SANDRA E. BROOKS, RHIT

Elgin, IL ***** 847-***-**** adq7cm@r.postjobfree.com www.linkedin.com/in/sandra-brooks-rhit

OUT-PATIENT CODER

SUMMARY OF QUALIFICATIONS

Medical Records Professional with 5+ years’ experience coordinating billing and coding for multiple facilities.

Adept in interpreting encounter forms, medical records, physician documentation, dictated reports, lab reports, operative reports, and policy/procedure manuals.

Proven ability to effectively audit accounts to identify and correct deficiencies.

Strong communication skills with capability to interact with all levels of a healthcare team.

Achieved Associate of Applied Science in Health Information Technology,

Achieved Bachelor of Science in technical Management with a concentration in Health Information Management.

CORE COMPETENCIES

Physician Coding Chart Audits Navigation of EHR/EMRs Insurance Reimbursement Claims Review Knowledge of ICD-9, ICD-10, and CPT Coding Medical Terminology Professional Correspondence Conflict Resolution Problem Solving Outpatient and Inpatient Coding Risk Adjustment and HCC Coding Goal Focused

PROFESSIONAL EXPERIENCE

ADVOCATE AURORA HEALTHCARE ELMHURST, IL

Billing Documentation Specialist (Remote) 11/2020 - Present

Resolve DME/HME billing errors identified on the daily CMN report.

Collaborate with Patient Account Representatives to assist in Medicare and Medicaid claim approvals.

Reduce the number of billing problems that come up on the Jeff net hold report weekly.

Create convert-to-purchase letters and send to patients that have rented their equipment for 13 months.

Log the driver route sheets in the Driver Tracking Log spreadsheet on the corporate drive by end of day.

Log the Respiratory Therapists tickets on their tracking log spreadsheet before the end of business.

Answer incoming calls and transfer to appropriate department in a professional and timely manner.

Process payer changes in a timely manner to avoid incorrect billing.

CSI COMPANIES REMOTE

HCC Coder 06/2019 - 07/2019

Coded 4.5 charts per hour while maintaining 95% accuracy.

Completed a daily work log of 36 or more completed charts and submitted at the end of the workday.

NORTHWESTERN MEDICINE (CDH) WINFIELD, IL

Charge Analyst 01/2017 - 06/2019

Abstracted patient information from the medical records and entered charges into EPIC system within 72hrs.

Created and analyzed daily Revenue & Usage reports to send to the director by the end of the business day.

Reviewed weekly Write-off and Denials report and resolved claims denied for medical necessity by requesting a Letter of Medical necessity from physicians via email and distributing copy of report to the team Lead.

Maintained an accuracy rate of 98% monthly.

ADVOCATE MEDICAL GROUP OAKBROOK, IL

Coding Specialist I 3/2014 - 01/2017

Audited encounters previously coded in the physician’s office ensuring E&M code were correct and 100% of the ICD-10 and CPT codes were present according to the physician’s documentation.

Assured adherence to department quality of 95% accuracy and productivity of 136 accounts daily.

Reconciled NCCI correct edits and discrepancies prior to final coding.

Edited rejected claims in the IDX system and resubmitted for payment prior to next billing cycle.

PRESENCE HEALTH LIFE CONNECTION ELGIN, IL

Hospice Office Coordinator 11/2012 - 03/2014

Answered and directed incoming calls with a high level of customer service.

Processed referrals to hospice from doctors’ offices, hospitals, nursing facilities, and patients/families.

Checked previous day and overnight voicemails and processed requests as needed.

Created Admission and Discharge reports for IDT (Interdisciplinary Team) Meetings.

Verified insurance/healthcare coverage.

Coded medical and interoffice bills.

Created, audited and maintained billing and medical records.

SCOTT NOLAN CENTER DES PLAINES, IL

Medical Records Department Coordinator 4/2012 - 11/2012

Supervised and trained staff.

Processed and maintained patient’s charts and medical records requests.

Sorted and distributed mail daily.

EDUCATION

DEVRY UNIVERSITY NAPERVILLE, IL

Bachelor of Science, Health Information Management Expected: 04/2022

Key Coursework: Project Management, Business Policy, Statistics

Associate of Applied Science, Health Information Technology 06/2009

Academic Highlight: Practicum- Elgin Mental Health Center, South Elgin, IL (05/2009 - 06/2009)

PRECYSE UNIVERSITY ONLINE

Certificate, ICD-10-CM Training 09/12

CERTIFICATION

AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, AHIMA

Registered Health Information Technician (RHIT) 03/11

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