort Lauderdale, FL
Posted:
April 28, 2016

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Resume:

MAGALIE L. NAU

***** ***** ***** **. ***. ****

Sunrise, FL 33325

954-***-****

acuj3x@r.postjobfree.com

Objective

I am a previously-certified Medical Coder with 10 years of experience, and am seeking a full-time position as a Medical Coder. I have recently completed the COC certification course through AAPC.

Employment History

Document Processing Analyst – Convey Health Solutions, Sunrise FL

September 2012 to present

Ensure proper incoming mail processing as it pertains to NH/CMS and NH/Argus compliance; proactively communicate findings.

Effectively ensure updates on any changes and/or adjustments to any rules, policies and/or responsibilities as needed.

Understand CMS Guidance and ensures applicable exhibits are mailed per CMS Guidance

Ensure HIPAA regulations are maintained within the immediate environment

Handle outbound calls for purposes of validating information and/or addresses

Communicate with coworkers, management, customers and others in courteous and professional manner

Conform with and abide by all regulations, policies, work procedures and instructions

Responds promptly when returning telephone calls and replying to correspondence and faxes

Act, dress, and behave in a professional manner to reflect a positive image of the company

Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company

Responsible for participation in quality assurance, compliance and in-service and continuing education activities as requested by Company

Independent Consultant Medical Personnel/Affairs Coordinator – Community Coalition for Haiti Primary Care Clinic NGO, Haiti

January 2010 to May 2012

Represented CCH at the Primary Care Clinic to assist with treatment effort.

Coordination of supplies needed for Primary Care Clinic, including following of all regulations, required filings with MSPP, WHO or PROMESS for importation and provision of medical supplies.

Coordination of all facility needs at the Primary Care Clinic, including equipment, furniture, repairs, contracts, etc.

Coordination of Medical Professional Teams working at the Primary Care Clinic with IMC, MSPP, and any groups or authorities as necessary or required by law.

Communication and advocacy with the local communities within reach of the Primary Care Clinic and serve as a representative of Christ to those in need.

Work closely with CCH’s Logistics Manager to assure continued and smooth operation of the Primary Care Clinic.

Medical Terminology Translator English/Creole for Professional and Non-Professional CCH members.

Coordination of all medical work with Saint Michel within the annual budget including but not limited to medical terms, case prep, record keeping, supply and equipment logistics.

Maintenance of all financial records, receipts, and funds for Saint Michel Hospital in Auditable fashion and turned over to CCH’s Logistics Manager for submission to CCH Operations Director.

Translator, U.S. Dept. of Immigration – Guantanamo Consultants, Inc., Miami FL

April 2005 to July 2009

Translation English/Creole for Immigration Case Judgements under Oath for Non-English Speaking Clients of Guantanamo Consultants, Inc. firm.

E/M, OBGYN, Urgent Care Coder – Phoenix Physicians, LLC/Clarity Billing Solutions, Fort Lauderdale FL

September 2008 to October 2008

Use of Ingenix Encoder Pro

During my employment at Clarity Billing, two major accounts were lost and therefore a decision was made to close the position I filled

Anesthesia Coder – Sheridan Healthcorp, Inc., Sunrise FL

November 2006 to August 2008

Duties include Surgical and Diagnostic Outpatient/Inpatient Procedure Coding, Orthopedic, Cardiology, ASU,OB/GYN, Spinal Surgery, Pain Management; etc.

Calculation of ASA Relative Value Time, Physical Status Codes

BlueCross, Medicare, Medicaid and other Commercial accounts

Medical Terminology, Anesthesia Modifiers, ICD-9/CPT-4 books and the use of AS400 Medical Coding Software.

MRA Chart Reviewer – Vista Health Plan, Hollywood FL

October 2004 to March 2006

Duties include Medicare Review and Coding of Vista Health Plan Physicians

Charts prior to CMS review for HCC Relevant Diagnosis.

Extensive use of Microsoft word and Microsoft Works Spreadsheet Software

Outpatient Medical Coder – Florida Medical Center, Fort Lauderdale FL

July 2003 to September 2004

Duties include Abstraction and Coding of Emergency Room, ASU, and Cardiac Surgery Accounts.

Use of Medicare and Medicaid Guidelines, 3M-M-Net, AS400 and SMART SCRUB Software.

Outpatient Medical Coder – Florida Hospital Waterman, Eustis FL

January 1997 to September 2002

Duties include Abstraction of all Outpatient Accounts. ICD-9/CPT-4

Coding of Outpatient Laboratory and Emergency Department Accounts.

Concurrent Coding of Skilling Nursing Facility Accounts, Ambulatory Surgery, Outpatient Radiology Diagnostics and Outpatient Laboratory Accounts. I also analyzed and Organized Inpatient or Outpatient Medical Charts as needed.

Respiratory Therapist – Florida Hospital Waterman, Eustis FL

August 1991 to January 1997

ER, ICU, PCU, NICU, and OR coverage

Patient Pulmonary Physical Assessment upon admission

Critical and Cardiac Care Units. Adult, Pediatric and Neonatal Ventilator Management, Arterial Blood Gas Punctures, Oxygen and Nebulizer Therapy.

Patient education on use of Pulmonary Medication and/or Equipment.

Physician Assisted Bronchoscopy and Assist with Non-Emergency Tracheostomy.

Education and Training

Issuing Institution

Location

Course of Study

University of Central Florida

Orlando, FL

Medical Coding

ATI Career Institute

Miami, FL

Respiratory Therapy Technology

Rockland Community College

Suffern, NY

Registered Nursing

References

Colleen Brown, Supervisor at Convey Health Solutions

954-***-****

Narlene Morgan, Document Processing Specialist at Convey Health Solutions

917-***-****

Marjorie Bernadine Dufour, U.S. Immigration Officer

954-***-**** or 305-***-****



Contact this candidate