Medical Coder/Biller
Resume:
RUSSELL B. WISHNER
Apt. 3A
Niles, Illinois 60714
*******.*******@*****.***
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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