Administrative Data November 2023
Resume:
Jennifer Downing
Tahlequah, OK *****
advf4d@r.postjobfree.com
Tahlequah, OK 74464
advf4d@r.postjobfree.com
Detail-oriented, knowledgeable Health Information Management Auditor skilled in Health Information Management. Independent worker with strong organizational skills and excellent customer service skills.
Authorized to work in the US for any employer
Work Experience
Student
Indian Capital Technology Center - Tahlequah, OK
August 2022 to Present
• Study roles and responsibilities of the Healthcare Team, Interpersonal Communication, Medical Records Management and Compliance with HIPAA, and Diagnostic and Procedural Coding.
• Study Handling Medical Emergencies and how to prepare for and appropriately respond to various life- threatening emergencies in the medical office setting.
• Study the legal, ethical, and regulatory aspects of medical office management.
• Study HIPAA compliance and third-party guidelines for filing insurance claims.
• Study medical terminology and the structures and functions of the human body. COVID-19 Contact Tracer
Cherokee Nation Public Health - Tahlequah, OK
February 2022 to July 2022
• Investigate and identify confirmed and suspected Coronavirus cases, documenting potentially affected contacts.
• Provide educational and informational resources regarding isolation policies and quarantine measures.
• Perform record keeping by logging client information within secure contact-tracing software.
• Communicate with documented COVID-19 patients and other exposed persons via phone call, text and other platforms.
• Experience with: Salesforce, Cerner, Epic software. Medical Clerk III
Cherokee Nation Outpatient Health Center - Tahlequah, OK February 2020 to January 2021
• Accurately maintain and update clinic profiles and appointments for Primary/Resident Clinics to ensure performance measures and patient needs are met.
• Maintain clinical schedules re-scheduling patient's appointments and/or consults; update no-show information; monitor the electronic wait list; prepare for clinic visits; monitor both inpatient and outpatient appointments for areas of responsibility; ensuring encounter forms are completed in order to obtain appropriate workload credit.
• Receive consults/referrals from within the medical center and from other healthcare facilities.
• Verify and update patient demographics and third party payor information into the database tracking system.
• Provide advisory and technical assistance to patients, administrative staff and clinical staff regarding to clinic policy and procedures.
Health Information Management Auditor/Coder
Indian Health Service - Claremore, OK
February 2000 to September 2018
• Perform a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social and administrative data to ensure documentation is sufficient for compliance, coding and billing.
• Evaluate documentation of patient health records for accuracy and medical necessity for services/ treatment rendered.
• Assign and sequence International Classification of Diseases (ICD), Current Procedural Terminology
(CPT), Healthcare Common Procedure Coding System (HCPCS), Current Dental Terminology (CDT).
• Analyze provider documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT codes and applicable medical nomenclature.
• Provide ongoing education to physicians, nursing staff, and health care personnel within the organization or work unit, on coding updates, rules, regulations and guidelines.
• Abstract patient health records for qualitative and quantitative analytic reviews.
• Conform to standards in technical evaluation and validation of health records in compliance with Joint Commission requirements, Centers for Medicare and Medicaid Services (CMS), and or health record documentation guidelines.
Education
Certificate in Administrative Medical Assitant-Medical Coding and Billing Indian Capital Technology Center-Tahlequah - Tahlequah, OK August 2022 to Present
Associate in Arts (AA) in Business Administration
Rogers State University - Claremore, OK
August 2000 to May 2004
Skills
• Customer service (10+ years)
• HIPAA (10+ years)
• Epic (3 years)
• ICD-10 (10+ years)
• CPT Coding (10+ years)
• Medical Billing (10+ years)
• Medical Coding (10+ years)
• Revenue cycle management (3 years)
• Microsoft Outlook (10+ years)
• HCPCS (10+ years)
• Medical terminology (10+ years)
• EMR systems (10+ years)
• Health information management (10+ years)
• ICD-9 (7 years)
• Salesforce (1 year)
• Cerner
Certifications and Licenses
Johns Hopkins University-Contact Tracer
February 2022 to Present
Notifying people who have come into close contact with someone diagnosed with COVID-19 and helping them determine what steps to take, depending on their vaccination status and history of prior infection with SARS-CoV-2.
CPR
November 2022 to November 2023
Groups
Business Professionals of America
September 2022 to Present
Community Outreach Committee
September 2022 to Present
Contact this candidate