Elizabeth Ramirez

advkp4@r.postjobfree.com 845-***-****

Highly accomplished professional with extensive background in Healthcare, currently seeking to leverage academic with demonstrated success in Healthcare management to secure a challenging and rewarding position with an organization poised for growth.

PROFESSIONAL EXPERIENCE

NYC HEALTH + HOSPITALS BELLEVUE NEW YORK, NY- 2008-PRESENT Associate Medical Records Specialist, In-Patient Coder, Health Information Management Department

• Review of patient medical records in a large teaching hospital. Analyzing the documentation to assure the optimization of reimbursement for the institution.

• Review inpatient medical records to validate the admit order, assignment and sequencing of ICD- 10-CM diagnosis and procedure codes, discharge status codes, and DRG assignment.

• Review the denials and participation in the appeals process providing the documentation requested to support the appeals.

• Participation in coding seminars to keep coding current and in compliance with the regulations in NYS and the institution.

• Medical records ICD-10 in-patient coding

ST VINCENT HOSPITAL NEW YORK, NY 2004-2008

Billing, Finance Department

• Respond to inquiries regarding billing

• Heavy contact with patients and insurance companies.

• First level of appeals of denials.

• Working out payment agreements with private payors. Orthopedist Private Practice, New York, NY, 2004

• Booking of surgeries and following up on surgical bills.

• Providing documentation for insurance as requested.

• Working all aspects of insurance denials of surgeries.

• Workers Compensation and No-Fault documentation and billing. Technological Proficiencies: Microsoft Office Suite (Word, Excel, Power Point, Outlook); Cerner, QuadraMed, Epic and 3M.

EDUCATION

LEHMAN COLLEGE, BRONX, NY

Medical Records Coder

LEHMAN COLLEGE, BRONX, NY

Cancer Tumor Registrar

MANHATTAN COMMUNITY COLLEGE, NEW YORK, NY

Associate Degree (AS) Liberal Arts

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