Medical Records Billing
Resume:
Juanita Clark Newson
Rex, Georgia 30273
Cell 404-***-**** email: **************@*****.***
Profile
I am a Certified Professional Coder with eight years’ experience in Medical Coding. I am seeking employment with a company that will allow me to use the many skills and knowledge I have obtained to be successful in Medical Billing and Coding.
Skills
Medical Terminology HIPAA Policies Dependability
ICD-10 Anatomy and Physiology Time Management
Knowledge of CPT Medical Office Administration 3M Encoder
Knowledge of HCPCS Customer Service Excellence Focused on Detail
Microsoft Word Privacy Officer Confidentiality
Microsoft Excel Problem Solving Accuracy
Professional Experience
United Health Services, Inc. Anchor Hospital 2010 to Present
Anchor Hospital
HIM CODER 2022 to PRESENT
Provides guidance and training on coding related questions to physicians and other department staff.
Reviews all medical records and assign codes for diagnosis and procedures using ICD-10 according to policy and official coding guidelines.
Queries physicians when need arises to ensure accurate coding.
Train and update physicians on new coding guidelines when needed.
Ensures proper DRG assignment by using tools and policies to enable optimal reimbursement.
Maintain current coding knowledge through self-motivated education and company resources.
Consistently meet or exceed coding quality and productivity standards established by company.
Performs other duties as assigned to include processing release of information request by keeping within HIPAA standards.
Assist billing office in resolving claim denials.
Universal Health Services
Laurel Heights Hospital 2020 to 2022
HIM Manager
Maintain medical records of patients in accordance with federal and state requirements and Joint Commission standards.
Supervise the activities of the HIM Department, including overseeing the chart audit and clinical pertinence functions.
Participate in Performance Improvement functions for the hospital and perform monthly physician reports to analyze the timeliness of certain medical documentation to include the discharge summary, psychiatric evaluation, history and physical.
Supervise the transcriptions services and processing releases of patient information,
Accurate and timely processing of patient records to ensure the integrity and privacy of patient information.
Served as Privacy Officer
Conducted HIPAA training during new hire orientation.
Universal Health Services
Anchor Hospital
Medical Records Clerk / Coder 2010 to 2022
Codes in-patient’s and out-patient third party insurance charts for re-imbursement using ICD-10
coding guidelines.
Manage patients’ health records and history.
Assist in audits, filing, copying records.
Initiates records for new patients; responds to requests for medical records from staff.
Adhere to HIPPA standards when processing release of information request.
Communicates with supervisor to inform of problems or issues; monitors supplies needed; performs other duties as assigned.
EDUCATION
Columbia High School – High School Diploma June 1975
Dekalb Community College January 1976 to 1978
Everest Institute – Medical Billing and Coding Diploma January 2010
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