Medical Customer Service

Janice M. Michaels

*********@*****.***

CAREER OBJECTIVE

To use data entry, customer service, and medical record abstracting experience to gain an entry level position as a Medical Coder.

QUALIFICATIONS

• ¬¬Effectively use computer software (Microsoft word and excel)

• Coursework in medical terminology, anatomy and physiology I & II, pathophysiology I & II, introduction to healthcare delivery system, healthcare management, electronic health record I & II, healthcare reimbursement, healthcare legal concepts, and ICD-10-CM

• Familiar with CMS standards, and CMS-1500 claim form, CMS DRG, MS DRG use for healthcare reimbursement, and HIPAA guidelines

• Remain knowledgeable and current on coding and reimbursement guidelines and updates to ensure documentation and coding meets regulatory and compliance guidelines

• Ten months of successfully utilizing ICD-9-CM, CPT-4, HCPCS codes for inpatient and outpatient the encoder (Quantum) & patient medical record view

• Familiar with healthcare reimbursement, medical record abstraction of inpatient & outpatient record for assigning diagnosis codes

• Perform medical record review to verify patient demographics and insurance information is complete

• Review patient medical record electronically to determine diagnosis and procedure codes

• Member of AHIMA

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EDUCATION

Associate of Science in Medical Billing and Coding, Graduation June 2011

Colorado Technical University, Colorado Springs, Colorado

GPA – 3.79/4.01

LPN – Diploma, August 1990

Somerset Vocational Institute Bridgewater, NJ

EXPERIENCE

Mt. Sinai SDA Trenton, NJ

VOLUNTEER May 2006-Present

• ¬Serve as Secretarial Assistant by maintaining members of the Youth For Better Living Program attendance

• Assist in the K.I.T. program by gathering contact information from inmates, and their family

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St. Peter’s University Hospital New Brunswick, NJ July 1995-1997

VOLUNTEER

• Assign diagnostic and procedural codes to patient charts using ICD-9-CM, CPT, and HCPCS or any other designated coding classification system in accordance with coding rules and regulations

• Abstracting required clinical information from the patient medical record

April 1990-2007

St. Peter's University Hospital New Brunswick, NJ

Nursing Assistant

• ¬Assigned to the Oncology Unit with medical and surgical overflow. Involved in the day to day care of patients that have cancer and medical surgical needs such as post operation and pre operation care

• Observed patient, charting and reporting changes in patents' condition such as adverse reaction to medication or chemotherapy treatment

• Worked as part of a healthcare team to assess patient needs, plan and modify care and implement intervention

• Prepared patients for examinations, tests, treatments, and procedures

• Checked for discharge/admission, physicians on call, supervisor's availability, patient's diets and lab results via data entry

• Communicate with the nursing staff about changes in patient medical status

• Maintained patient information in a confidential manner by allowing third parties and patient access to patient-specific health information, if appropriately requested

• Served as liaison between patient and medical staff

References available upon request

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