Medical Billing

TEGINA WILLI AMS

CONTACT INFORMATION

Name: Tegina Williams

Phone: 646-***-****

Location: Woodland Hills, CA

E-mail: acp7nm@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

• Typing 45 WPM

• Assemble and analyze health information data for completeness, consistency and compliance with

HIPAA and JCAHO standards

• Abstract and analyze medical and related data.

• Auditing billing statements for accurate reimbursement. Confirming Medical Necessity for claims.

• Knowledge of medical terminology.

• Knowledge of diagnosis and procedures coding.

• ICD-9-CM, CPT4, HCPCS Coding,

• Knowledge of preparing appropriate claim documents.

• Proficient in assigning appropriate medical codes to diagnosis and services.

• Ability to work and communicate in a positive and cooperative manner.

EDUCATION

Career Step – 635 HR Program AHIMIA Approved Provo, UT

•Inpatient/Outpatient Medical Coding and Billing Program Graduated: 10/21/2014

•ICD 10-CM/PCS Training 140 HR

Midwest Education Group – On Campus 150 HR/Practicum Chicago, IL

•International TEFL/TESOL Professional Certificate Graduation: 6/1/2013

Winter Park, FL

Full Sail University

Graduated: 10/07/2010

•M.S. Business Entertainment

American Intercontinental University Schaumburg, IL

Graduated: 07/01/2007

•B.A. Business, emphasis: Management

CERTIFICATIONS

● Medical Billing and Coding Certificate 2015

● Microsoft Certified Professional (MCP) Windows Server 2005

● Comptia (A+ Certification) 2005

HIM / COMPUTER SKILLS

● CPT® ● Code Assignment ICD-9-CM Coding Guidelines

●

● Payment Methodologies HIPPA Compliance

● Medical Terminology ●

● Surgery and Modifiers

● Anatomy HCPCS Level II

●

3M Encoder

● Microsoft Office Suite ● NextGen 5 Financials ●

Affiliations and Memberships: AHIMA and AAPC since 2015

PROFESSIONAL EXPERIENCE

MELISSA MEMORIAL HOSPITAL Holyoke, CO

Inpatient/Outpatient Medical Coder Specialist 03/2015 - Present

• Accurately assign ICD-9-CM Volume l, ll, lll, CPT, HCPCS Level ll to appropriate medical

charts/claims and find medical necessity as per Medicare guidelines for the following: Family

Practice of Holyoke Clinic Visits, MMH Outpatient Visits, EMD Visits, Specialty Clinic visits,

Observation Stays, Inpatient Stays and Swing Bed Stays.

• Review charts for correct admit/discharge dates and entered proper surgery dates.

Comply with regulations and requirements for coding guidelines and CMS policies.

Auditing

• Accurately audit charges for all claims. Includes adding or removing charges as necessary per

documentation in corresponding medical record.

• Assists with prior authorizations for the facility as well as assisting with scanning of patient records.

COLLINS CODING CONSULTANTS Englewood, NJ

ED Coder Consultant 02/2012-02/2014

• Assigned appropriate ICD-9-CM, CPT/HCPCS diagnosis and procedure codes to ER

medical records utlilizing correct coding guidelines and conventions.

• Abstracted charts for admit, discharge dates, surgery, medications and POA determination.

• Utilized various coding books, procedure manuals and on-line 3M encoder.

HOWLLAND BOOKS LLC Hollywood, CA

Creative Director of Animated Series/Publisher/Author 05/2008-02/2012

• Created successful Health Education Awareness publication and Books.

• Story development, character conception and design direction of children’s book titles.

• Through character development, I was able to create trending children’s products for schools K-

6, hospitals and pediatricians offices.

• Directed the design and development of entire book series and website with a strong focus on

children’s health education awareness that is visually exciting, Interactive fun and makes

children want to learn.

• Developed-marketing partnerships with various local businesses in order to create brand

awareness resulting in a substantial reduction in marketing costs.

FARANTINO INC New York, NY

Director High-End Luxury Import and Distribution/Human Resource Dir. 06/2005-02/2008

• Directed merchandise picks and handled logistics of procuring merchandise

Internationally. • Developed various marketing collateral for monthly events held in NYC’s

Waldorf Astoria.

• Responsible for recruiting, orienting, training and supervising 50 staff, was able to reduce staff

turnover from 68% to 14% by improving staff orientation and training, professional development,

and mid-level management coaching based on incentives and motivational moral.

• Cultivated a relationship with media outlets to promote sales regionally and to become the

featured sale event. Media Buys from Fashion Media Promotional Firms such as (Top Button.com,

Lazar Media, JuliB).

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