Medical Human Resources

Sheriff Bokin

***A Park Wood Drive

Joliet, IL 60432

Cell Phone: 630/299-9523

Work Phone: 708/216-3843

E-Mail: ******@****.***

EDUCATION

University of Illinois at Chicago

Bachelor of Science, Health Information Management, Certified RHIA

Core Qualification: Systems Analysis & Design, Finance, Human Resources,

Health Informatics, Business Practices & Management, Compliance, Coding &

Classification Systems (ICD-9 & CPT), Quality Management, Healthcare

Statistics.

PROFESSIONAL EXPERIENCE

Loyola University Medical Center 01/2010- Present

Insurance Collector, Patient Financial Services Department

. Follow up claims with private and government insurance companies and

providing requested information for payment obligations.

. Manage research work queues in the billing system and making sure the

correct payer is bill for charges related to clinical trial and

patient insurance

. Links proper diagnosis code with appropriate CPT code for billing

purposes.

. Reviewing and processing claims edits for accuracy in coding

compliance.

. Refer rejected claims due to incorrect diagnosis to lead coder for

review in order to reduce rejections trends and compliance with CMS

guideline.

. Work closely with revenue integrity specialist to resolve denials for

charging issues and incorrect modifier for billing compliance.

. Audit medical records for complete reports and forward to payers for

bill review.

Rush Copley Medical Center- 03/2009-05/2009

Intern, Medical Record Department

. Audited projects using Microsoft Excel, Epic, Power chart and IDX

systems.

. Designed work flowchart and checking claims for correct billing in

making sure that they have been processed correctly.

. Coding of outpatient medical records using ICD 9 and CPT codes.

Rush Oak Park Hospital 01/2008-05/2008

Intern, Medical Record Department

. Engaged in medical record filing, record assembly, deficiency

analysis, abstracting, and extensive experience in release of

information.

. Reviewing medical records for complete reports and assigning diagnosis

code.

TECHNICAL/PROFESSIONAL SKILLS

. Microsoft Office (Word, Excel, PowerPoint, Outlook)

. IDX, Meditech, Epic, E-care, Spss and 3M Encoder

. Strong knowledge of medical terminology

. ICD-9 and CPT coding

Contact this candidate