RESUME

ROCHELLE ANNETTE OBA

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

Missouri City, Texas 77489

Home Telephone: 281-***-****

Cell Phone: 281-***-****

JOB A position as a Credentialing Specialist with a Health Care Organization.

OBJECTIVE:

WORK

EXPERIENCE:

April 2013- Program Support Assistant. Michael E. Debakey VAMC, Houston, Texas

Present Responsibilities: Verifies credentials of assigned staff in a timely and accurate

manner. Trains staff as needed at all levels of the medical center on the

process/software utilized for verification of credentials. Maintains appropriate

electronic and paper records. Responds to action items and other inquiries

promptly and by assigned deadlines.

August 2001- Medical Record Technician. Michael E. Debakey VAMC, Houston, Texas

April 2013 Outpatient Coder/Auditor Responsibilities: Assignment of ICD-9-CM, CPT and

HCPCS codes that accurately describe the care provided by a physician/

provider for that encounter/visit for submission into the National Patient Care

Data Base.

February 2001 - Coding Compliance Specialist. Kelsey Seybold Clinic, Houston, Texas.

August 2001 Responsibilities: Abstract and code pertinent medical data into multiple software programs. Perform coding compliance reviews. Provide

feedback and education to physicians and professional staff regarding

changes in coding methodology. Send coding queries to providers to request missing information.

March 1999 - Senior Coding Specialist. University of Texas Health Science Center,

April 2000 Houston, Texas. Responsibilities: Medical coding of gastroenterology

and pulmonary charges utilizing ICD-9-CM and CPT-4 coding

classification system. Charge entry. Work with physicians (both verbally

and in writing) to resolve coding issues in their departments.

Knowledgeable in Medicare, Medicaid guidelines and regulations.

December 1995 - Clinical Coding Team Leader. University of Texas MD Anderson Cancer Center

March 1999 Houston, Texas. Responsibilities: Oversee processing of clinic

professional charges including updating of procedure and diagnosis

codes in computer files, coordinating reports and maintaining charge

form files. Work with physicians (both verbally and in writing) to resolve

coding issues in their department. Monitor Medicare reimbursement.

Generate daily production report. Hire, train and supervise Clinical

Coding Specialists. Annually evaluate coding personnel.

August 1994 - Lead Coding Specialist. ACS System, Inc. Houston, Texas.

December 1995 Responsibilities: Medical coding of evaluation and management

services, pathology/laboratory, radiology and surgical services, utilizing

ICD-9-CM and CPT-4 coding classification system. Knowledgeable in

Medicare, Medicaid guidelines and regulations. Supervised and trained

insurance specialists in coding of physician charges.

June 1993 - Coding Specialist. University of Texas MD Anderson Cancer Center.

August 1994 Houston, Texas. Responsibilities: Medical coding of surgical cases,

Charge forms and medical record reports, utilizing ICD-9-CM and CPT-4

coding classification system.

May 1992 - Collection Representative. FMA Enterprises, Inc., Houston, Texas.

April 1993 Responsibilities: Collections: medical, retail and bank card files, using

automated collection system. Knowledge and compliance with the

FDCPA (Fair Debt Collection Practice Act).

RESUME

PAGE TWO

January 1992 - Business Office Manager. Rosenberg Medical Clinic, Rosenberg, Texas.

April 1992 Responsibilities: Supervise medical clinic receptionists and billing clerks.

Manage computerized billing system for timely submission to third party payers.

Insure capture of patient statistics and supervise patient intake and exit from

Clinic.

February 1991 - Physician Reimbursement Specialist. Medical Networks, Inc., Humble, Texas.

December 1991 Responsibilities: Auditing emergency department medical records, monitor

Medicare, Medicaid and other industry changes and review insurance company

Reimbursement requirements. Interface with physicians, monitor their

Performance regarding charge documentation and proper follow-up. Utilized

ICD-9-CM and CPT-4 coding classification system.

December 1984 - Section Coordinator. University of Texas Health Science Center, Houston

January 1991 Texas. Responsibilities: Supervise and train Claims/Correspondence

employees. Prepare daily schedule of duties for eight employees, monitor

progress, production, and evaluate performance. Establish and enforce policies

and procedures, prepare and review production report. Compile statistical

report on Third Party Reimbursement.

Reimbursement Specialist. Responsibilities: Supervise and train admin-

istrative clerks. Billing and collections in a large hospital emergency

room, filing insurance claims, handling charge protests, payroll for staff

and attending physicians. Utilized ICD-9-CM and CPT-4 coding

classification system.

Administrative Clerk. Responsibilities: Insurance verification, patient

registration, outpatient billing and collections, bookkeeping and

financial, counseling of patients. Utilized ICD-9-CM and CPT-4

coding classification system.

May 1984 - Medical Secretary. Veterans Administration Medical Center,

December 1984 Houston, Texas. Acted as evening supervisor and trained new medical

secretaries, transcribed and typed patient reports, reviewed and

assembled patient charts.

EDUCATION: B.A., Business Administration, 1982, Grand View University,

Des Moines, Iowa.

Certified Professional Coder, 1996, American Academy of Professional

Coders. ICD 10 Certified, 2015

Certificate in HITECH Grant Trainer Curriculum, 2011, HCC

Coleman College for Health Sciences.

Certificate in Medical Terminology and Anatomy/Physiology, 1993,

University of Texas MD Anderson Cancer Center, Houston, Texas.

Certificate in Medical Terminology and Anatomy/Physiology, 1986,

Baylor College of Medicine, Houston, Texas.

REFERENCES: Available upon request.

.

Contact this candidate