Post Job Free

Resume

Sign in

Medical Records

Location:
Stockbridge, GA
Posted:
July 29, 2016

Contact this candidate

Resume:

WANDA JOHNSON

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

Stockbridge, Ga 30281

678-***-****

OBJECTIVE I am seeking a position in the medical field for growth and development that also offers the opportunity for professional advancement. EDUCATION and 1999 2000 Certificate of Completion, Western Technical Institute QUALIFICATION El Paso, TX

● Medical Records Coding and Health Claims Examining 1988 AHIMA

● Registered Health Information Technician

1984 1988 Associates Degree, Meridian Community College Meridian, MS

● Medical Records Technology

EXPERIENCE 2012 Present Gwinnett Medical Center: Lawrenceville, GA

● Responsible for accurate assignments of ICD 10 CM and PCS codes to all inpatient accounts to include acute inpatient rehabilitation.

● Assists with coding of unbilled charts greater than five days that appeared on the DNFB reports for accounts not yet coded.

● Creates coding queries to physicians for charts with documentation that is ambiguous, incomplete, or

conflicting.

● Notifies and consult with the CDI team to assist with obtaining information and completion of queries from physicians.

2011 2013 Maxim Healthcare Services: Columbia, MD

● Accurately code all chart types to include: inpatients in an acute care facility, outpatient day surgeries, observations, and emergency room.

● Assign codes for injections and infusions for Medicare, Medicaid, and all other commercial insurances.

● Meet the standard recommended charts per hour with a 95% accuracy rate or higher.

2008 2010 Charts in Time INC: St. Petersburg, FL

● Accurately assigns ICD 9 CM codes to all Medicare, Medicaid, and other commercial insurance inpatient accounts for maximum reimbursement in accordance with coding guidelines using Medtech abstracting system and 3M coding and reimbursement system.

● Communicates with other departments to resolve any issues that may cause accounts to be withheld from final billing.

● Appropriately code ER records and assign charge code through the charge facility ticket, OB, and inpatient for acute care facilities to include: level II trauma using the ICD 9 CM and CPT 4 codes.

2007 2009 Northside Hospital: St. Petersburg, FL

● Contributes third party insurance reimbursements through the determination of correct ICD 9 CM diagnosis,

procedure codes and CPT 4 codes.

● Reviews and audits medical records and accurately codes the principle and secondary diagnosis and procedures using 3M codefinder, ICD 9 CM and CPT 4 coding conventions.

● Abstracts and complies data from medical records to assign the most appropriate code for reimbursement within the timeframe of the set departmental standards.

● Maintain proactive and effective communication with all members of the departmental team.

● Communicates any status issues or discrepancies to Case Management Director immediately.

● Continuously evaluates process and procedures and make recommendations as appropriate.

● Verify accuracy of billing process to assure that proper documentation and billing compliance is maintained.

● Prepares daily operating reports, audits, analyzes, and follow through to ensure that it is accurate and complete.

● Performs Benchmark Analysis and Quarterly Coding Analysis.

2003 2007 Jeff Anderson Regional Medical Center: Meridian MS

● Conduct and document concurrent admission and follow up audits and coding reviews for each record on admission and intermittently as the patient’s conditions changes.

● Interact with the nursing staff, nursing unit secretaries, social services, ancillary staff, and business office informally to insure accurate ICD 9 and CPT4 code

assignment, payment methodology assignment, medical record documentation, and efficient work flow.

● Directly input required data, ICD 9, and CPT4 codes, with the specified time frame, into the information system to complete the patient abstract and to expedite the billing process.

● Contribute to hospital data integrity by maintaining knowledge of current rules and regulations addressing data reporting requirements, ICD 9 and CPT4 code assignment and DRG, APC, and APR DRG grouper methodology.

● Perform in a timely manner hospital compliance

management by editing Medicare claims for discharge depositions, appropriate observation billing, analysis of NCCI edits, and various other assigned audits.



Contact this candidate