DEIDRA ANN WASHINGTON

Pearland, TX *****

713-***-****

ac3gv2@r.postjobfree.com

EDUCATION

Enrolled - University of Phoenix Associate of Science in Health Informatics

Graduate - Lincoln College Preparatory Academy Kansas City, MO

Training- CMS & AHIMA ICD-10 CM/PCS

Affiliations/Membership – AHIMA, CHIA, SVIA

Seeking - CCS, RHIA & RHIT

EHR/EMR

Epic, Cerner Millennium, GE Centricity, IBM Siemens AS/400, Agile, Athena, AdvantX

e-Clinical Works, Amazing Charts, NextGen5, QuadraMed Affinity, PathNet

COMPUTER SKILLS

MS Word, Excel, Access, PowerPoint, Visio, and Outlook proficiency

SME

Security Revenue Cycle Management Chartmaxx Case Management Coding Collections Imaging Medical Terminology & Anatomy Billing

INTERFACES & EDI CLEARINGHOUSES

Allscripts Clinical Application Management, RMS Patient Scheduling

Sunrise Clinical Manager

Cold Feet, Bulk Retrigger Processes, EMAR, Flow Sheets, Structured Notes

Configuration Management Databases (CMDB’s), Windows Server

MIRA, Nuance, CAC Encoder, SSI, Six Sigma, PII, Healthland (Centriq)

Surgi-Source, P-Bar, On Demand, Gateway/Trizetto, EDI, I-Plexuis, Availity,

E-Briddge, Citrix, VPN, SCM-VDI, Vmware, Dameware, CSV Reports, CPOE

Emdeon, Via Track, McKesson Meditech, Medisoft, EZ-Cap, EZ-Claim, Zirmed

XClaims, Showcase, Synapse, ClaimsCheck, Advantx, Summit, MedAssets,

SAC, Contract Manager, ViWeb, Med Mail, MedHost, Shared Services

Best Notes, Apollo, Healthstream, Epic Care Everywhere

Experience

04/04/2017 – 11/20/2017 Hoag Memorial Presbyterian Hospital Newport Beach, CA

IT Support Programming & Security Analyst (Contractor)

Security administration

Granted access privileges

Executed basic SAP HANA, Crystal Reports, SQL and Mumps query writing

Installed patches and hotfixes

Fetched reports

Managed Allscripts Clinical Bed Management Patient Flow

Reviewed Sunrise Clinical Management

Managed Quest Diagnostic’s Chartmaxx

Reviewed e-Scription Dictations

Built database rules, logic, workflows and procedures

Reviewed and Tracked ADT & HL7 Interface Messages

Trained Offshore staff in Bangladesh, India

Managed On-site Revenue Cycle Management Team

Structured data analysis and workflow processes

Updated monthly and quarterly regulatory application updates and upgrades

Communicated with vendors and executive staff

Performed task and managed the queue in Service Now

Maintained SLA’s in a timely manner

Operated in a fast pace environment

Configured printers and equipment for all departments in the hospitals and clinics

Assisted IT and the Service Desk with Critical, High, Moderate and Low incidents

Resolved opened tickets in Revenue Cycle

Attended executive/manager transitional meetings three times weekly

Worked on-call as required

Prepared training curriculum and PowerPoint presentations

Tracked processes in Unix

Cleared print queues in SmarTerm

Reviewed the application server, the web server, the interface server, and the report server for any discrepancies

Stopped and re-started data processes within integration

Worked 3M 360 CAC Coding software

Tracked daily operations in the host patient registration database

Accessed VPN and VDI connections

Setup user profiles within applications

Activated and deactivated users

11/07/2016 – 12/08/2016 NOB Health Houston, TX Robert Half International (Temp.)

Clinical Coding/Pricing Analyst (ASC) Specialty

Interpreted physician orders

Reviewed daily schedule

Verified patient insurance benefits

Coded patient chart utilizing ICD-10, CPT, HCPCS, and modifier coding

Calculated pricing on all accounts

Utilized AdvantX, Healthland Centriq, MedHost, Passport, eBridge, and Availity

Communicated with patient and physician’s office regarding payment

Data reconciliation

03/2016-04/2016 ARM Houston, TX – Robert Half International (Temp.)

Clinical Financial Integrity Analyst Gastroenterology Specialty

Monitored daily revenue cycle activity for all billers and collectors

Managed outstanding A/R, and HCFA 1500 claims submissions

Documented reimbursements received by all insurance carriers

Managed daily correspondence and EOB’s,

Performed corrections, reviews, resubmissions, and payment posting

Charge entry, disputes, appeals, adjustments, and credits

Created patient encounters as needed. Database system configuration for EMR/EHR software

Data reconciliation

01/2016-03/2016 JSJ Enterprise Houston, TX – Robert Half International (Temp.)

Clinical Financial Analyst/Collector Toxicology Specialty

e-Clinicals Works10 system configuration. Managed outstanding A/R, and HCFA 1500 claims submissions

Configured payer software for Medicaid, Medicare, Worker's Comp., and Commercial insurance

Verified benefits and eligibility

Posted payments, Charge entry

Handled current and outstanding A/R and collections

Managed daily correspondence and EOB’s

Managed and monitored incoming and outgoing customer service calls

Reconciled Data

11/2015-01/2016 Elik Dialysis Houston, TX - Robert Half International (Temp.)

Clinical Financial Integrity Analyst Dialysis Specialty

Provided expert knowledge, analysis and research of patient accounts

Managed outstanding A/R, data reconciliation

Handled and prepared Excel spreadsheets for reporting purposes

Audited outstanding denials, payments, errors, corrections, and remittance notices

Accurately balanced A/R. Performed basic accounting formulas

Managed daily correspondence and EOB’s

Utilized Greenway Health/Success EHR software

Managed UB-04 and HCFA 1500 claims submissions

04/29/2013-03/28/2014 Sutter Health Mather, CA - Health VMS

Clinical Application Systems Analyst III/Tester (Contractor)

In-Patient, Out-Patient, Emergency, Observation, Psychiatric and ECT

Tested Siemens IBM MS4 AS/400, EPIC, Optum360, and Quadra Med applications in a highly complex server environment

Designed, built and tested Host and Web server applications

Created and executed test plans, cases, scripts, and scenarios

(RCM), (TFS) Visual Studio, and (MTM)

Reported defects and resolutions utilizing HP ALM Quality tool

Software Quality Assurance and Application development life cycle experience with key projects

In-depth knowledge of Software Development Life Cycle (SDLC)

Experience in working with developers, testers and business users from onsite and offshore

Integrated knowledge of end-to-end workflows and tracing

Good overview of Go-Live methodologies

Coded ICD-9 & ICD-10 dual HIM patient accounts, utilizing Nuance Quadramed/Quantim Encoder

Implemented and deployed new EHR/EMR hardware and software updates and releases

Operated abstracting, extracting, billing, coding, AR, and ADT modules

Executed MIRA, registration, and scheduling platform, data transfer, command lines, and library list

Updated operational updates in revenue cycle application, interface, interlink, and encoder

Adhered to Deloitte leadership, Go-Live planning, EDI and paper claim lifecycle, and report remediation

Configured and maintained Shared Services hospitals, provider, APR/DRG CMS pricing and payers

Managed defects, testing, troubleshooting, resolving problems, and HL7 issues

Supported end-users, maintenance, compliance requirements, training team, and benefits department

Developed training curriculum for end-users and training staff

Data reconciliation

10/2012-01/2013 West Oaks Hospital Houston, TX – Robert Half International (Temp.)

Interim HIM Director/Coder

Operated and maintained HIM Department. Coded patient charts

Configured payment terms, according to contract between provider and payer

Priced APR/DRG CMS groupers, Configuration of Compliance Requirements and Benefits

Tracked and managed daily workflow, claims management and reporting to project manager

Unit testing configuration by processing a claim. Understanding EDI and paper claim Lifecycle

Data reconciliation

05/2012-08/2012 First Street Hospital Houston, TX – Robert Half International (Temp.)

Clinical Hospital Financial Analyst/Collector

(ASC) Specialty

Utilized Surgi-source, Availity, and Zirmed software

Researched and analyzed surgery claims on HCFA 1500 and UB-04 claim forms daily

Collected revenue on current and aging claims

Corrected claims that required further details. Mailed statements. Claims follow up

Provided customer service to patients and physicians. Posted payments

Interpreted EOB’s and correspondence. Forecasted daily, weekly, and monthly revenue

Accepted and processed credit card payments

Reviewed medical records, nursing notes, H & P, and operative reports

Adjusted accounts. Appealed claims that required further review

Prepared reports. Handled Medicare, Worker’s Comp., and commercial insurance providers

Processed MSP claims. Knowledge of CPT and ICD-9 coding

Interpreted contracts and negotiations. Other duties as assigned

Data reconciliation

04/2009-01/2010 Arrowhead Billing Brookshire, TX

Billing Office Manager

Utilized EMS Consultant, Gateway EDI software

Managing administrative staffing requirements

Managed and trained staff on all operational duties included insurance eligibility, and authorizations

Billed and collected on ambulance claims daily

Interpreted EMT narratives, nursing notes, H & P, and patient assessments

Performed adjustments, appeals and re-considerations. Interpreted EOB’s

Formulized Excel spreadsheets for reports. Forecasted daily, weekly and monthly revenue

Provided customer service. Setup computer configurations on all billing software

Filed paperwork and handled Medicare, Medicaid and commercial insurance providers

Knowledge of CPT and ICD-9 coding. Attended meetings with executives

Managed daily correspondence and EOB’s, Other duties as assigned

Data reconciliation

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