TERRI SMITH

**** ***** ****,*** *., Lancaster, Pennsylvania 17603 C: 717-***-**** ad1xzo@r.postjobfree.com

PROFESSIONAL SUMMARY

Organized Medical Professional with foundation in records management. Experienced in Abstraction procedures. Advanced medical terminology knowledge. Medical billing and coding

specialist with 25 years providing administrative and patient support in Hospital, Long-term/Rehab

,homecare and medical office settings. Advanced knowledge of private insurance processes and codes. Efficient

Medical Administrative Assistant skilled in tackling administrative and patient-oriented tasks in a fast-paced

environment.

SKILLS

Accomplished leader BAC screen/drug screen collecting

Analytical thinker ICD-10 (International Classification of Disease

Quality improvement competency Systems)

Supervisory training Records management professional

Knowledge of Medicaid statutes and regulations Patient chart auditing ability

WORK HISTORY

Lisenced Practical Nurse- Clinical EMR Abstractor, 07/2012 to 09/2013

JFC Medical – Camp Hill, PA

Abstracted inpatient and outpatient charts into electronic medical record software at a rate of 15-40 charts per

day.

Precisely completed appropriate claims paperwork, documentation and system entry.

Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and

knowledge.

Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test

results, home care forms).

Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical

documentation.

Entered orders into the EMR system efficiently and without errors.

Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of

recorded data.

Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient

medical records.

Maintained strict patient and physician confidentiality.

Interacted with providers and other medical professionals documentation policies, procedures and

regulations.

Treated all patients, their families, visitors, staff and providers in a pleasant and courteous manner.

Accurately posted surgeries, hospital visits for assigned carriers.

Lisenced Practical Nurse-Assitant Charge Nurse, 03/2008 to 01/2009

Conestoga View Nursing and Rehab – Lancaster, PA

Scheduled appointments, registered patients and distributed pharmaceuticals as prescribed.

Precisely completed appropriate claims paperwork, documentation and system entry.

Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and

knowledge.

Professionally and courteously verified appointment times with patients.

Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test

results, home care forms).

Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical

documentation.

Adeptly managed a multi-line phone system and pleasantly greeted all patients visitors.

Verified patients' eligibility and claims status with insurance agencies.

Prepared patient charts accurately and neatly for the clinic.

Prepared patient charts, pre-admissions and consent forms as necessary.

Compiled necessary documents for surgical billing packages.

Determined prior authorizations for medication and outpatient procedures.

Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of

recorded data.

Researched questions and concerns from providers and provided detailed responses.

Maintained strict patient and physician confidentiality.

Initiated, performed and documented quarterly coding audits for physicians.

Updated patient financial information to guarantee accuracy.

Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.

LPN Homecare, 01/2001 to 02/2008

Bayada Nursing Agency – Lancaster, PA

Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.

Precisely completed appropriate claims paperwork, documentation and system entry.

Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and

knowledge.

Professionally and courteously verified appointment times with patients.

Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test

results, home care forms).

Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical

documentation.

Verified patients' eligibility and claims status with insurance agencies.

Prepared patient charts accurately and neatly for the clinic.

Prepared patient charts, pre-admissions and consent forms as necessary.

Coordinated Meetings with all healthcare personel involved.

Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of

recorded data.

Accurately selected the proper descriptive code when more than one anatomical location was indicated.

Maintained strict patient and physician confidentiality.

Submitted electronic/paper claims documentation for timely filing.

LPN-Sales consultant, 05/1995 to 07/1996

Precision Healthcare – Cherry Hill, NJ

Scheduled appointments, registered patients and distributed Durable medical equipment as prescribed.

Precisely completed appropriate claims paperwork, documentation and system entry.

Correctly coded and billed medical claims for various hospital and nursing facilities.

Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and

knowledge.

Professionally and courteously verified appointment times with Physical therapy departments

and patients.

Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test

results, home care forms).

Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical

documentation.

Maintained updated knowledge of coding requirements, through continuing education and certification

renewal.

Prepared patient charts accurately and neatly for the clinic.

Diligently filed and followed up on third party claims.

Prepared patient charts, and consent forms as necessary.

Determined prior authorizations for Durable medical equipment and patient sizing procedures

Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of

recorded data.

LPN-Assistant Quality Improvement Coridinator, 10/1994 to 03/1996

Golden Slipper Uptown Home of Philadelphia – Philadelphia, PA

Precisely completed appropriate claims paperwork, documentation and system entry.

Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and

knowledge.

Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test

results, home care forms).

Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical

documentation.

Maintained updated knowledge of coding requirements, through continuing education and certification

renewal.

Adeptly managed a multi-line phone system and pleasantly greeted all patients.

Verified patients' eligibility and claims status with insurance agencies.

Prepared patient charts accurately and neatly for the clinic.

Prepared patient charts, pre-admissions and consent forms as necessary.

Assigned appropriate medical codes with a 99 percent accuracy rate.

Determined prior authorizations for medication and outpatient procedures.

Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of

recorded data.

Researched questions and concerns from providers and provided detailed responses.

Accurately selected the proper descriptive code when more than one anatomical location was indicated.

Maintained strict patient and physician confidentiality.

Resourcefully used various coding books, and procedure manuals .

Initiated, performed and documented quarterly coding audits for physicians.

Interacted with providers and other medical professionals regarding billing and documentation policies,

procedures and regulations.

Accurately posted and sent out all medical claims.

Submitted electronic/paper claims documentation for timely filing.

Responded to correspondence from insurance companies.

Confidently and adeptly handled claim denials and/or appeals.

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining

balances not covered under their policies when applicable.

Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.

EDUCATION

Associate of Science: Practical Nursing, 1989

Lancaster County Practical Nursing Program - Willow Street, Pa

ACCOMPLISHMENTS

Patient Charting -

Retrieved and re-filed patient charts in proper sequence to maintain organization and up-to-date

paperwork information.

Management Support

Ensured smooth operations by supporting executive team.

Training

Responsible for training all new employees to ensure continued quality of customer service.

File Management -

Prepared monthly reports for records, closed terminated records, completed final audit of charts

and insured that all documentation has been received and filed.

Billing -

Cooperated with Medicare, Medicaid and private insurance providers to establish relationships

and resolve billing issues.

Vendor Management

Negotiated low vendor rates, delivery, setup, and training for various durable medical supplies.

Data Reporting -

Compiled statistical data, such as patient admissions, discharges, deaths, births and types of

treatment given.

Data Entry -

Reviewed and updated client correspondence files and scheduling database.

Scheduling -

Organized 140 nursing schedules for patient/ facility requirements.

Data Entry -

Reviewed and updated client correspondence files and scheduling database.

Technology Proficient -

Developed a strong knowledge of hardware and software while keeping abreast of new applications that

increased efficiency and productivity for management and clients.

Human Resources -

Recorded and filed employee benefit, salary and annual evaluation information.

CERTIFICATIONS

Non Active Pennsylvania LPN license in good standing

ADDITIONAL INFORMATION

Employment history is a brief highlight,any further information required will be provided as needed, at time of

interview.

Contact this candidate