Medical Manager
Resume:
***-* ******** **** ******, Glen Burnie MD, *****
g62fa7@r.postjobfree.com
Tiffany N. Taylor, CPC
Objective: I’ve been coding for 4 to 5 years. My objective is to provide efficient services to doctor/providers, patients, and other health care officials dealing with ICD-9 CM, CPT, HCPCS, that involves Medical Coding and Consulting.
Strengths: I’m able to have patients/ familes feel comfortable and secure at all times. Dealt with diverse patients in the health care population.
Experience :
• July 2010-Current Kaiser Permanente Silver Spring, MD
Certified/Licensed Medical Coder 2
• Ensures all technical aspects of the assignment of diagnostic & procedure coding is carried out in accordance w/ established standards & is in compliance w/ CMS, NCQA, third party payors, other regulatory agencies & Kaiser Permanente policy.
• Functions includes, but are not limited to working charge review work queues for internal & external surgical services, acute & sub-acute inpatient professional services & performs health record audits as needed. These activities are performed to ensure the completeness & accuracy of coding clinical diagnoses, surgical & therapeutic procedures.
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Essential Functions:
• Review & code surgical services, OB-GYN services & other specialty work queues as assigned & apply coding principles for correct coding, including sequencing. • Query providers for clarification of incomplete or ambiguous documentation as appropriate & monitor inbasket messages for timely responses.
• Evaluates & identifies front end & back end error trends for training needs & brings them to the attention of the supervisor.
• Performs medical record audits including those for external agency reviews & network providers as needed.
• Serves as a regional resource to other healthcare professionals for documentation guidelines & proper ICD9, CPT & HCPCS level II Coding guidelines.
• Performs other duties as assigned or required.
• October 2006 July 2010 Kennedy Krieger Institute Baltimore, M.D.
Medical Coder/ Care Center Specialist:
Coded for 25 to 30 Outpatient clinics, such as Phelps, Spinal Cord Injury, SPL, PT, OT. Rehabilitation, Nutrition, Audiology, Neurology, etc
Coded for an Acute Inpatient when needed
Medical Charge Entry for the Outpatient Clinics.
Respond to family, patient and clinical issues in a timely and professional manner
Provide accurate and timely follow up appointments for patients
Obtain all necessary and required signatures for any and all clinical and financial documentation.
May float between various Care Centers based on patients ebbs and flows, and staffing levels in each represented Care Center as deemed appropriate by the Manager of Broadway.
Ensure complete and accurate information is entered into the registration, scheduling and charge entry system.
Track, collect, and process quality improvements and patient tracking data and maintain and update ( SIM, ACCESS, and EXCEL ) database.
Maintain updated general understanding of insurance requirements as they relate to the collection of accurate information t the Care Center and allowing the ability to assess system information from Care Management Office ( CMO ), such as information related to insurance authorization for patient services.
July 2005 to Oct. 2006 Kennedy Krieger Institute Baltimore, M.D
Physical Therapy Tech:
Assist in the practice of gait and ambulation.
Assist in the practice of functional activities.
Assist in the application of paraffin bath/therapy.
Assist in the procedures of Hubbard tank.
Assist in the procedure of the whirlpool.
Filing, coping, and faxing.
Scheduling volunteers, observers, and interviewees.
Patient prescription logs ( writing prescriptions)
Train trainees if needed.
Updated charts to reflect procedures and patient progress
Worked with recovering, inured patients on a daily basis by administering physical prescribe treatment including exercise requirements, muscle stretching/relaxation and whirlpool therapy.
Skills: Speak Spanish and Sign Language at a intermediate level
Computer Skills: Proficient in Microsoft Office Suite and Internet Research. Type 40 to 50 wpm.
Accreditation/ Certification:
Certified/ Licensed Professional Medical Coder- CPC
• Certificate of Completion in Medical Coding.
• Member of the American Academy of Professional Coders
o Certificate of Completion in Medical Terminology, Anatomy, Pharmacology, Physiology, and Pathology
Education:
• General Studies: Northeast High School, Graduated May 31, 2001
• Coding Academy of America / American Academy of Profession Coders
• Certified/ Licensed Professional Medical Coder- CPC.
• Currently Studying to earn my Certified Professional Medical Auditors License ( CPMA ).
• References: Upon Request.
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