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Medical Coder/Biller

Location:
Niles, IL
Posted:
December 09, 2013

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Resume:

RUSSELL B. WISHNER

**** */* *. ********* Av.

Apt. 3A

Niles, Illinois 60714

773-***-****

acbkvo@r.postjobfree.com

OBJECTIVE

To acquire a position as Medical Records Coder

SUMMARY OF QUALIFICATIONS

Certified Professional Coder

Knowledge of Record Processing Procedures, Coding, Abstracting,

Transcription,

Release of Information, Supervision, Tumor Registry, Utilization Review,

Quality Assurance, Specialty Treatment Center, Ambulatory Care

Procedures

Highly accurate and thorough at detail-work

Effective organizational, interpersonal, and communication skills

Computer literate: Microsoft Word, Meditech, 3M, Epic

PROFESSIONAL EXPERIENCE

Midwest Orthopedics at Rush 2012 - 2013

Medical Records Coder/Biller/Auditor

Coding, Billing, Charge Entry - ICD, CPT, HCPCS, DME (Supplies)

Op Reports, H&Ps, Consults, (IP/OP, EMs)

Orthopedic Coding - Muscular/Skeletal Nervous Integumentary

Spine/Vertebral - Fusion/Decompression, Anomalies (Congenital)

Arthroscopies - Shoulder/Knee

Arthroplasties - Hip/Knee

Extremities - Fracture, Dislocation, Repair, Revision

Physician Communication/Extensive Emailing

Issues/Concerns - Unbundling, PA/Fellow Reimbursement

Checking/Verification - Globals, Prepays, Ins Precerts

Software Application/Reference - Next Gen/Optimum

Healthcare Information Services, Park Ridge, Illinois

2011 - 2012

Medical Records Coder/Biller

Coding, Billing, Charge Entry, ICD 9, CPT, HCPCS

Encounter Forms, Op Reports, H&P, Consultations

Surgeries, Follow Ups, EM Office/Hospital Visits

Orthopedic Arm, Shoulder, Hand, Spine, Vertebral

Muscular Skeletal, Nervous, Integumentary, EM

Physician Communication: Conference, E-mail, Phone

System Updates, CPT Codes (Prices), Physicians (Ref)

Software Application, Vision, Accela Capture, Accela Smart

Access Billing, Chicago, Illinois 2008 -

2009

Medical Records Coder/Auditor

Performed ICD-9, CPT, HCPCS, E&M Coding/Auditing

Superbills, Encounter Forms, Physician Dictation/Documentation

Maternity Family OB/GYN Peds

Clinics, Health Centers, Group Practices, Hospitals

Utilizing/referencing Meditech

Physician dictation: Lab Path Rad

Patient History: Diagnosis Treatment Visits

Lincoln Park Hospital, Chicago, Illinois

2008

Medical Records Coder

Coding and Abstracting of Outpatient surgeries, ER's, Outpatient clinic

visits

Concurrent Inpatient coding: reviewing/extracting DRG and LOS information

Informing physician of expected length of stay

Querying physician for appropriate documentation

Follow up of hold claims and correction of records as needed

St. Alexius Medical Center, Hoffman Estates, Illinois

2004 - 2007

Medical Records Coder

Performed coding/abstracting outpatient medical charts, including

clinicals,

one-day procedures, emergency room, same day surgeries and 23

hour observations

Abstracted services: medical, surgical, cardiovascular, pulmonary,

gastroenterological,

urological, OB/GYNE, radiology, orthopedics, pathology, and

plastic surgery

Printed and reconciled discharge lists for above mentioned

Conducted follow-up on on-hold reports involving physician dictation

and queries as well as pending laboratory and pathology

reports

Investigated and resolved unbilled report issues and concerns

Prepared and organized medical charts for Medicare Physician Advisory DRG

Review

Alpha Thought, Chicago, Illinois 1999 - 2004

Medical Coder/Auditor

Performed 1CD-9, CPT, HCPCS coding and auditing of radiology, pathology,

cardiology, vascular reports and maternity/family care physician

visits for

medical necessity and financial reimbursement

Hospice of Integrated Health Services, Schaumburg, Illinois

1999

Medical Records Technician

Compiled and assembled medical records

Organized and maintained accurate filing system

Performed retrospective and concurrent audits

Sent, received, and tracked physician orders

Performed monthly and quarterly statistical reports

Monitored daily itinerary logs to verify reporting of field staff activity

Maintained inventory of wide range of medical record forms

Responded and fulfilled requests for information from contracted agencies

Advocate Health Services, Oakbrook, Illinois 1995 -

1998

Health Information Technician

Determined/processed ICD-9CM diagnostic and procedural coding

Reviewed and analyzed medical charts

Verified monthly close billing data

Tracked and monitored physician orders

Maintained and updated branch regional census

Handled correspondence and Release of Information procedures

Compiled statistics pertaining to patient length of stay and re-

hospitalization

Visiting Nurse Association, Chicago, Illinois

1993 - 1995

Medical Records Technician

Reviewed medical charts, extrapolating clinical data to complete Third

Party Payer forms

Determined ICD-9CM Coding to comply with reimbursement

Updated patient status, adhering to Physician Recertification or Discharge

Audited monthly invoices to ensure correct billing of home health visits

and their conformance to physician orders

Chicago Read Mental Health Center, Chicago, Illinois

1992 - 1993

Medical Records Technician

Coded and abstracted demographic and clinical discharge data

Compiled and completed administrative record information

Monitored and updated admission legal status

Tracked and logged patient transfer and absences

Northwest Community Care Center, Arlington Heights, Illinois 1991 -

1992

Assistant to Medical Record Department Head

Processed records; indexing, filing, purging

EDUCATION

Oakton Community College, Des Plaines, Illinois

AAS, Medical Record Technology, 1992

Northeastern Illinois University, Chicago, Illinois

B.A., Liberal Arts (1985)

CERTIFICATION

American Health Information Management Association

RHIT (formerly ART), 1992

American Academy of Professional Coders

Certified Professional Coder, 2001-2008



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