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Medical Quality Control

Location:
Jacksonville, FL, 32209
Posted:
August 20, 2012

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Resume:

Brenda L. West

**** **** **** ******

Jacksonville FL 32209

904-***-****

tf5h7y@r.postjobfree.com

Objectives: Looking for a challenging position with a growing company. Where I can

use my diverse experience, and have the opportunity for advancement.

Summary of Qualifications:

Result driven administrative professional and facility specializing in abstracting medical

Record to assign diagnoses, procedures and E&M codes with ICD-9 CM and CPT codes

for the purpose of medical bills.

Excellent communication and interpersonal skills with strong leadership and problem solving abilities.

Very comfortable in a fast pace environment.

Able to formulate and lead a team or tackle projects independently as situations dictates.

Specialize in handling sensitive issue with diplomacy and objectivity.

Knowledge of HCC coding and Medicare Risk Adjustment.

Excellent production management with low error rate.

Duties and Responsibilities:

Abstracting chart to assign diagnoses, procedures and E&M codes using ICD-9CM, CPT and HCPC codes for the purpose of reimbursement and research compliances for federal and hospital regulations.

Specialize in maintaining Local Medical Review (LMRP) to meet federal regulation and compliances.

Coding electronic medical record for facility and professional

Able to update super bill and charge master if needed.

Responsible for quality control of patient’s medical record to collect data for research and statistical reporting.

Function as a supervisor to maintain and monitor staffing schedules, ensure adherence to policies and procedure.

Specialize in insurances, third party payer reimbursement and verification and assigning revenue codes if

needed.

Knowledge on assigning DRG codes to inpatient record as needed.

Training:

Electronic medical Record

Encoder

PC Proficiency

Anatomy and Physiology

Customer Services

Work Experiences:

HIMG- Medical Coder – 02/11

Team Health – Medical Coder -11/04-11/08

Shand’s Healthcare- Medical Coder- 10/8 12/03

Educations:

Kaplan University Jacksonville – Student

American Academy of Professional Coder

Jones College- 1982-1983



Contact this candidate