Shalicia F. Walker
Montgomery, AL 36117
**************@******.***
Education:
Alabama State University Montgomery, AL
General Studies
Anticipated Graduation: May 2026 GPA: 3.50
Institute of Medical and Business Careers Erie, PA
Associate of Applied Science, Medical Records Technician
Graduation Date: November 2020
Dean’s List 2019 and 2020 GPA: 3.50
Saint Jude Educational Institute Montgomery, AL
High School Diploma
Graduation Date: May 2006 GPA: 3.57
Experience:
Jackson Hospital and Clinic Inc. Montgomery, AL
OR Technician/Surgical Technician January 2023-Current
Specialties: General Surgery, Gynecology, Urology, Neurosurgery, Labor & Delivery (C-Sections), Cardiovascular, and Ortho
Check supplies needed for each surgical case assigned
Setting up sterile tables, mayo, and ring stands for each surgical procedure while remaining sterile
Sets up sterile table with instruments, supplies, equipment, and medications/solutions needed for procedure
Performs appropriate counts with circulator prior to the operation and before incision is closed
Gowns and gloves surgeon and assistants
Drape the sterile field
Passes instruments, etc., to surgeon during procedure
Maintains highest standard of sterile technique during procedure
Holds retractors or instruments as directed by the surgeon
Cuts suture material as directed by the surgeon
Applies dressings to closed wound
Insight Global, LLC (contract assignment) Montgomery, AL
Coding Quality Analyst for Optum (UnitedHealth Group) March 2020-January 2021
Medical terminology
ICD-9 and ICD-10
HCPCS coding
CPT coding
HEDIS Abstraction (specializing in colonoscopies, mammograms, diagnostic radiology and CBP
CCS Certification
Computer skills including Microsoft Office, Adobe, etc.
Maintaining 98% coding/abstraction weekly QA scores in each measure (requirement)
Your Doctor’s Office, PC Montgomery, AL
Referral Coordinator/Medical Records Specialist/MA May 2019-February 2020
eCW, CIOX, and Exscribe PM medical systems
Medical terminology (including specialty)
Creation of patient records and auditing of patient record
Pre-Authorizations for insurance claims and referrals
Pre-Authorizations for 3rd party evaluations (imaging, laboratory, etc.)
Billing and claims (UB-04/CMS-1500)
Collection of medical insurance information and coding of patient services
Processing release of information requests
Coordinate referral appointments and verify patient insurance information
Provide administrative support and answering patient questions
ICD-9/ICD-10 Knowledge
CPT and HCPCS codes
Pharmacy Pre-authorizations (Claims and approvals)
Certifications
National Registered Certified Coding Specialist (CCS) October 2020-current
(NAHPusa.org) Certification #: 191715
References
Jennifer Daniels from Your Doctor’s Office, PC
Courtney Taylor – Jackson Hospital & Clinic, Inc.
Jesse Montgomery - LabCorp