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Health Information, Medical Coding, RHIT, Medical Records

Location:
Phoenix, Arizona, United States
Salary:
45,000
Posted:
January 04, 2018

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Jennifer Hinse, RHIT 802-***-****

ac3wmp@r.postjobfree.com

**** * ********* ** #****

Glendale, AZ 85308

QUALIFICATIONS SUMMARY/SKILLS:

Skilled in ICD-10, Microsoft Word, Excel. SCM (Sunrise Clinical Management),Cerner, AMPFM,3M,Chart Maxx,3M-HRM, Health Point, Mysis Vision, Optum 360, Provation, Allscripts. Efficient when adapting to changing priorities/demands and deadlines. Confidence to problem solve, implement or participate in a corrective process. I consider myself a quick learner of new systems and processes.

Resourceful, organized, conscientious with strong work ethic.Dependable practical and detail oriented. I truly enjoy a challenge.

PROFESSIONAL EXPERIENCE:

5/8/2017- 11/6/2017: Denial Claims Analyst Sovereign Health Care Employed through Robert Half Staffing Agency Phoenix AZ

Resolve claim denials for 8 Ambulatory Surgery Clinic's professional and commercial claims, locations in AZ and CA.

Research and apply insurance policies and medical documentation to determine medical necessity, dispute experimental and investigational denial claims or justify coding submitted.

Priority attention to coding errors or unbundling and specificity as reason for denial allowiing for resumbission of claim for payment.

Resolve professional claims with CCI, LCD, NCD edits prior to the claim going out.

Identify and report trends for documentation, coding improvement, and physician education, to streamline opportunities and for overall performance improvement. 5/2014- 2/2017 Phoenix Children’s Hospital Phoenix, AZ Pulmonary Clinic Procedure Scheduler Phoenix Children’s Hospital Phoenix, AZ Coder II Ambulatory Coding- HIM /Phoenix Children’s Hospital Phoenix, AZ Coder II Professional Services Coding- PCMG Department

Code and abstract Emergency Department and Emergency Department admission encounters for facility and professional fee assignment for facility reimbursement.

Assign appropriate ICD-10 diagnosis codes and E/M levels to all four Phoenix Children’s Hospital Outpatient Urgent Care Clinic encounters.

Achieve productivity goals of 95% accuracy within the time frame required while maintaining ensuring the highest quality of standards set by PCH.

Communicate clearly with physicians and interdepartmental staff to ensure the appropriate documentation for the services rendered to ensure coding specificity for optimal reimbursement.

Rectify inconsistencies and discrepancies in the coding edits assigned to me from Revenue Cycle team for maximum reimbursement.

Maintain current working knowledge of CPT and ICD-10 coding requirements, principals, regulations for accurate assignment of all codes.

Resourcefully used various coding books, procedure manuals and online encoders to ensure coding was done to the highest specificity.

Schedule outpatient endoscopy procedures for 7 physicians optimizing the doctors time/schedule.

Coordinate procedures with other specialty physicians in the Main OR.

Assign CPT and ICD-9 codes when necessary to outpatient orders from GI clinic doctors.

Maintain database and authorization status for pediatric outpatient infusion clinic.

Create and process orders for outpatient procedures, specialty clinic referrals and outpatient laboratory and radiology testing.

Jennifer Hinse, RHIT 802-***-****

ac3wmp@r.postjobfree.com

2003-2014 Practice Manager/ Lead-- Maple Tree General Surgery Rutland VT

Coordinated the day to day operations of a general surgery private practice in partnership with the physician from the company’s inception. One of my best work experiences!

Assigned E/M levels, ICD-9 &CPT codes for office consults, follow up procedures. Coded the physician charges for hospital outpatient reimbursement for surgery, endoscopy and ER call.

Submitted coded encounters along with patient demographics, supporting documentation to our billing service for reimbursement.

Reviewed/ resubmitted claims rejected or queried by insurance providers and/or identified by the scrubber prior to submission to the payor.

Established solutions to contribute to performance improvement in the practice.

Extensive interaction and communication with the physician to address coding and documentation requirements and updates.

Happily, assumed the role for each daily task; coding, reception, appointment scheduling

(office and hospital), physician scheduling, prior authorization, transcription, answering 2 incoming phone lines and all other miscellaneous administrative task. 1999-2003 Outpatient Medical Coder Springfield Hospital Springfield, VT

Assignment of ICD-9, CPT codes to Emergency department, laboratory and urgent care encounters.

Founding member of the Performance Improvement team.

Leading up to this I worked full time in the medical records department as a file clerk. It was then I was introduced to the HIM field and Coding profession which I have pursued and enjoy to this day.

ACHIEVEMENTS/ EDUCATION:

2003 RHIT certification. Successfully passed VT/NH AHIMA credentialing exam. 2000-2002 NH Community Technical College Claremont, NH Associates Degree in Health Information Management, PTK Honor Society 1998-1999 NH Community Technical College Claremont, NH Certificate for Medical Administrative Assistant

LICENSES/CERTIFICATES:

12/2014- 2018 RHIT- Registered Health Information Technician/ AHIMA current certification

#003****-**** – 2009 RHIT- Registered Health Information Technician AHIMA VT/NH. #4866

(2009-2014 intentional lapse in active RHIT/AHIMA due to secure position at surgical practice for 10+years)

CAREER SUMMARY:

I thrive in the Health information field and consider myself an energetic, reliable quality coding professional. I bring dedication and motivation along with 10+ years’ hands on experience. I have reviewed and coded encounters in most al outpatient settings: Urgent Care, Ancillary Services, Emergency Department, E/M level assignment, Endoscopy, Ambulatory Surgery and General surgery physician coding. I look forward to developing a productive relationship with a new team and company.

I perform every job with a focus on accuracy, timeliness and compliance. I am proficient in ICD-10 and I take much pride in the outcome of my work and its reflection on my team as a whole.



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