Medical Record Customer Care

**** *. **** **. *******, Illinois ***** 773-***-**** **********@*****.***

ENICE DAVIS

Quality focused medical professional with a demonstrated record of success in the healthcare industry. A professional with drive, determination and an innate ability to motivate those I work with. Committed to excellence in medical record management while maintaining confidentiality. Strong organizational, oral and written communication skills. Areas of Expertise include:

Customer Care and Service

Strong understanding of HIPAA and

privacy laws

Advanced Medical Terminology

Medical Coding

ICD-10-CM/PCS

CPT-4/HCPCS

UHDDS and CMS guidelines and

regulations

MS-DRG/APR-DRG assignment

Anatomy and Physiology

Typing of 45 WPM

Medical Transcription

Epic (EMR)

3M Encoder

SuperCoder

Viztek Opal-RAD PACS System

Proficient in Microsoft Office

Adobe Suite

Meditech

M*Modal Fluency

eScription/Editscript

Claims processing

Hierarchical condition category (HCC)

Data Abstracting

Fusion

Cerner

Powerchart

CoPath

Medical record maintenance

Quality Assurance

PROFESSIONAL EXPERIENCE

Cook County Sheriff Department * Chicago, IL 1999-Present Deputy Sheriff

Arrest and Detain suspects ensuring compliance with all legal procedures. Collaborate with Local, State, and Federal Law Enforcement Agencies. Maintain safety and security for Civilians, Judicial Staff, and Detainees that are remanded to Cook County Department of Corrections. Process arrests on individuals that are remanded to Cook County Department of Corrections. Process court orders from the court to be executed for the Eviction Unit to proceed with eviction. MedtoWeb Healthcare Solutions • Chicago, IL. 2018-2023 Medical Coder II

Outpatient facility coding to include ED, OPS, Observation, Ancillary, and Recurring encounters. Analyze medical record documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code. Query physicians for clarification when documentation is inadequate, ambiguous, or unclear for coding purposes. Abstract pertinent information from patient records for reporting purposes. Meets coding productivity and quality standards as defined by policy. Participates in all available continuing educational as required. Maintain knowledge of coding guidelines and reimbursement reporting requirements. Communicate and document downtime to the Coding Manager daily. Rush University Medical Center Chicago, IL 1991 - 1997 MEDICAL SECRETARY III (VARIOUS DEPARTMENTS)

Assigned codes to diagnoses and procedures using ICD-9 and CPT codes. Ensured codes were accurate and sequenced correctly in accordance with government and insurance regulations. Followed up with the provider on any documentation that was insufficient or unclear. Efficiently performed insurance verification, pre-certification and pre-authorization functions. Performed medical record abstraction and entered findings into abstraction tools. Navigated multiple documentation systems to obtain medical records sections supportive of HEDIS. Maintained medical records; ensured any release of information requests were HIPAA compliant. Ordered supplies and tracked purchase orders. Transcribed and interpreted dictation by physicians and other healthcare professionals in various departments to create a permanent health record. Created and maintained business relationships with medical providers. Managed all front office activities to optimize facility workflow and patient management. Provided comprehensive administrative support, including appointment scheduling and management, analyzed and processed insurance claims, and customer service. Education

South Suburban College *Oak Forest, IL

Cook County Training Academy

Certifications:

Affiliations:

American Health Information Management Association (AHIMA) American Academy of Professional Coders (AAPC)

Peace Officer Standards and Training Certification CPR/First Aid Certification

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8170 Cleary Blvd, #1701 Plantation, Florida 33324 773-***-**** *********@*****.***

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