Technician Health Data Entry
Resume:
Stephanie Howell, CPC, CRCR
Powhatan, VA *****
804-***-**** - ****************@*****.***
Website, Portfolio, Profiles
www.linkedin.com/in/stephanie-c-howell-cpc-crcr
Professional Summary
Competent Revenue Cycle Analyst and Medical Coder with over 10 years of experience in handling wide variety of medical coding and billing tasks looking for part-time data entry/customer service work. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Adaptable and driven with strong work ethic and ability to thrive in a team-based or individually motivated settings. Portrays excellent analytical and multitasking abilities. Frequently praised as hard-working by peers and can be relied upon to help the Revenue Integrity department achieve its goals.
Skills
Audit
Discrepancy Resolution
Data Analysis and Organization
Process Monitoring
Medical Billing Processing
Certified Professional Coder
Epic Systems
ICD-9/ICD-10 and CPT Coding
Coding Error Resolution
HIPAA
Work History
12/2020 to Current
Revenue Integrity Analyst
Ensemble Health Partners – Richmond, VA
Daily review of charge items and Revenue Integrity work queues
Analyzes billed charges and medical records to look for missing, incorrect or late charges
Evaluates charge capture practices to ensure accuracy and completeness of charge capture
Maintains working knowledge of CPT and HCPCs coding as well as billing, CCI, MUEs, and other relevant coding and billing guidelines
Performs database editing and auditing functions to maintain and/or improve data quality
Performs account reconciliations and resolves variances
Reports trends, findings, and opportunities for improvement to management
Provides recommendations based on findings to improve charge capture workflows and to standardize charge capture processes
Assists in training of work processes to fellow employees
Promoted consistent accuracy of billing information by reconciling 1,000 accounts monthly.
Trained and mentored team members and managers on new work processes and policies to build cohesive groups and promote operational performance.
11/2012 to 12/2020
Claims Coder II
VCU Health Systems – Richmond, VA
Conducted and oversaw review of hospital claims to ensure compliance with all applicable federal, state, local and payor specific requirements
Reconciled billing sheets with patient procedure record to ensure proper procedure billing and timely filing of claims
Utilized GE/IDX and Cerner to manage and confirm patient data, such as insurance, demographic and medical history information
Drove LCD Denial Report and Claims Submission operational improvements that resulted in significant savings and improved profit margins
Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards
Performed account reconciliations and resolved variances
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Reviewed outpatient diagnostic Radiology records and interpreted documentation to identify diagnoses and procedures.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Performed billing and coding procedures for diagnostic radiology and cardiology services.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Verified signatures and checked medical charts for accuracy and completion.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Applied charges and updated patient records by using Cerner and GE/IDX.
Resourcefully used various coding books, procedure manuals and on-line encoders.
09/2012 to 02/2013
HCC Remote Coding Specialist
Verisk Analytics Inc – Richmond, VA
Code hospital and multi-specialty outpatient charts for HCC risk adjustment and HEDIS
Consistently met productivity standards of coding 10 charts per hour with 95% accuracy.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Reviewed outpatient records and interpreted documentation to identify HCC diagnoses.
Verified signatures and checked medical charts for accuracy and completion.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Education
Expected in 12/2022
Bachelor of Science: Healthcare Administration
Liberty University - Lynchburg, VA
GPA: 3.77
Dean's List Fall 2019 – Fall 2021
Member of Sigma Beta Delta Honor Society
05/2009
Health Records Coding Technician Health Records Coding
J Sargeant Reynolds Community College - Richmond, VA
GPA: 4.0
Certifications
Certified Professional Coder (CPC) 01211090
Certified Revenue Cycle Representative (CRCR)
Affiliations
American Academy of Professional Coders
Healthcare Financial Management Association
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