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Medical High School

Location:
Pompano Beach, FL, 33060
Posted:
May 07, 2013

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Resume:

Reshena German, CCS

*** ** * ******

Pompano Beach, FL 33060

954-***-****

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

OBJECTIVE

Remote part-time Outpatient Coding position that would effectively utilize my skills, experience, and

knowledge in the medical field.

EDUCATION

Diploma 03/2002-01/2003

Insurance Coding Specialist

Concorde Career Institute Lauderdale Lakes, FL

Associate of Science Degree (A.S.) 06/2000-12/2001

Medical Office Specialist

City College Fort Lauderdale, FL

Diploma 08/1996-06/2000

South Plantation High School Plantation, FL

EMPLOYMENT HISTORY

Coder II (Outpatient) 09/2010-Present

Memorial Hospital Systems Pembroke Pines, FL

Outpatient Coding Specialist 05/2008-09/2010

Broward General Medical Center Fort Lauderdale, FL

Coder/Charge & Payment Entry Coordinator 09/2002-02/2008

Holy Cross Hospital Fort Lauderdale, FL

SKILLS

Knowledgeable with regard to ICD-9 CM, CPT-4, HCPCS

Proficient in multi-specialty Same Day Surgeries, Emergency Room, Urgent Care, Observations, Ancillary

Coding, and Wound Care

Acute Care facility based coding

Assign appropriate ICD-9 CM, CPT-4 codes, and Modifiers in accordance with coding guidelines and

medical record documentation

Review clinical documentation and diagnostic results as appropriate to extract data and then enter into

3M HDM encoder and abstracting system

Reviews and resolves medical necessity and OCE/CCI edits and issues identified on error logs

Monitors DNFB daily for outstanding or uncoded discharges to reduce account receivables

Able to meet designated deadlines and productivity standards

Able to work under minimal supervision and master new concepts quickly

Research and correct coding issues on denied insurance claims

Query physicians as required for clarification of documentation prior to final code assignment

Knowledge of Medical Terminology, Anatomy & Physiology, Pharmacology

Knowledge of Medicare, Medicaid, and Commercial/PPO Health Insurances

Computer Literate. 3M HDM Encoder, Sovera, EPIC, Cerner, Powerchart, Microsoft Word, Microsoft

Outlook

Certification

Certified Coding Specialist (CCS)

References

Available upon request



Contact this candidate