Medical Billing and Coding

Chanelle DeVeaux CBCS

**** ******** ****, *******, ** 32839 Cell: 407-***-**** ****************@*****.***

Reliable Organized Self-Disciplined Dependable Motivated

PROFESSIONAL SUMMARY

Certified Billing and Coding Specialist with over 6 years of management and supervisory experience with a strong understanding of numerical coding systems used for billing, no-fault, workers comp and reimbursement

Excellent administrative and data entry background: Proficient in NextGen, QuadraMed, Medisoft, 3M Coding system, Microsoft Word, Excel and PowerPoint

Diverse and knowledgeable Medical professional with over 10 years of experience as a Pharmacy Technician

WORK HISTORY

Medical Coding Analyst 06/2017- 04/2018

WellMed Winter Park, FL

Design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers.

Interpret and analyzed clinical data from various sources and recommend best approaches for its consolidation.

Processed attestation sheets and progress notes out of the RightFax work queue according to DataRAP® department guidelines.

Analyzes progress notes and documentation for validation following CMS guidelines and ICD-10 Coding Manual guidelines. Enters final results into appropriate tab of the DataRAP® database.

Lead projects to completion by contributing to database creation, statistical modeling and financial reports.

Analyzed reporting tools utilized by the internal customer groups.

Reengagement Specialist 04/2016- 05/2017

Brightpoint Health Brooklyn, NY

Conduct outreach through live calls or mail to locate patients who may need additional support and services to retain patient in care.

Document and maintain clinical records in a manner that assures compliance with all agency policy and procedures. Maintains accurate and up to date documentation as required by the department of Health.

Assist outreached patients with prompt follow up appointments to efficiently engage them in care.

Coordinate patient care within interdisciplinary team.

Refer and connect patients to appropriate service providers. Manages time and other resources to meet established goals within the agreed upon time frames.

Display professional courtesy at all times and maintains customer services attitudes.

Assist primary care department with medical records retrievals, scanning, discharge and coordination of clinic flow where indicated.

Lead Certified Pharmacy Technician 12/2006- 12/2016

Rite Aid Pharmacy Brooklyn, NY

Complete release of information request, fill prescriptions, manage inventory orders, and audits.

Train all staff on store polices, medication disbursement laws and insurance billing procedures.

Assist with labeling, compounding, filling of prescriptions, returns, order reviews and consumer complaints.

Complete patient demographics related to filling prescriptions and input customer and prescription data into electronic medical record system.

INTERNSHIP/ VOLUNTEER HISTORY

Medical Records Specialist Intern 05/2013-07/2015

Elmhurst Hospital Jackson Height, NY

Performed concurrent coding reviews with clinical providers regarding documentation deficiencies to improve reimbursement outcomes.

Performed billing and coding procedures to determine appropriate diagnoses and payments while researching procedure codes, modifiers to ensure proper sequencing in manuals and company websites.

EDUCATION

Plaza College Forest Hills, NY

Associate of Science: Health Information Technology 06/2015

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