Medical Nursing Assistant
Resume:
Chassell, MI *****
906-***-**** ac1p42@r.postjobfree.com
HEATHER BUTALA
PROFESSIONAL SUMMARY
Hard working, self-motivated, detail oriented and multi-tasking Inpatient coder, and Certified Coding Specialist. Specialty areas also include outpatient, OB/gynecology, observation, emergency, critical care, E&M, Anesthesia, and same day surgery to name a few. Has complete knowledge and utilization skills for maintaining proficient and accurate coding of ICD-10-CM/PCS, CPT coding procedures, HCPCS, and MS-DRG system. Thoroughly follows CMS and all other coding guidelines to ensure proper coding practices. Has an extensive background in HIPAA, Insurance practices, medical record experience, education of EHR training and secure navigation skills, and maintain top priority always of patient confidentiality and patient rights policies. Excellent analytical and data entry skills which has helped me to provide accurate coding of medical information/documentation and provided care. Associate's Degree in Applied Science/Medical Billing and Coding. Credentialed as a Certified Coding Specialist from AHIMA and 3+ years of physical coding experience. Prepare and review all medical and clinical documentation in electronic health records of scheduled cases which allows me to precisely analyze and manage patient chart documentations to organize the order and arrangement of accurate assignment of codes and charges to be entered into patients charts and posted for billing.
Objective
To demonstrate how I will bring a positive, productive and efficient addition to your company. Your company will benefit from my extensive experience, my dedicated and determined work ethic, compelling knowledge in extensive areas of healthcare and my ability to support high productivity, proficiency and accuracy within my medical coding skills while following coding guidelines and analyzing accurate patient chart documentation.
Utilize my skills and experience to assist your company in maintaining accurate and proficient coding to achieve a higher level of overall productivity, which will ensure prompt reimbursement and billing timeliness following proper completion. My ability to code at a high accuracy, quality and an overall thorough process to ensure all guidelines are being met, MS-DRGs are accurate and patients’ rights and confidentiality are of top priority. It is my hope to be given the opportunity to elaborate my overall strengths, qualifications and my sincere dedication as a certified coding specialist with your company, to hopefully be given an opportunity to show how strong of an asset your company would be gaining. A few of my qualifications my extensive training and experience in areas such as Inpatient coding, MS-DRGs, ICD-10-CM/PCS, CPT procedural coding, HCPCS, 3M, Encoder, Epic, Optum360, Citrix, Cerner, MS4 and 15 years of computer application experience, such as all Microsoft Office programs (Outlook, Word, PowerPoint, Excel, Access.)
PROFESSIONAL ACHIEVEMENTS
CCS
Credential status: ACTIVE - C047150 (Certified Coding Specialist) issue date: 06/30/2016 valid through 03/31/2019
ASSOCIATES DEGREE IN MEDICAL BILLING AND CODING
CERTIFIED NURSING ASSISTANT
SKILLS AND QUALIFICATIONS
• Strong understanding of all AHA and CMS guidelines and utilization of ICD-10 CM/PCS, CPT-4 requirements and procedures, E&M, HCPCS, MS-DRG system and how to figure out relative weights to ensure proper reimbursement per documentation for billing and insurance purposes.
• Remote experience and home office set-up and internet ready to work immediately
• Training and extensive experience with coding software such as: Epic, Encoder, Citrix, 3M, Optum 360, Cerner, MS4.
• Master patient indexing, 1 year experience
• 10 years of medical terminology experience and use.
• Medicare, HIPAA, Medicaid, 3rd party payers
• Very computer proficient-Excel, Word, PowerPoint, Access, Outlook (15 years)
• EHR, EMR and PHI training and experience
• Typing speed of 60 WPM
• Strong ability to work independently under minimal visual supervision
• Extensive knowledge of medical terminology, relationship between disease processes and body functions throughout the human body
• 5 years of nursing education
• Excellent data entry skills, data analysis and medical record navigation
• Outstanding multi-tasking abilities, maintaining organization and completing accurately all scheduled assignments to meet crucial deadlines
• Very determined, self-starter and am always showing initiative by actively participating immediately during appropriate times, learning new skills independently is a positive for me
• Good interpersonal skills and the ability to function as a dedicated team member
• Very diligent and dedicated to all areas of my profession, including maintaining current on all coding and guideline changes, additions or temporary information that is published.
• Powerful analytical skills with constant attention to details, which all correlate with my proficiency and accuracy within coding assignments, which gives logic in choosing the right coding sequences
• Always approachable and possesses excellent communication skills, verbal and written. Resolve problems with vendors, end users, and co-workers promptly
• 10+ years of customer service skills, 10 years’ experience working direct patient care
• Advocating in situations that may arise, including writing queries to ensure proper documentation for patients, or speaking for those who cannot or need assistance to do so
• Always take proper steps to protect patient’s rights, health and overall safety and satisfaction
• 10+ years’ Experience working in fast-paced, medical care environments
• Incredibly ability to deliver in high pressure situations
• Complete knowledge of insurance practices and preparations, reimbursement system and experience with billing methods and preparation
• Work at a very high-performance level, focusing on accurately identifying pertinent crucial information to ensure highest level of accuracy, completion and overall productivity
• Efficiently prioritize items as necessary to ensure efficient and timely billing can be obtained, complete all tasks within highest priority
WORK HISTORY
INPATIENT CERTIFIED CODING SPECIALIST, MEDPARTNERS-HIM (DIGNITY HEALTH, REMOTE) MAY,2017-CURRENT
• Abstract, analyze patient chart documentation and information to obtain the highest level of accuracy of coding assignment for diagnosis, procedures, treatments and MS-DRG assignment for billing and payment information.
• Reviewed post-payment reviews for DRG evaluation
• I communicate throughout the day with a many people to ensure proper assignment completion and proficiency.
• Identify incorrect coding and make necessary changes for proper coding assignment for billing and payment
• I am a very motivated, self-starter who gets the job done efficiently and in a timely manner, while multi-tasking proper information and keeping organized regarding coding and record keeping. It is my responsibility and work ethic to ensure proper guidelines are being followed as well as maintaining the highest level of patient safety and confidentiality.
• Utilize programs such as Epic, Citrix, 3M, Encoder and Optum 360. As well as other computer programs such as Microsoft PowerPoint, Excel and Word daily.
CERTIFIED CODING SPECIALIST AND CERTIFIED NURSING ASSISTANT, HOUGHTON COUNTY MEDICAL CARE, HANCOCK MI DECEMBER8TH,2014-JUNE 14TH,2017
• Analyze and review patient medical records to obtain accurate information for coding assignment, billing and payment purposes
• Maintain accurate DRG assignment
• Communicate with all end users regarding any issues that may come up, as well as to engage in proper job duties delivered to me through all form of communication
• Maintain MSDS forms
• E&M assignment, DRG, ICD-10, as well as CPT codes
• Assign accurate diagnosis, procedure and treatment codes for billing and insurance purposes.
• Occasionally I would be responsible for submitting and processing claims
CERTIFIED CODING SPECICALIST- EXTERNSHIP-ASPIRUS KEWEENAW HOSPITAL
August 2015-May 2016
CERTIFIED NURSING ASSISTANT, OUR LADY OF MERCY, HUBBELL, MI
February 2nd, 2013-December7th,2014
EDUCATION ASSOCIATES DEGREE IN APPLIED SCIENCE-MEDICAL BILLING AND CODING
JANUARY 2014-MAY2016
GPA:3.898
Course Work: Externship coding specialist offsite & class work for externship included actual patient charts that we were graded on for homework, HIM, Insurance and reimbursement, Law and Ethics, ICD-10-CM Diagnostic coding and ICD-10-PCS procedural Inpatient coding, CPT procedure coding and HCPCS, Electronic Health Records and Electronic Medical Records, microbiology, human anatomy and physiology, certification study course.
GOGEBIC COMMUNITY COLLEGE-AUGUST 2010-DECEMBER 2013
Nursing courses: Clinical-weekly hospital education, human anatomy and physiology, pharmacology, med surge, OB/PEDS, medical terminology, most classes had labs that went along with them, which allowed for a virtual, hands on learning experience.
NORTHERN MICHIGAN UNIVERSITY-AUGUST 2008-MAY2010
Pre-requisite courses as well as some pre-nursing classes, such as nursing 101, and beginning pharmacology, intro to medical terminology, sociology, human anatomy, physiology.
REFERENCES STACY TEDDY
Certified Coding Specialist
MELISSA DONALDSON
Senior recruiter-Med partners HIM
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