Medical Customer Service

Kelli Shannon Ochoa

***** ***** ****** **** ******, Davie, FL 33325*954-***-****, ***********@*****.***

OBJECTIVE

Seeking a position as an employee to continue my development involving responsibility, working with others as part of a team to achieve advancement and growth for the company.

EDUCATION

1996- 1997: Keiser University

Associate of Science Medical Assisting FT. Lauderdale, FL

LICENSURE

CPC Affiliated with AAPC LIC # 01368048

PROFESSIONAL EXPERIENCE

Provided Patient care in medical office, Laboratory Procedures, prepare patients for examination, procedures and treatments, take vital signs, assist with physical examinations, and perform electrocardiograms. Auditing Charts for MRA & HEDIS. Educating Physicians and staff capturing HEDIS measures and assisting billing staff with the coding process.

2014/Present: Regional Medical Associates Sunrise, FL

HCC Coder

Ensure the accuracy, appropriateness, completeness, and specificity of diagnosis codes based on services rendered.

Provide physicians with recommendations to improve documentation.

Perform random audits of medical records to ensure documentations are legible and complete.

Create problem list to address all HCC ICD-10 codes and HEDIS quality indicators for each reporting period per CMS requirements.

Working closely with medical staff and other departments to create a complete and accurate medical record

Participate in staff meetings and ICD-10 training sessions that include, but are not limited, to anatomy and physiology and coding guidelines.

Ability to work independently in a fast paced, high growth environment

Attend continuing education classes to maintain proficiency and coding credential

2013 /2014: Regional Medical Associates Sunrise, Fl.

Referral Coordinator

Issuing authorizations for Inpatient and Outpatient Procedures

Verifying Benefits and Eligibility for members.

Accurately enter referral information into the computer system with a thorough understanding of the correct system codes as well as, CPT codes and ICD-9 codes that will support the referral.

Responsible for assuring that all pertinent documentation and x-ray is forwarded to the consulting provider as needed.

Develops and maintains excellent record keeping systems (Denials / pending queries).

Maintains confidentiality of records, patient, employee or medical center information at all times

Provides excellent customer service and follow up on both positive and negative feedback

1996-2013: Associates M.D Plantation, Florida.

Medical Assisting/Medical Coder

Assisting physician during procedures, and taking patient vital signs

Preparing patients for medical tests and examinations

Work with patients in a clinical contact and schedule patients for diagnostic testing

Prepared medical charts and records for patient visits and track and file test result s or report prior to patient visits

Provided referrals and authorizations for procedures and scheduled clients for upcoming appointments

Reviewed medical record information to identify all appropriate coding based on CMS HCC categories.

Identified Coding issues and assigned notes of explanation indicating the reason for additional research.

Work collaboratively with providers to validate ICD-9 for HCC codes and analyzed code diagnostic information within a patient's medical record based on client specific guidelines.

Computer Skills

Microsoft word, word perfect, excels, power point, outlook, and internet applications, EMR and other medical office applications.

References available upon request.

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