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Medical Supervisor

Location:
United States
Salary:
$18-22/hour
Posted:
May 06, 2013

Contact this candidate

Resume:

Emily Jordan

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

Tomah, WI *****

Mobile: 254-***-****

Email: ***********@*****.***

Work Experience:

Government Civil Service 06/2009-02/2013

Ft. Carson, CO

Medical Records Technician

Supervisor: Patricia Hunnell 719-***-****

Okay to contact: Yes

Provide coding and documentation assistance to the Professional staff. Code disease and injury

d iagnosis, acuity of care, and procedures in a wide range of ambulatory setting and specialties. Clinics

coded on a daily basis are Orthopedics, Podiatry, Physical Therapy, and Occupational Therapy. Audit and

analyze documentation for accuracy using International Classification of Disease 9th Revision Clinical

Modification (ICD-9-CM), American Medical Association Current Procedural Terminology (CPT),

Healthcare Common Procedure Coding System (HCPCS), Evaluation and Management (E/M), Physicians

Desk Reference (PDR), Medical Dictionaries, and Department of Defense (DOD) Guidelines. Daily use of

Composite Health Care System (CHCS-I), Armed Forces Health Longitudinal Technology Application

(AHLTA), 3M Coding Compliance Editor (CCE), and Microsoft Office computer programs. Apply

appropriate coding principles set forth by the Health Care Financing Administration (HCFA) and DOD

w hen coding/approving codes for office visits, diagnosis/signs/symptoms. Practice advanced medical

terminology to interpret clinical entries. Ensure all diagnosis/signs/symptoms and care providers

performed to include procedures and other services are classified and coded. Select appropriate codes

and modifiers for primary and subsequent diagnosis and for anatomical locations. Perform audits of

coded records and provide feedback to supervisor. Assure diagnosis/signs/symptoms and care the provider

performed are sequenced with DOD instructions. Identify trends of incomplete documentation and alert

supervisor of need to gather supporting documentation from the provider. Proficient in the Patient

Administration Systems and Biostatistics Activity (PASBA) website for the Code Auditing and Reporting

Application (CARA). Compile, correct and submit statistics on the Ambulatory Data Module (ADM) Error

report, CCE Error Report, Daily Work Load Report, and Monthly Compliance Report for supervisory

review of accountability and accuracy. Maintain data/statistic for specified timeframes and prepare

concise reports in formats prescribed. Attend monthly Video Tele Conferences (VTC) and Medical Coding

S taff meetings for current coding updates. Perform projects selected and directed by supervisor from oral

i nstructions, SOP’s, and guidelines by utilizing spreadsheets, graphs, and presentation software.

Government Civil Service 09/2008-06/2009

Ft. Hood, TX

Medical Records Technician

P rovide coding and documentation assistance to the Professional staff. Code disease and injury

d iagnosis, acuity of care, and procedures in a wide range of ambulatory setting and specialties. Clinics

coded on a daily basis are Orthopedics, Podiatry, Physical Therapy, and Occupational Therapy. Audit and

analyze documentation for accuracy using International Classification of Disease 9th Revision Clinical

Modification (ICD-9-CM), American Medical Association Current Procedural Terminology (CPT),

Healthcare Common Procedure Coding System (HCPCS), Evaluation and Management (E/M), Physicians

Desk Reference (PDR), Medical Dictionaries, and Department of Defense (DOD) Guidelines. Daily use of

Composite Health Care System (CHCS-I), Armed Forces Health Longitudinal Technology Application

(AHLTA), 3M Coding Compliance Editor (CCE), and Microsoft Office computer programs. Apply

appropriate coding principles set forth by the Health Care Financing Administration (HCFA) and DOD

w hen coding/approving codes for office visits, diagnosis/signs/symptoms. Practice advanced medical

terminology to interpret clinical entries. Ensure all diagnosis/signs/symptoms and care providers

performed to include procedures and other services are classified and coded. Select appropriate codes

and modifiers for primary and subsequent diagnosis and for anatomical locations. Perform audits of

coded records and provide feedback to supervisor. Assure diagnosis/signs/symptoms and care the provider

performed are sequenced with DOD instructions. Identify trends of incomplete documentation and alert

supervisor of need to gather supporting documentation from the provider. Proficient in the Patient

Administration Systems and Biostatistics Activity (PASBA) website for the Code Auditing and Reporting

Application (CARA). Compile, correct and submit statistics on the Ambulatory Data Module (ADM) Error

report, CCE Error Report, Daily Work Load Report, and Monthly Compliance Report for supervisory

review of accountability and accuracy. Maintain data/statistic for specified timeframes and prepare

concise reports in formats prescribed. Attend monthly Video Tele Conferences (VTC) and Medical Coding

S taff meetings for current coding updates. Perform projects selected and directed by supervisor from oral

i nstructions, SOP’s, and guidelines by utilizing spreadsheets, graphs, and presentation software.

T M I Management Systems 08/2007-09/2008

Ft. Hood, TX

Medical Coder

Provide coding and documentation assistance to the Professional staff. Code disease and injury

d iagnosis, acuity of care, and procedures in a wide range of ambulatory setting and specialties. Clinics

coded on a daily basis are Orthopedics, Podiatry, Physical Therapy, and Occupational Therapy. Audit and

analyze documentation for accuracy using International Classification of Disease 9th Revision Clinical

Modification (ICD-9-CM), American Medical Association Current Procedural Terminology (CPT),

Healthcare Common Procedure Coding System (HCPCS), Evaluation and Management (E/M), Physicians

Desk Reference (PDR), Medical Dictionaries, and Department of Defense (DOD) Guidelines. Daily use of

Composite Health Care System (CHCS-I), Armed Forces Health Longitudinal Technology Application

(AHLTA), 3M Coding Compliance Editor (CCE), and Microsoft Office computer programs. Apply

appropriate coding principles set forth by the Health Care Financing Administration (HCFA) and DOD

w hen coding/approving codes for office visits, diagnosis/signs/symptoms. Practice advanced medical

terminology to interpret clinical entries. Ensure all diagnosis/signs/symptoms and care providers

performed to include procedures and other services are classified and coded. Select appropriate codes

and modifiers for primary and subsequent diagnosis and for anatomical locations. Perform audits of

coded records and provide feedback to supervisor. Assure diagnosis/signs/symptoms and care the provider

performed are sequenced with DOD instructions. Identify trends of incomplete documentation and alert

supervisor of need to gather supporting documentation from the provider. Proficient in the Patient

Administration Systems and Biostatistics Activity (PASBA) website for the Code Auditing and Reporting

Application (CARA). Compile, correct and submit statistics on the Ambulatory Data Module (ADM) Error

report, CCE Error Report, Daily Work Load Report, and Monthly Compliance Report for supervisory

review of accountability and accuracy. Maintain data/statistic for specified timeframes and prepare

concise reports in formats prescribed. Attend monthly Video Tele Conferences (VTC) and Medical Coding

S taff meetings for current coding updates. Perform projects selected and directed by supervisor from oral

i nstructions, SOP’s, and guidelines by utilizing spreadsheets, graphs, and presentation software.

Dr. F reddie Morales 03/2007-08/2007

Killeen, TX

Medical Office Receptionist

Responsibilities included checking patients in and explaining all paperwork to be completed. Checked

patients out of the office, making appointments, preparing charts for the day. Answer a multi-line phone

system, re-scheduled appointments, collecting co-payments for insurance, file paperwork and medical

records according to defined company procedures. Enter diagnosis and procedures performed daily

during the patients visit. Performed audits using the medical records to assign the appropriate ICD-9

and CPT codes and closed out the encounter. Identified trends of incomplete documentation and alerted

supervisor of the need to gather supporting documentation from the provider. Verified insurance

eligibility, co-pays, benefits, and authorization. Requested pre-authorization for procedures if needed in

t he office or hospital.

Medical Office Management, I nc. 06/2006-03/2007

Killeen, TX

Lead Medical Office Assistant

Checking patients in and out of the medical office, making appointments, and rescheduling

appointments. Answering a multi-line phone system and directing calls accordingly. Took detailed

messages if the individual was not available. Prepared charts for the day and the week. Collected co-

payments for insurance, filed paperwork, medical notes, and correspondence. Took medical histories and

assisted the doctor with his needs while seeing patients. Explained all required paperwork and forms for

v isits in the office as well as surgical appointments. Requested pre-authorization for surgical procedures

as well as scheduled surgeries with the hospital staff.

Dr. Jeffrey Singer 10/2004-08/2005

Metairie, LA

M edical F ront Office Specialist

Greets patients and visitors and direct them accordingly. Obtained authorization as needed to process

patients for services needed. Admit patients, explained all required paperwork and forms to patients and

ensures proper completion of all paperwork. Answer incoming phone calls and directed them accordingly.

F iled paperwork, medical records and correspondence according to defined procedures. Forwarded all

paperwork to outside parties including clinical notes to referring physicians and insurance companies.

M aintained inventory of office supplies and printed forms, assisted in processing patient referral as

required. Gathered data/statistics for specified timeframes and prepared reports in formats provided.

P ractice HIPAA and OSHA (Occupational Safety and Health Administration) guidelines as outlined in

t raining received. Attended staff meeting and participated in ongoing training.

Concentra Medical Clinic 08/2003-10/2004

Colorado Springs, CO

F ront Office Lead

Greets patients and visitors and direct them accordingly. Obtained authorization as needed to process

patients for services needed. Admitted patients into OccuSource or manually in accordance with client

company protocols. Explain all required paperwork and forms to patients and ensures proper completion

of all paperwork. Audited all medical records to insure the accuracy of the ICD-9, CPT, and HCPCS codes

coincide with the documentation presented. Answer incoming telephone lines in accordance with

company procedures and directs the caller accordingly, check out patients either via OccuSource or

manually according to procedure and distributes records according to the employer’s protocols. File

paperwork, medical records, and correspondence according to defined company procedure. Maintain

i nventory of office supplies and printed forms, managed dissemination of all paperwork to outside parties

i ncluding non-injury paperwork, custody and control forms. Followed HIPAA (Health Insurance

Portability and Assurance Act) guidelines and safety rules as outlined in training received. Attended

center staff meeting, participated in ongoing training. Completed processing of patient referral including

accurate checkout, paperwork processing, patient education and communication with Client Support

Services as required. Assisted Center Administrator in managing daily administrative functions,

complete understanding an ability to perform in all aspects of front office operations, independently

resolves center operation challenges without direction, performed other duties, as assigned.

Education:

Brandon Senior H igh School B randon, FL

High School Diploma

Job Related T raining:

CPC Certified Professional Coder-9 May 2009 through AAPC

On the job training (11/30/1995 - Present) Extensive experience with automated computer programs such

as word perfect, excel, quick books, Microsoft outlook, Microsoft word Experience with the power point

p rogram and peach tree accounting programs Knowledge of International Classification of Diseases, 9th

Revision, Clinical Modification

(ICD-9-CM) assignment, Current Procedural Terminology (CPT) assignment, Health Care Financing

Administration Common Procedure Coding System (HCPCS) coding guidelines American Hospital

Association guidelines, Joint Commission for Accreditation of Health care Organizations (JCAHO)

standards for hospital accreditation Health Insurance Portability and Accountability Act (HIPAA)

guidelines protecting patient privacy Knowledge of regulatory references, legal requirements, JCAHO

accreditation standards Skills sufficient to collect and organize data for reports and audits Knowledge of

anatomy and physiology of the human body Knowledge of medical procedures and diagnosis in order to

correlate data and verify medical record coding information Knowledge of ambulatory surgery and

outpatient coding utilizing current coding manuals Knowledge of the organizational characteristics of

Registries Knowledge of the processes used in planning, organizing and operating a registry Knowledge of

g ross anatomy of the organs and structures of the body systems Knowledge and skill of computerized data

entry, keyboard operations, and information processing systems Advanced skills in Microsoft Office Suite

E xtensive experience in customer service and reviewing outgoing and incoming mail Experience working

w ith priorities, commitments, policies and program goals

Typing speed is approximately 55 wpm



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