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Charge Capture Specialist

Location:
Waukesha, WI, 53189
Posted:
July 17, 2022

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Resume:

CAREER SUMMARY

Versatile and results-oriented Charge Integrity Analyst with 12+ years of diverse experience and knowledge in aspects of clinical and business functions. Recognized for professionalism, positive mental attitude, commitment to excellence, and demonstrated ability to communicate and interact effectively with management and staff.

EXPERIENCE

BUSINESS OPERATIONS COORDINATOR

Advocate Aurora Healthcare, Milwaukee, WI / Aug 2021 - Present

• Ensures supplies and procedural changes are processed efficiently.

• Ensures proper utilization, profitability, and reduction of costs for supplies to maintain proper inventory levels.

• Reviews, verifies, assigns, and processes patient charges incurred by the department (s) to ensure appropriate and accurate charge capture.

• Collaborates with physicians, departmental leadership, vendors regarding process and implantation of new products.

• Serve as the primary liaison between the revenue cycle and clinical leaders throughout the organization.

• Responsibilities of this position will include assisting clinical leadership and staff with charge reconciliation, identifying denial, and missed charge trends, charge reporting, and charge troubleshooting.

• Comprehensive understanding of charging processes and the business needs being addressed.

• Identifies potential compliance concerns and opportunities for revenue generation, and provides appropriate investigation, follow-up, and resolution.

• Researches and analyzes applicable regulatory, coding and billing rules and educates the department on regulations, processes, and medical necessity requirements.

ENDOSCOPY TECHNOLOGIST II

Advocate Aurora Healthcare, Milwaukee, WI / Oct 2015 - Aug 2021

• Gather information about case needs within Epic and Care Everywhere.

• Scheduling and documenting surgical procedures within Epic.

• Aid physician(s) in performing endoscopic procedures basic and advanced procedures offered in the procedural area.

• Collect and verify specimens collected for cytology, microbiology, and pathology.

• High-level disinfect endoscopes and procedural equipment following established infection control procedures.

• Generate and complete daily high-level disinfection (HDL) scope logs.

MEDICAL ASSISTANT

Advocate Aurora Healthcare, Waukesha, WI / Apr 2013 - Jan 2016

• Collaborated with medical and administrative personnel to support a patient-focused, engaging, and compassionate environment.

• Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.

• Completed and submitted prior authorizations to insurance for prescriptions, medical examines and medical treatment.

• Maintained detailed records of test results by entering data and patient information into the computer.

EDUCATION

WAUKESHA COUNTY TECHNICAL

COLLEGE

Pewaukee, WI

Medical Coding Specialist Diploma

(March 2022)

Awards & Honors

• Phi Theta Kappa Member

(Academic excellence)

WAUKESHA COUNTY TECHNICAL

COLLEGE

Pewaukee, WI

Certificate- Communication-Writing

Emphasis (Jan 2022)

WAUKESHA COUNTY TECHNICAL

COLLEGE

Pewaukee, WI

Associate Degree of Applied Science Health

Information Technology (December 2022)

Awards & Honors

• Phi Theta Kappa Member

(Academic excellence)

Additional Skills

EHR Proficiency (Epic, Cerner, etc.)

CPT/HCPS proficient

ICD-10-CM and ICD-10-PCS Proficient

Chart Audits and Corrections

In Depth Knowledge and Understanding

of the Revenue Cycle Process and

regulations

Workflow Process and Improvement

Microsoft Office

In Depth Knowledge and Understanding

of Medical Terminology

In Depth Knowledge and Understanding

of Anatomy and Physiology

.



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