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Medical Billing Coding Specialist

Location:
Secunda, Mpumalanga, South Africa
Posted:
February 16, 2023

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Resume:

MAGDA KRIEK

771**********

CURRICULUM VITAE

I am absolutely a GO GETTER and take easy control of a difficult scenario.

I am a leader but also perform excellent in a team, fast learner and always willing to adjust recording to technology.

Advance medical knowledge, curious about new techniques or procedures in the medical environment and staying up to date with the daily improvement in our technology keep me a modern middle-aged worker woman.

Mature problem-solving ability and follow the best practice guideline to ensure quality work as well as quantity and fast workflow.

Communication and prober training in and around in our work environment is the key to success with a wide range of knowledge ensuring a stable and efficient workflow that will lead to illuminate unnecessary mistakes.

Having a stable track record is a guarantee of my loyalty.

Seeking a position at a medical company where there will be an opportunity for career growth, where I can expect work satisfaction.

PERSONAL DETAILS

Surname: - Kriek

First Name: - Magda

Residential Address: - 9 Springbok

Trichardt

2300

Contact Details: - 084-*******

Email Address: - advdf6@r.postjobfree.com

ID Number: - 771**********

Drivers Licence: - 08

Marital Status: - Married

Dependants: - 1

Languages: - Afrikaans, Engels

EDUCATIONAL HISTORY:

Institution: - Hoërskool Oosterland

Qualification: - Grade 12

Year: - 1995

Subjects: - Afrikaans

English

Mathematics

Accounting

Business Economics

Home Economics

TERTIARY EDUCATION

Institution: - Vaaldriehoek Campus

Qualification: - Marketing

Year: - 1996-1998

PC SKILLS: -

Institution: - Giga Skills/Damelin

Qualifications: - Variety of computer software programmes, Introduction Intermediate Microsoft Office, Outlook, and Computer technology A+.

Year: - 1998-2000

Medical Qualifications:

Institution: - Africode Consulting

Tel: 011-***-****

Cell: 082-***-****

Email: advdf6@r.postjobfree.com

2017-2020

Medical Qualifications: - Advanced Medical Terminology, Anatomy and Physiology diploma (NQF6)

Intermediate ICD-10 code diploma

PMB and DTP (destinated treatment plan) codes.

CPT Code diploma.

Level 1 and Level 2 Life support 2022

Introduction:

My work experience took me on a variety of sections which can included but not limited to:

24 years continuous medical experience with highest qualification on ICD-10 and Advanced Medical Terminology, Anatomy and Physiology Course (NQF6) and always updated on new technology because I trust that this is the key to proper workflow for any busy practice.

Continuous performance and quality management: Strategic people management .

Data Management and indicator development for 3 platforms.

Health information support for analysts and data warehouse specialists.

Interpretation, validation, and re- working of data reports as required to add maximum value to the practice and patient.

Clinical data governance and regulation .

Driving quality indicator development .

Building algorithms for patient safety which align with international standards.

Collaboration which promotes quality care and risk sharing with funders ( ARM’s).

Research and development of new products that utilize existing data.

Translations, and cross walking/mapping of international diagnostic and procedural coding, to those used in South Africa.

Department Of Health reporting.

Support with clinical interpretation of analytics and reports to CMS.

Continuous research to anticipate changes in the clinical environment and prepare processes and products accordingly.

Management, motivation, coaching and development of staff that report to

Been introduced to ICD-10 in June 2005 when it started to be compliant for all medical billing purposes in SA, being on various seminars and one day training courses kept me updated and contributing to my extreme wide experienced in Coding and billing and are absolute working according to the rules as per Government Gazette and Medical Council board.

Wide knowledge of wireless networking, including routers, switches, VPN’s (Data and communication), and the fine line off Generator roll over.

Responsible for assisting remote branches either on Team viewer or Remote Desktop.

EMPLOYMENT HISTORY

Employer: OPB77 LTD (PTY)

This is a career opportunity that I am currently running on my own, from February 2021 up to now.

My services include Patient and Service Provider care up to the most benefit for both parties

This would include all types of Specialists, doctors, physicians, and medical professional services.

Acting on behalf of them applying for all kind of PMB request and immediately act if him/her is not a DSP.

This is more than welcome to be discus should you want to know more about my passion in life.

Employer: - Highveld Radiology

Term: - March 2016- February 2021

Position: - Coding and Billing, Authorisations as well as reception team leader.

PACS assistant.

Duties: -

●Credit control with patients and medical aids.

●Patient satisfaction.

●Bookings on Scheduler

●Reception /Team Leader

●Responsible for fast and effective workflow at reception

●Petty cash

●Resolving and communicate with all referral specialists or doctors’ queries or complains.

●Handle queries and or doing all required motivations for certain examinations myself, Expert on bargaining example: with VERIRAD, using PMB Conditions where applicable and negotiate with medical aids if necessary.

●Real-time claiming, validation, and rejection on real-time with Medi switch, forcing the practice: to either collect the money or update procedure or ICD-10.

●Extra mile for oncology makes sure all previous reports and images are available for comparison, especially when it is a known CA patient consulted with us for the first time,

●Confirmation and validation of patients’ medical aid, authorisation and continuously updating ICD-10 or procedure codes when needed.

●Billing and coding ICD 10 coding for all MRI’s and CTs, immediately auth for patient and update and motivation for possible PMB (Prescribed Minimum Benefit) and claiming of correct benefit and avoid co-payments if possible, using the correct DTP or PMB condition.

●Accurate billing and update all patients “not charged” on a weekly basis to ensure targets are met.

●Knowledge of all Nappi codes and IV contrast that is used during procedures and all billing structures according to the Government Gazette.

●Training of all radiographers should there was any changes made to the system.

●Installing software for any additional hardware device adding to our network and system (example: scanners, ext.) (Good overall knowledge of printers, faxes, scanners)

●Dealing with voice training and creating shortcuts for the Radiologists on Power scribe speech recognition.

●Training and assisting personnel on any PC problem or ICD10 codes.

●Operating System (HIMS) with preferences and advantages.

● Matching and merging of patients on PACS.

●Handle all Pac’s related communication and provide training and login for referral doctors and inside all the wards where SIEMENS SYNCO is installed. (24 hours)

Previous employer: - Rustenburg Radiology

Term: - March 2001- December 2015

Position: - System administrator / Billing Manager

Duties: -

●Credit Control

●Reception

●Banking and petty cash

●Branch supervisor

●Confirmation and authorisation with medical aids, Billing, and ICD 10 coding specialist

●Creating nappi codes on the system, with procedures codes.

●Create new tariff codes and assist with year- end, new tariffs with creating structures for billing purpose and price increases as per Government cassette

●Knowledge of all material as well as intravenously and oral contrast that is used during procedures.

●Set up voice (SPEECH AND RECORDING) recognition for Dragon.

●Installing software for any additional hardware device adding to our network and system (example: printers, fingerprint scanners, ext.)

●General PC maintenance and controlling of anti- virus programs.

●Knowledge of advance networking, including routers, switches (cisco: data and communication and netgear) ADSL

●Extremely advanced knowledge on wireless was maintaining its own VPN.

●Site training with various PACS applications software including RIS, DB, QC, IW, HL7, Dicom, Comms, PMS, matching and merging of patients, patient capturing and validation on Health bridge.

●Handle all referring doctors and install IW, programme and supply training and voice recognition of new doctors.

●Deal with standby 24 hours 7 days a week for any system failures, errors or assistance to radiographers, radiologists, referral doctors and admin personnel.

●Register and Train radiographers on PACS system and supply short versions of reception programmes for afterhours radiographers.

●Train all new personnel on all fields including IBM (AS 400) MDCM

●Excellent knowledge of CT and MRI- imaging and hanging protocols.

●Generator maintenance.

●Knowledge of Siemens Synco viewer.

Reason for leaving: - Recently married

Previous Employer: -

Term: - 1998-2001 Dr Dedekind en De Necker (Mediclinic Trichardt)

Position: - Credit Controller

Duties: -

●Petty cash

●Enquiries on behalf of patients at medical aid

●Work from age analysis to make sure all payments are done.

●Capturing of medical aid remittance advice and work on rejections.

●Reception

REFERENCES

Me C de Beer, 014******* (HR - Rustenburg Radiology)

Me M van Staden, 082******* (HR – Dr Dedekind and Partners and Highveld Radiology)



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