Betty DuBose RHIT

**** ****** **** ****, *** **05, Atlanta, GA 30318 Phone: 404-***-**** Email: acuijy@r.postjobfree.com

QUALIFICATION HIGHLIGHTS

ICD-9-CM and CPT Coding- currently updating ICD -10 **

HIPAA Regulations –(ROI)

ELECTRONIC MEDICAL RECORD-HYBRID CHART Scanning QA Auditor, Indexing EMR

Chart Control, Access, off site etc.

Tracking, Assembly, Chart Reviews, Action Plans

Credentialing process and procedures on all levels

LTRAX data entry management (HEDIS) Boot Camp

Provided training to 10 staff members for LTRAX to ensure CMS standards. Clinical Data Analysis, Extraction to submit.

Very detail and organized, Team Builder and Motivational on all levels of Health Information. Empowers effective workflows.

Ability to resolve and/or escalate issues appropriately, in a timely manner

PROFESSIONAL EXPERIENCE

Corizon Healthcare Atlanta, Georgia

Health Information- EMR-Specialist Feb. 2015-Present

Prep, Scan and Index all Medical Records forms for the EMR. (Daily)

Retrieve OPC and Process all (RIO requests.) Purge (released files)

Process all patients Medical records in the EMR formation-

Select Medical Corporation Atlanta, Georgia

Health Information/Credentialing Manager 2005 – May-July 2014

Clarified codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others to get additional information and by participating in the coding team's regular meetings. (PPS) Retrieved all updates to scan for updates.

Started the ELECTRONIC MEDICAL RECORD-HYBRID CHART with the Medication phase, train Physicians to review information. Hybrid chart

Work collaboratively with patient account department to ensure accurate billing and resolve claim denials and medical- necessity issues. Scanned all request in a time sensitive manner.

Quality Assurance Management- Processed all FPPE and OPPE for MEC and Governing Board reviews and approvals. Prepared documents for Credentialing Committee review. Entered reports into Lotus notes to formulate Quarterly reports.

Collected and maintained files in relation to credentialing of network providers, including application, contacts, current physician licenses, DEA licenses, malpractice insurance, board certifications and other pertinent forms. Verified the recorded information and check the contents for accuracy scanning.

Coordinated credentialing and re-credentialing applications and conducted document research, Reviewed provider files for appropriate required for the credentialing process.

Maintained confidentiality of the patient's medical data. Checked for valid information before extending information. (RIO)

Prepared files for audits and maintained electronic data input activities for scanning.

Maintained and ensured all the dictation was filed in the proper paper chart.

Assist with completion of Death registrar time sensitive process.

Collaborated with other department management to ensure all the patients were receiving quality services.

Strong Analytical Skills, Provided leadership for the Medical records and focused on all daily operational work-flow.

Select Medical Corporation Savannah Georgia

Medical Records/ Credentialing Coordinator September 2002-May 2005

Managed the entire Medical records department initial 3 years without hiring assistance. Maintained active and discharged medical records. Entered paperwork into the appropriate patient charts, answered switchboard, sent out medical records to those who requested them, filed and pulled charts for audits, Scanned daily to ensure standard workflow. Performed filing of nurse notes, lab reports, resident charts and other related data confidentiality, Retrieval and processed all RIO claims. Maintain Credentialing updates on all levels.

Submitted applications to manager, medical directors and Credentialing Committee for review, Approved letters

Performed credential verification and requested information from appropriate NPDB etc.

Candler/St. Joseph Health Systems Jan 2001 – May 2005

Analyzed medical records to ensure all required documentation present for usage for attending physicians or other staff.

Corrected documents returned from transcription and prepared them for doctor's signature.

Retrieved all medical records from clinic nursing stations for Discharge processing.

Quality checked forms for accurate patient information, misfiles, removed while assembling.

Protected the security of medical records to ensure confidentiality of the patient’s personal information.

Released information to individuals, agencies in compliance with appropriate regulations according to HIPPA.

Memorial Hospital Savannah, Georgia

Medical Records Technician II Jan 1991 – Oct 2002

Processed patient admission and discharge documents filed in charts.

Reviewed records for completeness, accuracy and compliance with regulations.

Compiled and maintained patients' medical record to document condition and treatment provides data for research projects.

Retrieved charts for Research for data collection and checking coding compliance.

Retrieved Patient charts for 20 on going clinic aftercare visits. Checked in charts and return to designated areas.

Performed all necessary duties in the Medical records file room

EDUCATION/CERTIFICATIONS

OGEECHEE TECHNICAL COLLEGE

COMPLETED FULL-TIME HEALTH INFORMATION PROGRAM

QUALIFICATIONS INCLUDE:

Statesboro, GA

REGISTERED HEALTH INFORMATION TECHNICIAN (RHIT) CERTIFICATION

AAS DEGREE IN HEALTH INFORMATION TECHNOLOGY 0020820 CERT. #

(PENSACOLA STATE COLLEGE) Pensacola, FL

LIBERAL ARTS DEGREE

COMPUTER SKILLS

Microsoft Office Suite: Word, Excel, PowerPoint, Acess,Outlook,MS Project, Internet Explorer, LOTCUS Notes, Scanner FUJITSU-7160, Encoder and Cerner Information System, HMS Information system, All Credentialing websites for mandatory verifications CACTUS. Experienced multiple EMR Systems, CorrecTec, Epic, HPF, Cerner, Meditech and 3M. CorrecTec –EMR Scanner.

Ability to use fax, copier, microfilm machine, and multiline phone system and other required work tools

PROFESSIONAL CONTRIBUTIONS

Organized the opening of the first LTCH in Savannah, Georgia

Helped hospital pass 5 JCAHO inspections by consistently meeting JCAHO requirements.

Earned employee recognition award in for accurate records management contributing to positive JCAHO survey.

2012 passed JACHO survey at Select Medical Midtown and Regency South Atlanta managed both facilities.

Process all levels of Credentialing, Picture ID is absolutely mandatory to prevent identity theft.

Implantations effective workflows with the EMR system.- Corizon Healthcare

Contact this candidate