LaSandra D. McKinzie, RHIT

Birmingham, AL *****

205-***-****, adv492@r.postjobfree.com

Summary

RHIT Health Information Management (HIM) professional with over 20 years of experience in retrieving, facilitating, and analyzing medical record documentation. Able to work effectively on a multidisciplinary team alongside various healthcare professionals to ensure data integrity and timely completion of medical record requests. Persistently operates a computer and other office equipment to coordinate daily work tasks. Works well in an office, hospital environment or remote.

Work Experience

Walmart, Benefits Specialist II, Global Business Services; Home Office (2021-2022)

Complete benefits service tasks and priorities using policies, data, and resources.

Determining and recommending ways to address improvement opportunities; and adapting to and learning from change, difficulties, and feedback.

Follow specific payer guidelines for appeals submission, responsible for escalating exhausted appeal efforts for resolution.

Conducts work on premium payment accounts by entering data into accounts.

Review participant accounts for potential input or system errors, and monitor internal system for accuracy of payments and third-party administrator (TPA) processing.

Provides customer service and executes communications in compliance with federal, state, and local laws and regulations by applying general provisions of benefits plan guidelines and of IRS Section 125 and 409A, ERISA, HIPAA, COBRA, FMLA, and USERRA.

Provides customer service on issues for plans by handling incoming and outgoing correspondence to various internal and external customers.

Address issues and challenges; provide technical support on benefit systems and websites.

Providing benefits education; researching complex benefits questions and issues to resolve problems.

Input of billing mnemonics and all required billing information that appears on scanned applications.

Communicating systems problems and resolution proposals to senior leadership and third-party administrators (TPAs) to resolve problems.

Keying online enrollments for associates

Serving as a liaison between Home Office departments, third-party administrators (TPAs), and various internal and external customers to resolve issues and concerns.

Corporate Temp/ Administrative Assistant, Birmingham, AL (2022)

Ability to manage documents for electronic storage in multiple internal databases; scanning tools to index files using various nomenclatures before uploading to assigned databases.

Comply with strictly confidential HIPAA guidelines for health and personal identification information.

Performs high-volume data entry using word processing, spreadsheet, database, or other computer software.

Utilize my expertise in medical terminology to handle critical information.

Providing support for FMLA, Short term Disability, and Long-term Disability processes.

The first line of communication to report injuries on the helpline; with the necessary skills to handle intense situations.

Remaining calm while gathering critical information from the caller.

Working with the nursing staff to assist the injured caller to facilitate the emergency.

Strong administrative assistant skills, highly skilled in MS Office (Outlook mailboxes - multi-box management), MS Word, MS Excel and Adobe.

Ability to work in both remote and office settings to maintain the required work level.

Grandview Medical Center, Clinical

Documentation Tech II, Birmingham, AL (2019-2021)

Analyzes patient medical records using CERNER and ensures timely completion of the medical record in accordance with Regulatory Agencies

Reconciles, preps, scan, and indexing medical records according to Department Policies and Procedures.

Responsible for notifying physicians of their delinquent deficiencies.

Provided team leader support for HIM Department to assist the revenue cycle.

Abstracted information for HEDIS to measure the quality of the health plans.

Monitors the transcription workflow in the MModal platform.

Contact/follow up with physicians to ensure deficiencies are completed in a timely manner and missing documentation is obtained for completion of the legal health record.

Performs high-volume data entry using word processing, spreadsheet, database, or other computer software.

Export data from the HIMS system to complete the trending reports.

Work closing with physician’s Office Manager, Medical and Physicians Assistants to have the physician dictate delinquent H&P, OP and Discharge Summaries.

Scan documentation into CERNER with 100% accuracy.

Successful assist in decreasing the Wound Care and Physical Therapy backlogged.

Assist the coders with delinquent documentation by coordinating with the physician’s office.

Medical record abstractions will occur prenatally, at delivery/birth hospitalization, and for surviving children, on the third month of life.

Completes Vital Statistics for birth and death Certificates for the department.

Direct contact with new parents to complete Birth Certificates and Paternity Affidavits.

Abstractions from medical records will occur before birth, during childbirth or hospitalization at birth to submit to vital statistics

Requesting the CPT or ICD-10 code from physician’s office need for coders to bill.

Create a statistical spreadsheet of a monthly revenue cycle with few errors.

Monitors the transcription work queue.

Provide Quality Assurance and Validation of Electronic medical records.

Perform audits of delinquency and missing documentation.

Performed closed record review and administrative closures.

Princeton Baptist Medical Center, HIM Analysis II, HIM Clerk Birmingham, AL (2009-2019)

Pick up medical record documents for assigned units and departments within the hospital system.

Provide a timely response for requests of medical information according to departmental and hospital release of information guidelines.

Takes necessary measures to exceed customer satisfaction standards and find solutions to any issues that may arise.

Scan and index required clinical documentation using OnBase systems as needed.

Work closely with the data integrity analyst to ensure compliance and timely completion of records based on the state requirements and hospital guidelines.

Complete daily inpatient record analysis in the inpatient work-queue.

Completed Medical record analysis for Inpatient, Outpatient, and the Emergency Department in the hospitals EPIC system-based work-queue.

Used reasoning and skills acquired to solve analysis issues and resolve problems as they occurred.

Assisted patients and physicians with release of information requests as needed to ensure a timely.

Work along sided a disciplinary team amongst physicians, nurses, coders, nurses, and physician assistants to meet hospital compliance and ensure document integrity.

Assisted with physician verbal and cosign order clean-up projects to meet monthly productivity.

Accurately assembled paper medical records as preparation for OnBase scanning

Resolved and investigated physician deficiencies in the done/decline work-queue to determine completion issues and solutions.

Picked up medical record paper documents from designated departments and units within the hospital.

Utilized Precyse and Invision computer systems to locate medical records within the hospital.

Updated chart deficiency status in the MedRec system assist with physician document dictation and electronic signatures.

Filed loose patient documentation in a timely manner to ensure integrity and availability for release of information requests.

Answered a high volume of calls and helped with resolving any medical record issues as needed.

University of Alabama at Birmingham

Office Specialist II/Patient Account Representative II 2000-2002

Created Microsoft Excel spreadsheets and graphs for the Director of the Business Office

Assigns required CPT/ICD/HCPCS and modifiers needed

Responsible for verifying hospital insurance

Responsible for checking eligibility of claims on-line using WRC Reflection ® for BC/BS

Has specific job knowledge to perform assigned job functions, including all applicable computer programs

Assisted Auditor with request for EOB’s, and UB 92’s

Maintained financial statistical reports for the Collection department

Researched past expediters for monthly reports submitted to Controller

Prepared spreadsheet from data received from database QMS and Control D

Patient Account Representative I 1998-2002

University of Alabama at Birmingham (UAB) Birmingham, AL

Performed a variety of duties related to processing patient accounts

Analyzed expenditures of outstanding accounts

Responsible for checking eligibility of claims on-line using WRC Reflection ® for BC/BS

Posted daily activities of patient accounts to SmarTerm Office 6.0 accounts receivable

Worked closely with radiology oncology and medical records department to submit bills to VA

Generate a MS Excel 7.0 spreadsheet of outstanding claims and insurance payments

Recovery Specialist J&D Collection Manager 10/2002-10/2006 Birmingham, AL

Expedites the resolution of unpaid customer accounts to minimize receivables

Trained collection and repossession department.

Supervises team of credit / collection analysts; assigns tasks and monitors deliverables

Ability to take initiative, prioritize and problem solve.

Review account activity and take appropriate action to minimize potential fraud losses and inconvenience to the customer.

Maintained the bookkeeping for the department.

Responsible for obtaining writ of possession from the courts.

Provide quality customer service to vendors and customers.

Utilized skip tracing software to located outstanding debtors.

Education

RHIT Associates of Science in Health Information Technology

Wallace State Community College- Hanceville, Al (2016)

Associate of Science in Computer Science

Jefferson State Community College, Birmingham, AL (2007)

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