Medical Records Coder
Resume:
Jenesia Shannon
Charlotte, NC *****
**********@*********.***
CPC®-certified medical coder with 2+ years of professional experience in application and evaluation of various code sets. In previous roles abstracted and assigned ICD and CPT codes to patient medical records, maintaining 97% accuracy per 150 daily claims. Seeking to leverage coding guidelines knowledge and strong analytical skills to implement smooth coding service at NC Hospitals and Clients. Accurately assigned ICD and CPT codes to patient medical records. Reviewed patient charts and identified discrepancies in the medical documentation. I am currently AAPC accredited 2 years of medical coding experience since 2017. Interpreted medical terminology (especially related to diagnostic radiology) in order to translate it into the coding software. Analyzed DRG assignments using ICD-9-CM codes. Managed accurate and timely coding, billing and evaluate patient’s entire medical records and ensure completeness as well as code accuracy for diseases, conditions, and treatments. Utilize 3M coding software to translate diseases process administered during hospitalization. Communicated with insurance companies regarding the updates in invoices Strong written, oral, communication, interpersonal and relationship-building skills. Authorized to work in the US for any employer
Work Experience
Leasing Specialist/Assistant Property Manager
LSA Management-Charlotte, NC
January 2023 to Present
Greet all residents, future residents, and internal team members in a professional and consistently positive manner. Keep a high level of service in mind with every task while resolving conflict to benefit all concerned parties. Tour apartment homes and community grounds including models, amenities, and vacant apartments. Prepare lease documents and related paperwork for management. Facilitate the move in/move out process. Basic bookkeeping and clerical work. Promote positive resident relations. Respect the boundaries of confidentiality, fair housing, laws and safety. Execute on site marketing and advertising directives. Follow standard office procedures. Open models and inspect the tour path. Orient oneself with the property and surroundings. Accept maintenance requests and handle resident calls. Assist residents with rental, move-in, and renewal paperwork. Assist with any other office function that may be delegated by the community manager or other staff members. Answer telephones and provide exceptional service. Create a sense of urgency when making appointments for future residents to visit the community. Complete telephone and on site guest cards/traffic reports. Be able to ask for the sale. Complete follow up. Email correspondence with current and prospective residents and vendors of the property.
CPC
Urology Associates-Charlotte, NC
August 2022 to January 2023
Review and process medical claims and procedures for physicians' offices, clinics and hospitals. CPC coders accurately abstract, code and electronically record into the 3M Coding & Reimbursement System and the coding abstracting system.
Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses ICD-10CM, procedures CPT, and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance
CPC
Metrolina Nephrology Associates-Charlotte, NC
March 2022 to August 2022
Review and process medical claims and procedures for physicians' offices, clinics and hospitals. CPC coders accurately abstract, code and electronically record into the 3M Coding & Reimbursement System and the coding abstracting system.
Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses ICD-10CM, procedures CPT, and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance
Financial Navigator
Novant Health-Huntersville, NC
July 2021 to March 2022
Process birth certificates for new moms. Sending them to vital records and notarizing affidavits for wedlock births. Also my job requires to go to patient rooms and do upfront billing and collections on unpaid hospital accounts. Notarize affadavits for the state of North Carolina Vital Records D Medical Billing and Coding Specialist
Atrium Health-Charlotte, NC
February 2012 to July 2021
Review patients medical records to identify the appropriate CPT, HCPS, and modifiers. Demonstrates the technical competence and its interface with the hospital mainframe and EMR setting. Service the coded data and ensures the accuracy of data and input. Performs accurate and complete assignment of ICD-10-CM diagnosis and procedure codes for optimal reimbursement with allowable guidelines as well as CPT on cases where required. Overseas the coding compliance of CHS
Reviews and studies information from the third party payers on claim filing, coding and adjudication process.
Analyses the revenue and reimbursement data to make sure financial improvement opportunities are maximized
Patient Account Rep II
Carolinas Healthcare Systems-Charlotte, NC
October 1999 to February 2012
Perform and maintain electronic claims processing correcting claim edits that come through as a denial from the Managed Care Insurance Plan. Also, participate in performance (improvement) activities. Manages time, prioritizes all assignments and effectively meeting productivity goals and quality.
• Responsible for uploading new payer contracts and resolve issues and support regarding enrollment for CHS and PBO.
• Complete follow up with insurance companies regarding patient's accounts
• Verifying of Government Insurances such as Medicaid and Medicare. My job title has transitioned into Availity, which is processing of electronic claims via Avality Electronic Claims System from Real Med Clearing House
• Provides resolution issues with denials and obtaining verification of eligibility via telephone calls or hospital database.
• Manages time with assignments and prioritizes functions effectively.
• Prepare, review, and updated of electronic provider directories and other information buy managed care organizations.
• Processes electronic and paper provider applications to complete the credentialing and re-credentialing process for CPN
• Billing for Healthy @ Home, Cpap, oxygen and medical beds.
• Accurately and clearly, documents work status in the MOD system. Education
Bachelor's Degree in Arts
University of Phoenix - Charlotte, NC
September 2013 to September 2013
High school diploma or GED
South Mecklenburg High School - Charlotte, NC
August 1990 to June 1992
Skills
• Medicare insurance guidelines CMS
• HCPC Level I, II codes
• GECB Database
• HBOC Star
• Brightree (10+ years)
• Clerical Experience
• Customer service
• Real med
• Citrix (10+ years)
• Active Directory
• Anatomy & Physiology I, II Course
• Medical Terminology I. II
• 10-key by 10
• Medical coding
• Managed Care
• Transcription
• CPR Plus (10+ years)
• Triage
• Insurance Verification (10+ years)
• MOAD
• ICD-10 (10+ years)
• Accounts payable
• Accounting
• Decision making and problem solving
• Laboratory Experience
• Medical Records Clerk
• EPIC (10+ years)
• HIPAA
• 000 strokes
• CPT coding
• Medical terminology
• Accounts receivable
• RMA (7 years)
• Experience Administering Injections
• Typing
• HCPCS
• Medicare/Medicaid Verification Application
• English
• ETM
• People Soft Applications
• Microsoft Excel
• Paramedical Examiner (5 years)
• Anatomy Knowledge
• Employee Orientation
• Project management
• Case management
• Java script
• Operating systems
• Auditing
• Canopy
• ICD-9CM AND ICD-10CM CPT coding (10+ years)
• Analytical Skills
• Availity
• Hotkey
• Kronos
• Medical Coding & Billing Reimbursement Specialist
• Data analysis skills
• IDX Cerner-EMR
• Medical Billing (10+ years)
• SharePoint
• Medical Scheduling
• Acute care
• Microsoft Office
• Medical Office Experience
• ICD-9
• Documentation review
• Hospital Experience
• Emdeon
• Staff ware
• Standardized classification workflow
• CPR Certified & BLS American Heart Association
• Data Entry and management
• Healthcare Admin, Contracts/Credentialing (10+ years) Links
https://www.linkedin.com/in/jenesia-shannon
Certifications and Licenses
Certified Professional Coder
RMA
Certified Notary Public
CPR Certification
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