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Advisor/Assessor /Risk Mitigation

Location:
Batesville, MS
Posted:
April 19, 2023

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Resume:

EMILY RAGSDALE

Assessor of Operations Risk Mitigation

PROFESSIONAL SUMMARY

Dedicated professional with excellent analytical skills. Proven ability to interpret risks. Sharp focus on implementing process improvements to contribute to company growth. Excellent attention to detail, strong communication skills.

CONTACT

PHONE:

414-***-****

EMAIL:

adwm41@r.postjobfree.com

ADDRESS:

Sardis, MS 38666

EDUCATION

Bryant & Stratton College, Milwaukee, WI

2014 - 2017

Bachelor’s Degree, Business Administration & Management General Concorde College, Memphis, TN

2006 – 2008

Certified Medical Assistant, Certified Phlebotomist PROFESSIONAL EXPERIENCE

Kohl’s Corporate Office, Menomonee Falls, Wisconsin 10/2010 – 03/2023

Advisor/Assessor

•Responsible for ensuring that all corporate processes and procedures comply with the law as well as internal standards

•Analyzes information-maintain attention to detail and used procedural skills to retain quality focus.

•Performs Adhoc, Compliance, and Line of Business (LOB) reports.

•Works on various projects appointed by management

•Collaborate with managers and staff from different business areas to collect information about their processes.

•Escalates unresolved issues, including complete problem descriptions, documentation of all actions performed and all other pertinent details

•Identify trends and patterns that negatively impact the customer experience and proactively inform leaders

•Documents resolutions to expand the knowledge base and improve consistency

•Communicates effectively with both internal and external partners

•Investigates and resolves escalated situations independently

•Evaluate and execute strategies to reduce product or operational risks.

•Provides comprehensive review of the organization's adherence to regulatory guidelines.

•Technical writer who documents business policies and procedures.

•Analyzing and adjusting the company’s policies and procedures to ensure policies comply with industry specifications, standards, regulations, and laws.

•Author, review, and approve regulatory submission documents.

•ServiceNow platform and ticketing systems.

Baptist Memorial Hospital, Memphis, TN

07/2008 – 09/2010

Certified Phlebotomist

•Preparing specimens for laboratory testing and performing screening procedures.

•Verifies patient identification and explains sampling procedures to patients.

•Obtains blood specimens by performing venipunctures and finger sticks.

•Maintains specimen integrity by using aseptic technique.

•Tracks collected specimens by initialing, dating, and noting times of collection and maintaining daily tallies of collections performed.

•Maintains quality results by following department procedures and testing schedule, recording results in the quality-control log, and identifying and reporting needed changes.

•Maintains safe, secure, and healthy work environment by following standards and procedures and complying with legal regulations.

•Updates job knowledge by participating in educational opportunities, reading professional publications, and participating in professional organizations.

•Serves and protects the hospital or healthcare facility community by adhering to professional standards, institutional policies and procedures, federal, state, and local requirements, and Joint Commission on – Accreditation of NAACLS - National Accrediting Agency for Clinical Laboratory Science, Certified Clinical Medical Assistant (CCMA)

•Updates patient records.

•Maintains an organized and clean workspace.

Dr, Odie L. Battles Obstetrics &Gynecology, Medical Assistance, Medical Coder, Memphis, TN

06/2006 – 06/2008

Medical Assistant

•Fulfilled all Certified Medical Assistant duties in a fast-paced urgent care clinic. Triaged patients, took vital signs, and assisted with every area of patient care.

•Assisted patients with walking, transfer, exam prep and all other needs.

•Received 95% positive reviews in post-visit patient surveys.

•Maintained HIPAA at all times. Assisted with creation of Risk

•Management Plan/Assessment. Identified and helped correct five areas of elevated risk.

•Conducted proper and concise EHR documentation for all visits. Medical Biller/Coder

• Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information

• Examines documents for missing information; corrects information as needed

• Assigns CPT, HCPCS, ICD-10-CM, and DRG codes

•Ensures compliance with medical coding policies and guidelines; understands the application of each code set

• Maintains current knowledge regarding coding and diagnostic procedures

• Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested

•Prepare, review, submit, and follow up with clean claims to various companies/individuals

• Collect, post, and manage patient account payments

•Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits and works the client action worklist

• Follows HIPAA guidelines when accessing and sharing patient information

• Maintains patient and business confidentiality

• Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors.

• Supports additional coding, billing, and practice management projects as needed

KNOWLEDGE, SKILLS, & ABILITIES

•Ability to interpret and apply agency, professional and/or industry standards, practices applicable policies, laws, procedures, rules and regulations, and program measures.

•Proficiency in Microsoft Office Suite (Including Outlook and Excel), AWS, Linux, Microsoft Excel,

•Written and verbal communication skills.

•Multitasking and time management skills.

•Analytical thinking

•Legal and moral integrity

•Strategic thinking, Self – disciplined.

•Quality assurance

REFERENCES AVAILABLE UPON REQUEST



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