Benefits Specialist Coding

Rebecca Wolfram-Hartman

Escondido, CA *****

************@*****.***

Objective: Experienced Director with a demonstrated history of working with companies to maintain compliancy

Work Experience

Compliance Specialist

Nova Consulting

January 2019 to Present

Assisting organizations to remain up to date on all regulatory and licensing requirements in accordance with company, state, and federal regulations. Policy and Procedure development, implement, and enforcement that keep a company’s products, processes, and physical sites operating in a legal and ethical manner

CCI -Administrative Coding Specialist

Solutions in Recovery

January 2018 to November 2022

Optimize revenue through utilization of most appropriate coding methods, following regulatory and insurance guidelines, Prepare reports for administration as needed to summarize coding issues, Clear applicable Epic Work Queues on a daily basis, Assist with and accomplishes Radiation Oncology and Medical Oncology pre-authorizations and pre-certifications according to departmental and interdepartmental policies and procedures, while adhering to the patient focused admissions process, Work as a team with the other Coding Specialist and Supervisor as needed,Understand the treatment plan(s) for radiation oncology and medical oncology at a level that allows for accurate pre-authorizations, Interact with the physicians and clinical team to perform timely pre-authorizations in a manner that prevents the least amount of delay for patients

Beertender

Dos Desperados Brewery - San Marcos, CA

July 2022 to October 2022

Open/Close Procedures, Engage with Customers and assessed customers’ needs and preferences and make recommendations, Compliance with ABC Laws and Regulations. Restock and replenish bar inventory, maintain cleanliness of brewery, bathrooms, and patio. Customer service, Excellent knowledge of beer and serving

Computer/register/POS.

HR/Compliance

Shoreline Recovery

November 2020 to July 2022

Maintained all HR files through web-based HR system Zenefits, Onboarding new hires, terminations, Bi- weekly payroll. Maintained all administrative compliance to remain in compliance with state and local regulations as well as The Joint

Commission.

Interim Program Director

Apex Recovery

July 2015 to February 2018

Maintained daily program needs, staff schedules. Assisted with Human resources with hiring and termination of employees. Assisted with clinical director in all program procedures and client’s therapeutic needs.

Property Manager

Smith Properties - Susanville, CA

May 2009 to March 2015

Preparing and managing budgets. Attracting new tenants through advertising, property viewings, and encouraging referrals. Interviewing tenants and running credit checks Setting rental rates, negotiating and enforcing lease agreements. Addressing tenant complaints and inspecting vacated units. Contracting and supervising repairs and maintenance work. Collecting rent, dealing with late payments, and handling operating expenses. Maintaining records of income, expenses, signed leases, complaints, maintenance, etc. Preparing reports on the financial performance of properties. Terminating leases and initiating eviction proceedings.

Education

Medical Assistant

Vocational Education Kaplan College

January 2005 to December 2006

School- Lassen High School

January 1997 to December 2002

Skills

• Skills- Strong work ethic, Microsoft word, power point and excel. Strong knowledge in the Mental Healthcare industry. Understanding of all HIPPA and OSHA regulations. Strong leadership skills, team building expertise, process management, daily observations supervision staff evaluations and trainings. Scheduling, budgets, and task delegations. ICD-10, Utilization review, VOB and Billing management

• Compliance management

• HIPAA

• ICD coding

• CPT coding

• ICD-10

• FDA regulations

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