Medical Records Health Care
Resume:
Lori Carr
***** **********, **********,** ***** 248-***-**** *********@***.***
Work Experience
Volunteer, Charles Wright Elementary Apr, 2017 - Mar, 2020
● Explain rules established by owner or management, such as sanitation or maintenance requirements or parking regulations.
● Submit reports and review reports or problems with superior Appeal & Denial Specialist, Molina Feb, 2014 - Jan, 2016
● Prepare reports to document patients' care activities.
● Make clinical recommendations to physicians, other health care providers, insurance companies, patients, or health care organizations.
● Analyze medical records using InterQual for inpatient Admissions.
● Prepare Denial letters with documentation.
Clinical Documentation Specialist, Henry Ford Health System Jun, 2013 - Dec, 2013
● Review electronic medical records for accuracy in reflecting patient care and services
● Code using ICD-9, CPT, and HCPCS manuals for the Department of OBGYN-Inpatient for Henry Ford Health System Copied coding summary sheets from Quantim into Allscripts Increasing revenue per patient by providing physician education on E&M documentation guidelines
● Attend monthly staff meetings and present revenue findings Using 3M Encoder in CDI
● Emailed completed letters to appropriate physicians for signatures and physicians to verify correct contact information
Admissions Nurse, Health Alliance Plan Dec, 2005 - Sep, 2013
● Maintain accurate, detailed reports and records.
● Review ER patient Medical records for appropriate level of care.
● Ensure accurate DRG assignment and documentation requirements. Verify each inpatient record for appropriate documentation and assign initial DRG. Speak with physicians as needed to obtain documentation clarification.
● Educate physicians and all members of the clinical team regarding documentation requirements.
Education
University of Detroit Mercy, Bachelor's Degree in Nursing Science 1997 University of Detroit, Bachelor's Degree in Biology/Biological Sciences 1985
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