Customer Service Manager

Rose M. Woodward, CCS

**** ****** **. *********, ** 92831

Home: 714-***-**** Cell: 714-***-****

E-mail: ************@*****.***

Certifications:

AHIMA – Certified Coding Specialist (CCS)

AHIMA – RHIT Eligible

Education:

Associate of Science in Health Information Technology, 2012, American Career College Anaheim, Ca

Medical Courses – Terminology, Anatomy & Physiology, Pathophysiology, Pharmacology Principles

HIT Courses – Healthcare Delivery Systems, Healthcare Data Management, Health Information Systems, Healthcare Statistics, Healthcare Data Sets, Electronic Medical Record Implementation, Coding, ICD-9/CPT

Management Courses – Management Concepts in Healthcare

Advanced Coding Degree, 2012, Tri-County Allied Health School Corona, Ca

Courses – Transition to Inpatient Coding, CCS Exam Preparation, ICD-9/CPT Coding, Intro to ICD-10-CM and ICD-10-PCS, Encoder Training.

Completed six month post-graduation program at Tri-County Allied Health School for coding, including 80 hour certification on 3M encoding software.

Experience:

AE and Associates, LLC Corona, Ca

HCC (Hierarchical Conditions Category) Coder 7/12-Present

Worked on risk-adjustment project to extract further compensation for health plan from Medicare. Used Medicare criteria to determine further diagnoses for compensation and acceptability of claims.

Health Net Huntington Beach, Ca

Health Record Abstractor 2/12-6/12

Abstracted health information for Quality Assurance for 2012 Health Net Healthcare Effectiveness Data and Information Set (HEDIS) project. Scored 98% accuracy rating.

La Palma Intercommunity Hospital La Palma, Ca

Intern 10/11-12/11

Participated in 160 hour practicum in an which included chart assembly, chart scanning, chart indexing, chart analysis, doctor’s incomplete charts, and medical coding.

acute hospital setting

Adult & Pediatric Orthopaedic Specialists Orange, Ca

Surgery Scheduling 10/06-02/07

Coordinated surgeries for CHOC Orthopedic Clinic, interfaced with clinic staff, procured/checked insurance authorization, processed patient charts, coordinated times between patients/families and facility, completed all relevant paperwork (including consent forms and surgery instructions), prepared surgical charts for residents and surgeons.

Medical Center for Women Fullerton, Ca

Medical Front Office 5/05-2/06

Responsible for all front office functions of medical clinic with multiple providers and heavy patient load. Checked in patients while tracking insurance coverage and used electronic health records to make sure patient’s medical plan was billed properly. Provided exceptional customer service to resolve patient concerns, which could range from problems with insurance coverage to financial concerns to helping them deal with personal issues. Coordinated and updated provider schedules and scheduled appointments. Electronically maintained patient charts and responded to patient requests for medical records from their charts. Collected co payments and kept accurate record of cash transactions. Familiar with medical insurance charge coding.

Hoag Hospital Presbyterian Newport Beach, Ca

Clerical Coordinator 9/00-2/03

Worked in Appeals and Grievances Office for Greater Newport Physicians (Doctor’s Association) dealing with major HMOs handling/resolution of patient complaints and coordinating all relevant correspondence. Transferred to Labor & Delivery unit transcribing doctor’s orders, assembling charts, handling the admission of patients, and coordinating required procedures and services and their providers.

Kaiser Permanente Orange County, Ca

Unit Manager 10/84-8/00

Worked on Pediatric floor as Unit Manager transcribing doctor’s orders, working with ancillary departments to schedule procedures, assembling patient charts, and ordering supplies. Developed customer service skills through daily contact with patients, visitors, providers, and support staff. Also worked in ICU, CCU, Medical and Surgical floors, NICU, and Labor & Delivery. Moved to the Inpatient Radiology department and scheduled procedures. Transferred to Outpatient Psychiatry Clinic and performed clerical support functions before moving to the Intensive Outpatient Psychiatry Clinic to perform clerical support functions as well as further develop phone/verbal communication skills in helping to de-escalate patients.

U. S. Army Various posts around the U.S.

Cryptologist, Radio Traffic Analyst 12/79-4/83

Worked at the National Security Agency at Fort Meade, Md. as a cryptologist and radio traffic analyst developing computer operations skills while breaking code. Received a Special Security Intelligence clearance.

La Palma Intercommunity La Palma, Ca

Unit Manager 4/77-12/79

Worked as a Unit Manager in Medical/Surgical and ICU/CCU. Was responsible for transcribing doctor’s orders and creating and maintaining patient charts, coordinating all required pre-op procedures, ordering required forms and supplies.

Affiliations:

American Health Information Management Association (AHIMA) since Sept. 2010

California Health Information Association (CHIA) since Sept. 2010

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