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Quality Assurance Data Entry

Location:
Victorville, CA, 92392
Posted:
October 18, 2010

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Resume:

April Schreuder

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

Victorville, California 92392

US

E abi7ig@r.postjobfree.com

P 760-***-****

OBJECTIVE:

To obtain a position in a fast-paced enviroment, where I can grow and

thereby help the organization grow. I would like to use my skills,

knowledge, and education to further enhance my career in an exciting

profession.

WORK EXPERIENCE:

9-08 to 04-10

Coding Audior

Las Vegas Skin & Cancer Centers/West Dermatology

Audits charge and data input and reports results to designated

supervisor/management staff. Collects, manages and reports errors from

electronic insurance intermediary.

Audits charge entry, including Mohs, Deferred Charges and all other

charges, following established audit guidelines.

Downloads, analyzes, manages and reports daily on electronic insurance

claims submission errors.

Compiles, analyzes and summarizes data and presents recommendations on a

regular basis to supervisory/management staff.

Responds to requests for audit assistance and provides trouble-shooting

help.

Develops and assists in implementation of audit forms and reporting formats

for charge entry, data entry, payment posting and electronic claims

denials, as needed/requested.

Participates in development and presentation of periodic training sessions

for charge and data entry staff.

Researches information related to quality assurance, including reviewing

patient medical records, and investigating areas of identified concern,

reporting on information obtained as appropriate/requested.

Maintains confidentiality related to medical records and other data.

Participates in professional development efforts to ensure currency in

health care practices and trends.

Attends required meetings as requested.

Performs related work as required.

Knowledge, Skills and Abilities:

Knowledge of coding policies and procedures.

Knowledge of third-party contracting and reimbursement practices.

Knowledge of clinic operating policies and clinic-specific coding

requirements.

Skill in using computer, medical database and calculator,

Ability to examine documents for accuracy and completeness.

Ability to prepare records in accordance with detailed instructions.

10/1999 - 08/2008

Office Manager

Injury Care Management/Southern California Care

Rialto/San Bernardino,California

Immediate assistant to the CEO, oversee everyday production of employees,

month to month A/R & A/P reports, month end reports,handling the concerns

of the employees and patients, A/R & A/P, Payroll (Paychex), training &

retraining of employees, posting daily receipts, daily banking, human

resource, data entry, and general office duties

9/1993 - 7/2000

Lien Negotiator

Summit Collection Services

Arcadia/CA

Knowledge of labor codes, case law, CPT, RVS, settlement of doctors' liens,

medical bill reviews, and general office duties.

EDUCATION

3/2000

Medical Billing

Certification

West Covina - CA - US

6/1987

WALNUT HIGH SCHOOL

High School or equivalent

Walnut - CA - US

SKILLS

Access

Beginner

1 year ago / 1 years

Excel

Intermediate

Currently used / 9 years

Outlook

Intermediate

Currently used/ 3 years

Microsoft Office

Intermediate

Currently used / 9 years



Contact this candidate