Medical System
Resume:
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.
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