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Information Technology Medical

Location:
Atlanta, Georgia, United States
Posted:
December 31, 2015

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Resume:

Yolanda Holloway

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

Woodstock, GA 30188

Email: acsywk@r.postjobfree.com

H: 678-***-****

OBJECTIVE:

To obtain employment in medical coding, health information technology and/or revenue cycle management with the opportunity for advancement. My goal is to assist in maintaining effective healthcare for patients and achieve maximum reimbursement for services following federal guidelines.

MAJOR STRENGTHS:

• Highly skilled in abstracting information and assigning codes to describe each documented analysis

• Thorough understanding of anatomy, biology, pharmacology and disease management

• Knowledge of coding related to medicine, surgery and pathology

• Working knowledge of official coding conventions and rules established by AMA • Demonstrated ability to collaborate insurance companies regarding questions about claims

• Well versed with computers including MS Word, Excel, Internet and Outlook. SPECIAL KNOWLEDGE:

• CPT® • HCPCS Level II • Medical Terminology • Anatomy • Coding Guidelines

• Payment Methodologies •Surgery and Modifiers • Code Assignment ICD-9-CM • Compliance OTHER CAPABILITIES:

• Meticulous with paperwork and proofreading

• Excellent communication skills

• Able to comprehend common coding procedures

• Typing Speed: 50 WPM

• Exceptional telephone etiquette

RELEVANT CERTIFICATIONS:

• RHIT certification

• ICD10 coding Trained

EDUCATION:

Atlanta Technical College, Atlanta, GA 30316

Health Information Technology, Associates of Science Degree Graduation: June 2011

EXPERIENCE:

11/13–07/15 Wellstar Physicians Group - Marietta, GA Charge Capture II Specialist/Coder II

• Execute correction, appeals and review coding guidelines for Claim Edits

• Correct various denial edits for professional charges such as Anesthesia, Podiatry, Bariatric and Hand Surgery practices

• Ensured correct diagnosis codes are assigned to appropriate services, procedures, DME and ancillary charges

• Duties also include coding of inpatient professional charges for admission and discharge,, which included transfers to other facilities such as hospice and skilled nursing facilities

• Coding and Charge Entry of Pathology outpatient, inpatient and professional services

• Abstract data from clinical records for ICD-9 and CPT Coding purposes

• Monitor coding denials for specialty physician sites

• Correct coding errors by reviewing and abstracting records

• Responsible continuous education for coding and billing guidelines

• Coding, Charge Entry, Reporting processed through EPIC program

• 3M utilized for coding and guideline purposes

5/12–11/13 Wellstar Physician Group - Marietta, GA Insurance Follow-up I

• Ensured all eligible accounts are reviewed appealed within the designated payer time frames

• Verified that accounts are documented appropriately in the patient accounting system

• Utilized various departmental tools to report on-going problems specific to payers

• Experience with Medicare, Medicaid and various commercial billing guidelines

• Responsible for the tracking and trending of recovery efforts 08/10-12/10 Georgia Regional Hospital Atlanta, GA

Medical Record Technician/Coder (Intern/Volunteer)

• Chart assembly and quantitative analysis of patient medical records, completed

• Review and abstract diagnosis and CPT codes from inpatient patient charts

• Initiated physician query regarding missing documentation

• Initial knowledge of HIPPA regulations

11/03-07/08 Memorial Hospital of South Bend, IN

Patient Unit Assistant

• Acted as a liaison to hospital employees and visitors

• Responsible for patient admission and discharge of Pediatric floor

• Notified physicians and pharmacy of patient admission

• Responded during emergent situations

• Ensured patient charts contain necessary forms

• Maintained inventory retention records



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