Customer Service Training

Kathy Ormsby

Email: aborhp@r.postjobfree.com

Address:

City: Cupertino

State: CA

Zip: 95014

Country: USA

Phone: 408-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Certified Professional Medical Coder with over 19 years experience in outpatient and emergency department coding. Specialized in Medicare HCC certified in ICD-9 and CPT. Familiar with commercial and private insurance carriers. Expertise in physician training and management.

Educational Background:

High School Dipolma from Columbia Southern University, Birmingham AL 1/2001 to 7/2012 (Medical Administration)

High School Dipolma from Bryant and Stratton College, Birmingham AL 1/2001 to 10/2012

Job History / Details:

Professional Summary

Certified Professional Medical Coder with over 19 years experience in outpatient and emergency department coding. Specialized in Medicare HCC certified in ICD-9 and CPT. Familiar with commercial and private insurance carriers. Expertise in physician training and management.

Licenses

CPC Certification

Skill Highlights

Managed care contract knowledge

Coding instructor

Quality assessment of coded data

Leadership skills

Knowledge of HMOs, Medicare and Medi-Cal

OB-GYN, surgery, gastro, ENT, ortho experience

ICD-9

CPT and HCPCS coding

HIPAA compliance

Excellent verbal communication

Knowledge of anatomy/physiology

Billing and collection procedures expert

Professional Experience

June 2012 to 10/2/2012 12:00:00 AM

Kaiser Permanente Oakland, California

Sr. Learning Consultant

Consults with leaders of major constituency groups within the organization to assess, trend and analyze the learning needs of employees across the region based on current and future strategic plans.

Develops, implements and coordinates management training programs.

Serves as a master trainer providing training and coaching to trainers and learning consultants.

Monitors, evaluates and makes leveraging recommendations about the cost effectiveness and quality of learning programs.

Plans, advocates for and implements the deployment of regionwide strategic learning systems.

Evaluates, selects, retains and brokers a pool of internal and external training consultants, with diverse expertise to provide leveraged training of a specialized and/or technical nature.

Evaluates, selects and deploys computer based training programs regionwide.

Stays abreast of learning, training and development research including theory, motivation theory and new materials, methods and techniques.

June 2007 to June 2012

Kaiser Permanente San Jose, California

Data Quality Trainer

Assists Regional Coding Team & Health Information Management Managing Director in meeting coding quality & productivity goals & objectives by identifying opportunities for continuous quality improvement

Communicates & participates in regional operational & strategic planning

Actively involved in mentoring & training all functions & services related to hospital medical coding, medical documentation, & physician queries, abstracting & data collection

Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved

Works with Coding Supervisors & HIM Director to develop, implement, evaluate & improve coders participating in the HIM Department On-the-Job Training (OJT) Program

Provides ongoing coding/systems education & training of staff

Tracks & reports progress of coding trainees at each phase of OJT Program

Assists Regional Coding Team in preparing statistical analysis &/or reports

Ensures compliance with all applicable federal, state & local regulations, as well as with institutional/organizational standards, practices, policies & procedures

Strong research skills including knowledge of automated analysis tools & on-line research tools required to resolve complex coding/systems issues

Must be able to work flexible days & hours

June 2004 to May 2007

Syracuse Eye Center Syracuse, NY

Billing Manager, Technician, Consultant

CPT and ICD 9 coding, chart auditing, perform the account maintenance, billing, reconciliation reporting and customer service related activities

Perform database maintenance and research tasks to support the contracts administration, cash control operations and assignment of medical record numbers

Ability to diagnose, analyze and solve a variety of quantitative and qualitative problems

Ability to communicate clearly and professionally

Excellent conflict resolution and decision making capabilities

Ability to work productively at multiple tasks

Education and Training

2013 Columbia Southern University Birmingham, Alabama

Bachelor of Arts Medical Administration

2004 Bryant and Stratton College Syracuse, NY

Certification Anatomy & Physiology

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