Location: *** Christman Rd., Kutztown, PA, ***** Phone: 443-***-**** Email: addgcl@r.postjobfree.com

Karena Sims

BACKGROUND SUMMARY

Motivated, accomplished and certified medical/ administrative professional. Possesses years of outstanding interpersonal and problem-solving skills. Experience in medical auditing and coding. With other medical related training. Experience

12/26/19 – Present Ciox Health Remote – GA

09/2015 – 1/1/2019 Precyse/nThrive Remote – GA

Medical Coding Specialist

Knowledge of HCPCS, CPT, and ICD- 9/10 standards and applying them. Medical coding in inpatient and outpatient. Worked with several facilities including Centura (2015), UNMH (2015/2016), Wake Forrest (2017).

ED, Opth, Anticoagulation, PCP, Nephrology, OBGYN, Cancer, Cardiology/Cardiovascular, Renal, Derm, Digestive disease, Pediatric, Neuro and Speech, BH/Psych, Medicine, Urgent Care, Cath/EP lab and Pulmonary.

Monitoring and reviewing medical charts, keeping updated on AAPC guidelines and compliance. Attention to detail, communication with doctors and staff, and billing knowledge. Medical Terminology 04/2014 – 09/2015 ELAP Services Chester Springs, PA Medical Coding Auditor

Knowledge of HCPCS, CPT, and ICD- 9/10 standards and applying them. Medical coding/ auditing in all fields of inpatient and outpatient facilities for Medicare related insurance.

Experience in ASC, PCP, AMB, PSYCH, INPT HOSP, OUTPT HOSP, HOSPICE, SNF, DIALASYS, HHA, DRG.

Monitoring and reviewing medical charts, invoicing, claims processing, data entry, and auditing of claims.

Attention to detail, communication with doctors and staff, and billing knowledge. Medical Terminology. 03/2012 - 08/2013 JFC Medical – Hershey Medical Center Camp Hill, PA Medical Coder

Knowledge of HCPCS, CPT, and ICD- 9/10 standards and applying them. Medical coding in inpatient, outpatient, cardiology, ER, E/M, ID, IM, neurology, infusion, and cancer center experience.

Monitoring and reviewing medical charts, keeping updated on AAPC guidelines and compliance.

Attention to detail, communication with doctors and staff, and billing knowledge. Medical Terminology. 07/2012 – 12/2012 Wal-Mart Inc. Shrewsbury, PA

Pharmacy Technician

Application of medical billing, medical terminology, and data entry functions.

Customer service, communication skills, attention to detail, medication knowledge and prescription filling duties. 08/2011 – 03/2012 AeroTek – Hanover Hospital Hanover, PA Medical Biller/ Coder

Submitting insurance forms, handles coding and billing issues for MA, MC, BC/BS and Commercial billers.

Gaining information and formulating appeals. Applying problem solving skills to process billing using UB-O4, 1500, HCFAS, 5010 and other billing forms.

Knowledge of medical terminology, application of HIIPA regulations, attention to detail and organizational skills. 03/2011 – 07/2011 Hanover Hall Nursing Hanover, PA CNA

Provides resident care and well being checks while maintaining policies and procedures.

Charting any and all care done, delivering and monitoring care and proper communication to charge nurse/ supervisor of any concerns or questions regarding residents. Education

South University 09/2016 – 11/2017 Bachelors in HIM and Health Administration Ultimate Medical Academy 11/2011- 8/2012 Medical coding/billing diploma Associates of Applied Science

Community College of Baltimore County 06/2005 – 01/2009 Veterinary Tech Program Certifications

Certified Nursing Assistant Registration Number: 10036574 Expiration: 05/17/2023 Certified Professional Coder Registration Number: 01210823 Expiration: 05/18/2020 Certified Self-Funding Specialist Registration Number: None Expiration: None Technical Skills

Programming used: EPIC, EM, Citrix,Navinet, Promise, RAS, HIM, Trucode, 3M, Netscaler, Citrix, Kronos, burgess, Invidasys,Force, AHD, NextGen, Epremis, SMS/ Signature, Cerner, Connexus, Powerchart, Eclipsys, SAS, and Infinity.

Programming used for office: Microsoft Office including PowerPoint, Word, Excel, Outlook, and Quick books, Share file, Sales force, Records Center.

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