Jacqueline Boyce

*** *. *** ******

Columbia, PA 17512

C: 717-***-****, E-mail: ad34mx@r.postjobfree.com

Professional Profile

Dedicated, detail oriented, and organized individual looking to utilize the knowledge and skills acquired in the Medical Billing and Coding Program at YTI Career Institute and 10 years’ experience with medical record/clinical data abstraction, validation, and auditing/quality management for a growth-oriented company to assist in meeting and surpassing the company goals.

Skills and Qualifications

•ICD-9-CM/MS-DRG

•CPT/HCPCS Medisoft software training

•Multi-tasking and organization Medical office administration

•Leadership and management Medical terminology

•Microsoft Office Suite 3M Encoder

Education

YTI Career Institute Lancaster, PA February 2012

Medical Billing and Coding Diploma

•4.0 GPA

•Certificate of Continuing Education for Medicare Fraud and Abuse Web – based Training

Work Experience

TISTA CDAC York, PA October 2016 -July 2023 Project Manager/Quality Specialist

•Project Management and set up of the modules processes for random selection of Inter-Rater Reliability (IRR) records.

•Compare abstractions through adjudication to determine the correct GOLD value

•Give explanations as to why the abstractor was incorrect and why the GOLD value is correct

•Compose quarterly Deliverable Report for the customer explaining mistakes made on data elements, the correction actions taken to improve accuracy, and final scores

•Email quarterly and final score to abstractors

•Maintain multiple spreadsheets that are necessary to provide accurate data and scores

GDIT

Abstractor and Validation Specialist CDAC York, PA January 2013-2016

•HAI module abstractor

•CLABSI module abstractor

•Timesheet Administrator

•Read and look over charts for accuracy

•Review and compare abstractors answers and determine the correct answer

MedExpress Lebanon, PA February 2012-January 2013 Front Office Assistant

Scheduling patient appointments

Data entry

Insurance verification

General office duties

Auto Zone Lancaster, PA

October 2011-February 2012

Commercial Customer Service Representative

Customer service

Data entry and filing

Maintains commercial accounts

Corporate Toddlers Daycare and Preschool Manager/Head Teacher

Wall, NJ May 2000-April 2007

Planned daily curriculum and scheduling

Managed assistant teachers

Handled monthly tuition fees

Maintained communication with parents

Gave tours of the facility

Facilitated school events

Accomplishments

•Received Distinguished Performance Award from GDIT

•Maintain quality productivity and accuracy scores

Volunteering/Shadowing

Southeast Lancaster Health Services Lancaster, PA January 2012 Volunteer/Shadow

14 hours of volunteer service

Contact this candidate