Maimonides Medical Manager
Resume:
NADINE COLASSAINT, CCS, CCS-P
***-** **** **** *******, New York 11434
Cell 347-***-**** email @ ***********@*****.***
April 13, 2022
To whom it may concern:
I am attaching my resume for your consideration.
After reading my resume, you will understand that I am thoroughly qualified to perform the duties of an Auditor or Coder for your organization. I have extensive Auditing and Coding experience. I also have a comprehensive knowledge of Coding and Auditing Guidelines. I’ve been in this field for a long time because I enjoy this work tremendously.
Additionally, I am a reliable team player, and I am extremely organized and efficient. I am exploring the job market to obtain a Medical Auditing position within an organization that will appreciate my skills and willingness to work eagerly with other people.
I would like very much to schedule a personal interview where we can discuss this position and my ability to meet your needs.
Thank you for your time. I look forward to speaking with you soon.
Sincerely,
Nadine Colassaint, CCS, CCS-P
Enclosure
NADINE COLASSAINT, CCS, CCS-P
169-19 Foch Blvd Jamaica, New York 11434
Cell 347-***-**** email @ ***********@*****.***
Objective
To obtain a responsible and challenging position within a health care facility where my experience in Medical Auditing will have a valuable application.
Professional Experience
Northwell Health
Coding Audit Supervisor September 2019- April 2022
Ensure the Coding Auditors are trained, knowledgeable, and consistently adhering to key responsibilities relevant to their job function
Perform ongoing Quality Assurance Audits to ensure accuracy of the Audit team
Assist with charge capture initiatives by monitoring services performed to guarantee all encounters are captured, coded, and billed
Ensure adherence to coding guidelines
Delegate work duties to staff to attain objectives
Responsible for the achievement of the department’s productivity and quality goals
Maimonides Medical Center
Manager, Outpatient and Professional Coding August 2016- September 2019
Collaborate with the Department’s clients to facilitate accurate and timely submission of CPT & ICD-10 codes to EPS and/or AHS
Monitor staff’s performance and provide feedback and counsel to improve efficiency and effectiveness
Conduct coding audits for quality assurance
Ensure adherence to coding guidelines
Delegate work duties to staff to attain objectives
Responsible for the achievement of the department’s productivity and quality goals
Coordinate the onboarding process for new hires
Mase Coding Services
Remote, Medical Coder June 2017-Nov 2017
Assign and sequence all CPT and ICD-10 codes for services rendered
Enter coding information in computer based software programs
Comply with coding guidelines and all legal requirements regarding coding procedures and practices
Verify data and discharge disposition to assure coding compliance
Report missing or incomplete documentation
University Physicians of Brooklyn/SUNY Downstate Medical Center
Coder/Senior Biller May 2009-Aug 2016
Evaluate patient medical records to assign appropriate ICD-10 diagnosis and CPT procedure codes
Review resources (CPT and ICD-10 manuals, payer policy, procedure manuals, and CMS publications) to ensure practices are compliant with current policies and procedures
Educate physicians, staff and management on new policies and changes to existing policies
Ensure data is optimally coded for research purposes, financial reimbursement, planning, statistics and regulatory reporting
Communicate directly with physicians to ensure that clinical documentation is coded timely, accurately and in compliance with CMS guidelines and national coding initiatives
Follow up on unpaid claims/resolve denial issues
Correction and resubmission of problem claims
Murray Hill Medical Group- New York, NY
Medical Biller/Accounts Receivable Specialist April 2008-May 2009
Conduct extensive follow up on outstanding claims
Telephone and website inquiries regarding claim status
Investigate and appeal unpaid or partially paid claims
Verify claims are paid according to fee schedule
Correction and resubmission of problem claims
Email communication with providers
Identify and resolve patient billing complaints
Partnership for the Homeless- Brooklyn, NY
Family Advocate Sep 2006-April 2008
Quarterly billing to OTDA (Office of Temporary and Disability Assistance)
Deciphered public assistance budgets
Maintained caseload of approximately 35-40 clients
Initial intake and assessments of new clients
Input all data into organizational data base/developed service plans
Advocacy with government agencies
Medstar- Fort Lauderdale, FL
Medical Biller July 2001-Dec 2005
Billing to Medicare, Medicaid and commercial insurance carriers/ICD-9 and CPT coding
Read and deciphered insurance EOB’s
Resolve denials/re-submissions
Followed up on outstanding claims
Posted payments/downloaded Medicare payments on a daily basis
Daily interactions with insurance companies and patients
Education and Certification
American Health Information Management Association- (AHIMA)
Certified Coding Specialist (CCS): April 2019
Certified Coding Specialist-Physician Based (CCS-P): Sep 2015
Florida International University- Miami FL
Bachelor’s of Science: Aug 2006
National School of Technology- Miami FL
Diploma in Medical Billing and Coding: June 1999
Technical Skills
Proficient in the use of Encoderpro, 3M, IDX, Athena, Centricity (PM), Various EMRs, Medical Manager, Medstar systems, and PC/MAC, Microsoft Office (Word, Power Point).
References
Available upon request
Contact this candidate