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Customer Service Medical

Location:
Hagerstown, MD
Posted:
March 28, 2014

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Resume:

Elaine Salmon

***** ********** **** *** **

Hagerstown, MD 21740

315-***-****

Position looking for: Coder, Medical Records, Medical Biller, Medical Receptionist

RHIT ( Registered Health Information Technician) through AHIMA

Excellus BCBS through Contemporary Personnel Services, Liverpool, NY

Customer Service Agent/ Provider Data Management Clerk

Answered incoming provider phone calls to provide benefit quotes and answer questions for open

enrollment period. All of our calls were taped and reviewed. Both times I had the review, I scored

in the 95% range. I was also part of the tem that received recognition for a successful Open

Enrollment period in 2014. I then progressed to Provider Data Management Department to enter

provider information into Facets system so claims could be processed correctly.

8/2013 to 10/2013 Reimbursement Technologies, Inc., Conschocton, PA

Remote coded and leveled the professional side of Emergency Room records for various clients

in USA.

5/2011 to 8/2013 Wellpoint, Inc. National Government Services (NGS) Division, Syracuse, NY

Processed Medicare Part A claims via computer according to established criteria from CMS.

I was awarded a high production recognition for the months of February, March, and May, 2013.

3/2010 11/2010 Associated Medical Professionals of New York, Syracuse, NY

Processed physician bills for a large Urology group in Central New York.

03/2006 3/2010 Precyse, Inc. and KFORCE

Travel Coder Applied ICD 9 and CPT 4 codes to Emergency Room records throughout the

USA. Utilized 3M and QuadraMed Encoders and SoftMed, EPIC, McKesson and other

abstracting systems.

KFORCE, Inc.

My first travel assignment was at St. Mary’s Hospital in Amsterdam, NY. I worked on one day

surgery and ancillary records on QuadraMed’s encoder there from 3/2006 to 6/2006.

My major project for KFORCE involved working with the Guthrie Health System located in the

Southern Tier of NYS and northern Pennsylvania. I worked in 22 of their clinics where I was

working with an EPIC team to begin the conversion of their paper records to an electronic format. I

was there from September, 2007 until June, 2008.

I was then sent to Grand Rapids, MI to a facility to assist with coding ER records. This is where I

learned the McKesson abstracting system. After training/coding for 4 weeks there, I was able to

work remotely and finish the last 4 weeks of the project at home.

Precyse, Inc. 2008 2010

During 12/08 to 9/2009, I coded at Our Lady of Lourdes Hospital in Binghamton, NY. I was

initially assigned there to code ER record backlog. Since the Lourdes Coding Technicians were

attending a CCS program, I also coded inpatient records, same day surgery and ancillary records

to assist them . I had my first QA Review from a Precyse Auditor while I was here and I scored in

the 93% range.

In addition to Lourdes Hospital, I spent one month at a hospital outside Oklahoma City, OK where

I performed ICD 9 coding and abstracting on ER and ancillary records. Following this, I spent

November, 2009 through February, 2010 at a hospital in Zanesville, OH where I coded and

abstracted ER and ancillary records utilizing the 3M encoder, in addition to assisting with

correcting coding errors that were delinquent.

1999 2/2006 SUNY Upstate Medical University, Syracuse, NY

Outpatient/ ER Coder and Abstactor Applied ICD 9 and CPT 4 codes to Emergency Room

records. Abstracted and leveled these records. I also trained on One Day Surgery records. I

utilized Soft Med abstracting systems here.

SUNY Upstate is classified as a Trauma 1 facility and also has a pediatric ER. They service

several Upstate NY counties with trauma cases. I coded difficult cases as well as a high quantity

of records.

We had monthly QA peer reviews where I consistently scored over 92%.



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